Mortality Pattern amongst Patient Admitted in Tertiary Health Care Center, Rajnandgaon (C.G.)

Mortality data provides the starting point for many epidemiological studies, and are the major resource in explaining trends, differentials of overall mortality. The basis of mortality data is death certificate recommended by WHO. Hospital-based death records provide information regarding the causes of deaths, case fatality rates and age and sex distribution. The present study was planned to determine the frequency, pattern, distribution and causes of non medico legal inpatient mortality occurring in the Government Medical College, hospital, Rajnandgaon (C.G).

A record based cross sectional study was conducted, based on the data available in the MRD section of this hospital. All the deaths occurred in the hospital during the 1-year period, i.e., March 16-Feb 17 were considered for analysis. The system involved and the underlying cause of death was recorded and was classified according to International Classification of Diseases (ICD) 10th revision.

The mortality rate was 20 per 1000 IPD patients. Maximum deaths were in the age group of 41–60 years (35%). Majority (32%) deaths occurred in the quarter i.e, June 16 to August 16. 27.8% patient's deaths involved circulatory system. According to ICD10 classification, 71 deaths occurred due to cerebro-vascular accidents which were more in males (44) as compared to females (27).

Epidemiological transition is evident from the study findings which suggest that there are more deaths from non communicable diseases than communicable diseases. Diseases of circulatory system is a leading cause of death.