Adhikari Min Chandra, Shrestha Surendra Lal, Sharma Sarbesh, Nepal Suresh Prasad
Department of Medicine, National Academy of Medical Sciences, Kathmandu, Nepal.
Department of General Practice and Emergency Medicine, National Academy of Medical Sciences, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2024 Oct;62(278):664-668. doi: 10.31729/jnma.8784. Epub 2024 Oct 31.
Most developing regions of the world are undergoing gradual epidemiological transition resulting in high burden of both communicable and noncommunicable diseases. Morbidity and mortality pattern is a reflection of disease burden. Detailed assessment of these parameters tends to aid in formulating pivotal aspects of in-hospital policies, standards of care and so consequently promoting efficient work systems. The aim of this study is to identify the pattern of mortalities in medical wards in a tertiary care hospital.
This retrospective descriptive cross-sectional study was conducted in National Academy of Medical Sciences, Bir hospital focusing on all patients admitted to the medical wards (General Medical, Hepatology, Nephrology, Neurology, Endocrinology, Pulmonology, Cardiology and Gastrology) between January 1, 2023 to December 31, 2023 after obtaining ethical approval from Institutional Review Committee (Reference number: 390/2080/81). Total population sampling was done. Data were analyzed using Microsoft Excel and SPSS.
Among 10124 admitted patients in medical wards, mortality was reported in 732 (7.22%). The number of deaths seen in general medical ward was 389 (53.14%) and in hepatology ward was 85 (11.61%). Systemic cause of death due to respiratory diseases was 157 (21.43%) and liver disease was 143 (19.54%).
The respiratory disease is responsible for a higher proportion of deaths among admitted patients.
世界上大多数发展中地区正在经历逐渐的流行病学转变，导致传染病和非传染病的负担都很高。发病率和死亡率模式反映了疾病负担。对这些参数进行详细评估有助于制定医院政策、护理标准的关键方面，从而促进高效的工作系统。本研究的目的是确定一家三级医院内科病房的死亡模式。
这项回顾性描述性横断面研究在比尔医院国家医学科学院进行，重点关注2023年1月1日至2023年12月31日期间入住内科病房（普通内科、肝病科、肾内科、神经内科、内分泌科、肺病科、心脏病科和胃肠病科）的所有患者，研究获得了机构审查委员会的伦理批准（参考编号：390/2080/81）。采用全人群抽样。数据使用微软Excel和SPSS进行分析。
在内科病房收治的10124例患者中，有732例（7.22%）报告死亡。普通内科病房的死亡人数为389例（53.14%），肝病科病房为85例（11.61%）。呼吸系统疾病导致的全身死亡原因有157例（21.43%），肝脏疾病有143例（19.54%）。
呼吸系统疾病在收治患者的死亡中占比更高。
