Causes of Mortality Among Patients Admitted in a Tertiary Hospital

Abstract

Introduction: The analysis of causes of death in the hospital and identification and dealing with the causes of death, in one of the best strategies to increase longevity. This study, with the aim of better understanding of the causes of death and by taking into account all hospital wards, describes the causes of hospital mortality occurred in Sina educational and clinical hospital of Tabriz, in order to investigate demographic ,clinical and cause of death variables for each disease separately. Method: This study is done by the sectional descriptive method in 2018 in Sina educational and clinical hospital of Tabriz. This hospital is the most important center for admissions of poisoning and burns in the North West of Iran. For this purpose, after obtaining a license, records of all patients who are admitted to hospital since 21 March 2018 until 19 March 2019, were extracted from the archives center in an elective and emergency form. Demographic and clinical variables were extracted from records and recorded in the questionnaire. The sample in counting the mortality occurred during one year was 626 cases according to documentations, that 88 cases were eliminated from study due to containing incomplete information. The data were analyzed by descriptive tests and SPSS18. Findings: The mortality rate in this study was 1%. 56.5% of those who died were male. Most deaths occurred among patients of over 75 years old. Among the under-15 age group the highest mortality rate were for burns. The most common causes of mortality, were, respectively, burns (19.33%), cancer (16.86%), and infectious disease (16.57%) .Most deaths occurred in the special wards. In 61%, chronic and underlying diseases are reported. Conclusion: Since this hospital is the largest and most important teaching hospitals for burns, in the province, the most common causes of death in this study are result of burns. The high percentage of deaths from burns in children and young people shows the importance of informing the dangers of burn for preventing the occurrence of burns and control its effects.