Adekunle O, Olatunde I O, Abdullateef R M
Department of Internal Medicine, Federal Medical Centre, Owo, Ondo State, Nigeria.
Niger Postgrad Med J. 2008 Dec;15(4):247-50.
The study reviewed and analysed the causes and pattern of death among patients admitted to the Federal Medical Centre, Owo in the year 2004.
The case note records of all patients that died on admission in the hospital for the year 2004 were reviewed. A total of 104 cases out of the 114 patients that died were reviewed. Total admission was 1819 for the year.
Annual death rate was 6.3%. Overall, infectious causes of death was the most common (22.1%) ; this was followed by deaths from pregnancy and neonatal preterm related causes(18.3%) while deaths from neurological disorders (stroke, meningitis, and meningo-encephalitis among others) (17.3%); gastro-intestinal disorders(11.6%), respiratory disorders (10.6%) endocrine disorders (7.7%) and others followed in that order. In the medical wards cerebrovascular disease was the leading cause of death; in Obstetrics and Gynaecology, prolonged obstructed labour was the leading cause of death while Paediatrics and Surgery departments had preterm births and head injuries and multiple fractures as the leading causes of death respectively.
Periodic review of hospital deaths could be important in knowing the changing pattern of mortality in our environment. In this study, improvement in the living condition of the citizens, use of potent antibiotics in treating infections and increased patronage of immunisation facilities as ways of control of infections is advocated.
本研究回顾并分析了2004年入住奥沃联邦医疗中心患者的死亡原因及模式。
回顾了2004年在该医院入院时死亡的所有患者的病历记录。在114例死亡患者中，共回顾了104例。该年总入院人数为1819人。
年死亡率为6.3%。总体而言，感染性死亡原因最为常见（22.1%）；其次是妊娠和新生儿早产相关原因导致的死亡（18.3%），而神经系统疾病（中风、脑膜炎和脑膜脑炎等）导致的死亡（17.3%）；胃肠道疾病（11.6%）、呼吸系统疾病（10.6%）、内分泌系统疾病（7.7%）以及其他原因导致的死亡依次排列。在内科病房，脑血管疾病是主要死亡原因；在妇产科，产程延长梗阻是主要死亡原因，而儿科和外科病房早产、头部受伤和多处骨折分别是主要死亡原因。
定期回顾医院死亡情况对于了解我们环境中不断变化的死亡模式可能很重要。在本研究中，提倡改善市民生活条件、使用强效抗生素治疗感染以及增加对免疫设施的利用作为控制感染的方法。
