Study of Patterns of Mortality in a Tertiary Care Hospital, Raichur Karnataka
Background: India is encountering a growing burden of non-communicable diseases (NCD) along with infectious diseases, perinatal, and nutritional problems that have long been considered major problems of public health importance. This retrospective analysis was carried out to examine the mortality patterns from communicable diseases and non-communicable diseases (NCD) in government hospital of Raichur. Objective: The objective of the study was to determine the mortality patterns of patients admitted in a tertiary care hospital. Methodology: Total deaths were captured over 1 year (December 2012November 2013) in government hospital, Raichur. Information obtained from medical records department which included: Dates of admission and death, age, sex, address, and principal cause of death. Only the diseases responsible for deaths are taken as the cause of death. Cause of death was coded using International Classification of Diseases-10 and data were double entered. Results: Overall, 59% of the deaths were attributed to Group I diseases, and 31% to Group II diseases, and 10% to Group III diseases. In all groups, males died more than females, but significantly larger proportions of females died from Group I (45%) diseases compared with other groups. Deaths due to Group I diseases decreased while those due to Group II diseases increased with age. Double burden in mortality was highly observed in the age groups of 1564 years. Those aged >45 years were dying more likely with NCDs compared with children. Conclusion: The results of the present study shows that, in addition to the common Group I causes of death, emerging Group II diseases are contributing to high proportions of mortality in tertiary care hospital. The planning of health resources and activities should take into account the double burden in mortality due to Group I and Group II diseases. This calls for strengthening approaches toward the control and prevention of NCDs such as cardiovascular and malignant neoplasm.
Key words: Mortality pattern, Tertiary care hospital, Raichur
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