NURSEL ÇALIK BAŞARAN, BURAK YASİN AKTAŞ, Yusuf Ziya ŞENER, Serdar CEYLAN, Emre YEKEDÜZ, Batuhan BAŞPINAR, CEM ŞİMŞEK, LALE ÖZIŞIK, GÜLAY SAİN GÜVEN, ŞERİFE GÜL ÖZ, MİNE DURUSU TANRIÖVER

Mortality Facts in Internal Medicine Wards: A Descriptive Study from a University Hospital

Objective: We aimed to determine the mortality rates and the causes of death in hos-pitalized patients in Internal Medicine Wards in a University Hospital. Material and Methods: Medical records of patients who were hospitalized between 01 June 2014 and 31 May 2015 in Internal Medicine Wards of a University Hospital were reviewed and patients who died were examined retrospectively. Patient characteris-tics and causes of death were sorted out. Results: In the defined time frame, 5314 hospitalization episodes of 4500 patients were recorded and 416 (9.2%) patients died during hospital stay. The mean age of the patients who died was 62 (19-95) years and 54% of them were male. The median du- ration of hospitalization was 16 (0-142) days. The mean Charlson score was 6.3 ± 2.7. The rates of hospitalization and death did not differ between seasons. Malignancy was present in 71% of the cases and, 46% had metastatic solid cancer. The most com- mon accompanying diseases were diabetes mellitus (25.7%), hypertension (35%) and congestive heart failure (18.8%). The most common reasons of admission were respi- ratory distress (23.8%), pneumonia (11.1%), and general deterioration (10.6%) among the patients who died. Sepsis (69%) and respiratory failure (15.9%) were the leading causes of deaths. Conclusion: Patients who died in internal medicine wards have high chronic illness burden. Sepsis was the most common cause of death.

PDF

___

Steven E, Weinberger MD, Anne G et al. Competency-Based Education and Training in Internal Medicine. Ann Intern Med 2010; 153: 751-56.

Tanriover MD, Rigby S, van Hulsteijn LH et al. What is the role of general internists in the tertiary or academic setting? Eur J Intern Med 2015; 26(1): 9-11.

Hall MJ, Levant S, DeFrances CJ. Trends in inpatient hospital deaths: National Hospital Discharge Survey, 2000-2010. NCHS Data Brief 2013; 118: 1-8.

T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2016. https:// dosyasb.saglik.gov.tr/Eklenti/13183,sy2016turkcepdf.pdf (ac- cessed June 2018).

Erbaydar NP, Çilingiroğlu N, Pişkin TM et al. Analysis of three-year death record of Hacettepe University Adult Hospital. Acta Medica 2013; 43: 8-15.

Charlson ME, Pompei P, Ales KL et al. A new method of classi- fying prognostic comorbidity in longitudinal studies: devel- opment and validation. J Chronic Dis 1987; 40: 373-83.

Quan H, Li B, Couris CM et al. Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries. Am J Epidemiol 2011; 173: 676-82.

Levy MM, Fink MP, Marshall JC et al. 2001 SCCM/ESICM/ACCP/ ATS/SIS International Sepsis Definitions Conference. Crit Care Med 2003; 31: 1250-6.

Bellani G, Laffey JG, Pham T et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units in 50 Countries. JAMA 2016; 315: 788-800.

Davidson AC, Banham S, Elliott M et al. BTS/ICS guideline for the ventilatory management of acute hypercapnic respirato- ry failure in adults. Thorax 2016; 71(Suppl 2): ii1-35.

Califf RM, Bengtson JR. Cardiogenic shock. N Engl J Med 1994; 330: 1724-30.

Bai AD, Srivastava S, Tomlinson GA, et al. Mortality of hospitalised internal medicine patients bedspaced to non-internal medicine inpatient units: retrospective cohort study. BMJ Qual Saf 2018; 27: 11-20.

World Health Organization, Global Health Observatory (GHO) Data. http://www.who.int/gho/mortality_burden_disease/ en/ (accessed June 2018).

McPherson D, Griffiths C, Williams M, et al. Sepsis-associated mortality in England: an analysis of multiple cause of death data from 2001 to 2010. BMJ Open 2013; 3:e002586.

Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA 2014; 312: 90-2.

Rhee C, Dantes R, Epstein L, et al. Incidence and Trends of Sepsis in US Hospitals Using Clinical vs Claims Data, 2009- 2014. JAMA 2017; 318: 1241-49.

Duckitt R, Palsson R, Bosanska L, et al. Common diagno- ses in internal medicine in Europe 2009: a pan-European, multi-centre survey. Eur J Intern Med 2010; 21: 449-52.

ISSN: 2147-9488
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 2012
Yayıncı: HACETTEPE ÜNİVERSİTESİ

Arşiv

Sayıdaki Diğer Makaleler

Intramyocardial Calcification as a Rare but Significant Indication for Transfemoral TAVI?

Mustafa GERÇEK, Muhammed GERÇEK, Jan GUMMERT, Jochen BÖRGERMANN

Heart Diseases in Pregnancy and Preoperative Evaluation

MUHAMMET DURAL, HİKMET YORGUN

The Quality of Medical Resident PowerPoint ® Presentations

Job Paul LARSON, David MOSS, Robert P. LENNON

Effect of a Brief Education on the Occupational History Taking in Hypertension Patients

Seval Müzeyyen ECİN, Adem KOYUNCU, Abdulsamet SANDAL, Sultan Pınar ÇETİNTEPE, NURSEL ÇALIK BAŞARAN, ŞERİFE GÜL ÖZ, ALİ NACİ YILDIZ

Mortality Facts in Internal Medicine Wards: A Descriptive Study from a University Hospital