Mortality Trend in A Tertiary Care Hospital of Bhopal, Madhya Pradesh

Abstract

Introduction: Mortality data from hospitalized patients reflect the causes of major illness and care seeking behaviour of the community as well as standard of care being provided. Record of vital events like death constitutes an important component of the health information system. This study was conducted to find out the causes of mortality of inpatients in tertiary care hospital admitted during 2007-2011.

Methodology: A retrospective analysis was conducted with medical record department in tertiary care hospital of Bhopal over a 5 years period. Death was classified using a standard system of ICD-10 (international classification of diseases).

Results: Total 1619 death more 24% (723) were in the group of 45 years and above followed by 16-30 years of age 21% (336). Males were more (56%) than females (44%). The leading cause of death in last five years was septicaemia (24%), followed by heart diseases (14.63%) and pulmonary tuberculosis (10.31%). Least common cause of mortality was poisoning 2.1% and cancer 2.4%.

Conclusion: Most common cause of overall mortality was septicaemia, cardiac and pulmonary disease. Steps are needed to be taken to educate the people and also to provide better treatment facilities at grass root level. An urgent reorientation of the health delivery system is required to enable the implementation of evidence-based strategies that can address this new challenge of non-communicable conditions.