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Category: Volume 06 Issue 04 April 2018
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Title: Study of Factors Affecting Deaths in Medicine Ward Patients Including MICU at a Teaching and Tertiary Care Hospital Located in Central India during Period 2013 to 2016

Authors: Vivek Pande, Nalini Humaney, Anuja Pande

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.166

Abstract

Introduction: ICU related rates are robustly governed by factors related to and type of patients and sternness of disease that are analyzed. Even though massive chunk of these deaths are preordained, identifying risk factors associated increased mortality and targeting avoidable ones should be the mainstay of critical care health strategies.

Aims and Objectives: To study factors affecting death rates in Medicine wards especially in Medicine ICU (MICU).

Material and Methods: The present study is record based retrospective study on deceased patients admitted to Medicine ward and MICU from 2013 to 2016.

Results: Total 908 deaths were registered during the study period. On analyzing age groups, it was found that maximum deaths occurred in age group 51-70 years. Maximum deaths occurred in patients whose hospital stay was >48 hours (54.7%), followed by 269 deaths in patients whose hospital stay was between 24-48 hours and least deaths were encountered in patients whose hospital stay was <24 hours. Most common diagnosis in hepato-biliary system was cirrhosis, while stroke was most common in CNS, pneumonia in respiratory system and myocardial infarction, angina were most common in cardiovascular system.

Conclusion: Present study is one of the few studies to highlight critical care status in rural India. Effective strategies need to be chalked out in pursuit of improving standard of healthcare.

Keywords: death, factors, ICU, Medicine.

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Corresponding Author

Dr Nalini Humaney

Professor & Head, department of Medicine, NKP Salve Institute of Medical Sciences & Lata Mangeshkar hospital,

Hingna road, Digdoh hills, Nagpur-400009

Mobile no.- +91 9657874811