Hari Kumar K V S, Ajai Chandra N S
Senior Adviser (Medicine) & Endocrinologist, Army Hospital (R&R), Delhi Cantt, India.
Senior Adviser (Anesthesiology) & Neuroanesthetist, Command Hospital (Western Command), Chandimandir, Haryana, India.
Med J Armed Forces India. 2017 Jul;73(3):299-303. doi: 10.1016/j.mjafi.2016.10.009. Epub 2016 Nov 30.
The mortality statistics of the medical patients at our tertiary care hospitals are sparse and lacking. We studied the mortality characteristics of the patients admitted to medical wards and intensive care unit at two hospitals based on the available fatal documents. Our objectives include analysis of the cause of death, duration of stay and presence of sepsis. The deceased (103 males, 47 females) had a mean age of 64.6 ± 15.5 yrs and mean duration of stay 7.1 ± 12.3 days. Infections and sepsis syndrome (33%), respiratory (17%), neurological (15%) and cardiovascular disorders (10%) were the top four causes of the mortality. Comorbid ailments were present in 71% of the deceased and the ventilator was used in 39% of them prior to the death. Age of the patients did not show any correlation with the duration of hospital stay ( = 0.8322). Infections and sepsis syndrome are the major reasons of death in medical patients. Mortality audit helps in identifying the prevalent causes of death in the hospital.
我们三级护理医院内科患者的死亡率统计数据稀少且缺乏。我们根据现有的死亡文件研究了两家医院内科病房和重症监护病房收治患者的死亡特征。我们的目标包括分析死亡原因、住院时间和败血症的存在情况。死者（103名男性，47名女性）的平均年龄为64.6±15.5岁，平均住院时间为7.1±12.3天。感染和败血症综合征（33%）、呼吸系统疾病（17%）、神经系统疾病（15%）和心血管疾病（10%）是死亡率最高的四大原因。71%的死者存在合并症，其中39%在死亡前使用了呼吸机。患者年龄与住院时间无任何相关性（=0.8322）。感染和败血症综合征是内科患者死亡的主要原因。死亡率审计有助于确定医院中普遍存在的死亡原因。
