Disease mortality audit in a Nigerian tertiary care center

Background: Mortality audit is in developing countries is sparse despite its importance in guiding decision-making toward reversing the present high death rate. Objective: The study aims to study the profile of in-hospital mortality in a Nigerian hospital. Materials and Methods: This is a retrospect...

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Autor principal:	Obiora Jude Uchendu
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	disease fatality in-hospital mortality Medicine R
Acceso en línea:	https://doaj.org/article/563b1d96ea9d4c548a76de045bd328eb
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spelling	oai:doaj.org-article:563b1d96ea9d4c548a76de045bd328eb2021-11-12T11:14:59ZDisease mortality audit in a Nigerian tertiary care center2321-668910.4103/smj.smj_51_19https://doaj.org/article/563b1d96ea9d4c548a76de045bd328eb2021-01-01T00:00:00Zhttp://www.smjonline.org/article.asp?issn=1118-8561;year=2021;volume=24;issue=3;spage=117;epage=123;aulast=Uchenduhttps://doaj.org/toc/2321-6689Background: Mortality audit is in developing countries is sparse despite its importance in guiding decision-making toward reversing the present high death rate. Objective: The study aims to study the profile of in-hospital mortality in a Nigerian hospital. Materials and Methods: This is a retrospective review of the records of all in-hospital mortalities at Delta State University Teaching Hospital, Nigeria, from 2016 to 2018. Information extracted from the records included age, sex, year, and cause of death. The causes were further classified with Global Burden of Disease 2017 classification. Analysis was with SPSS version 21. Results: A total of 1044 mortalities were recorded during the 3-year period, giving a mortality rate of 12.6%, with a male to female ratio of 1.3:1 and a mean age of 42.36 ± 25.23. The peak fatality were in early neonatal and 50–54 years of age group accounting for 96 (9.1%) and 87 (8.3%) cases, respectively. Communicable, maternal and nutritional diseases, noncommunicable diseases and injuries accounted for 276 (26.4%), 642 (61.5%), and 126 (12.1%) fatalities, respectively. The leading causes of fatality are stoke (17.1%), road injuries (7.7%), neonatal disorders (7.6%), HIV/AIDS (6.0%), chronic kidney disease (5.7%), diabetes mellitus (4.6%), chronic liver disease (4.4%), maternal disorders (2.6%), upper digestive system diseases (2.3%), and breast cancer (2.3%). Conclusion: The mortality pattern show male predominance, peak at neonatal period and preponderance of noncommunicable diseases, road injury and HIV/AIDS-related deaths. Increased government funding, universal health coverage, public education, and lifestyle modification are paramount to reducing mortality.Obiora Jude UchenduWolters Kluwer Medknow Publicationsarticlediseasefatalityin-hospital mortalityMedicineRENSahel Medical Journal, Vol 24, Iss 3, Pp 117-123 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	disease fatality in-hospital mortality Medicine R
spellingShingle	disease fatality in-hospital mortality Medicine R Obiora Jude Uchendu Disease mortality audit in a Nigerian tertiary care center
description	Background: Mortality audit is in developing countries is sparse despite its importance in guiding decision-making toward reversing the present high death rate. Objective: The study aims to study the profile of in-hospital mortality in a Nigerian hospital. Materials and Methods: This is a retrospective review of the records of all in-hospital mortalities at Delta State University Teaching Hospital, Nigeria, from 2016 to 2018. Information extracted from the records included age, sex, year, and cause of death. The causes were further classified with Global Burden of Disease 2017 classification. Analysis was with SPSS version 21. Results: A total of 1044 mortalities were recorded during the 3-year period, giving a mortality rate of 12.6%, with a male to female ratio of 1.3:1 and a mean age of 42.36 ± 25.23. The peak fatality were in early neonatal and 50–54 years of age group accounting for 96 (9.1%) and 87 (8.3%) cases, respectively. Communicable, maternal and nutritional diseases, noncommunicable diseases and injuries accounted for 276 (26.4%), 642 (61.5%), and 126 (12.1%) fatalities, respectively. The leading causes of fatality are stoke (17.1%), road injuries (7.7%), neonatal disorders (7.6%), HIV/AIDS (6.0%), chronic kidney disease (5.7%), diabetes mellitus (4.6%), chronic liver disease (4.4%), maternal disorders (2.6%), upper digestive system diseases (2.3%), and breast cancer (2.3%). Conclusion: The mortality pattern show male predominance, peak at neonatal period and preponderance of noncommunicable diseases, road injury and HIV/AIDS-related deaths. Increased government funding, universal health coverage, public education, and lifestyle modification are paramount to reducing mortality.
format	article
author	Obiora Jude Uchendu
author_facet	Obiora Jude Uchendu
author_sort	Obiora Jude Uchendu
title	Disease mortality audit in a Nigerian tertiary care center
title_short	Disease mortality audit in a Nigerian tertiary care center
title_full	Disease mortality audit in a Nigerian tertiary care center
title_fullStr	Disease mortality audit in a Nigerian tertiary care center
title_full_unstemmed	Disease mortality audit in a Nigerian tertiary care center
title_sort	disease mortality audit in a nigerian tertiary care center
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/563b1d96ea9d4c548a76de045bd328eb
work_keys_str_mv	AT obiorajudeuchendu diseasemortalityauditinanigeriantertiarycarecenter
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Disease mortality audit in a Nigerian tertiary care center

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