Status and perspectives of hospital mortality in a public urban Hellenic hospital, based on a five-year review

Papadopoulos, Iordanis N.; Papaefthymiou, Maria; Roumeliotis, Leonidas; Panagopoulos, Vasilios G.; Stefanidou, Anna; Kostaki, Anastasia
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p28
Academic Journal
Background: Analysis of hospital mortality helps to assess the standards of health-care delivery. Methods: This is a retrospective cohort study evaluating the causes of deaths which occurred during the years 1995-1999 in a single hospital. The causes of death were classified according to the International Statistical Classification of Diseases (ICD-10). Results: Of the 149,896 patients who were discharged the 5836 (3.4%) died. Males constituted 55% and females 45%. The median age was 75.1 years (1 day - 100 years). The seven most common ICD-10 chapters IX, II, IV, XI, XX, X, XIV included 92% of the total 5836 deaths. The most common contributors of non-neoplasmatic causes of death were cerebrovascular diseases (I60-I69) at 15.8%, ischemic heart disease (I20-I25) at 10.3%, cardiac failure (I50.0-I50.9) at 7.9%, diseases of the digestive system (K00-K93) at 6.7%, diabetes mellitus (E10-E14) at 6.6%, external causes of morbidity and mortality (V01-Y98) at 6.2%, renal failure (N17-N19) at 4.5%, influenza and pneumonia (J10-J18) at 4.1% and certain infectious and parasitic diseases (A00-B99) at 3.2%, accounting for 65.3% of the total 5836 deaths. Neoplasms (C00-D48) caused 17.7% (n = 1027) of the total 5836 deaths, with leading forms being the malignant neoplasms of bronchus and lung (C34) at 3.5% and the malignant neoplasms of large intestine (C18-21.2) at 1.5%. The highest death rates occurred in the intensive care unit (23.3%), general medicine (10.7%), cardiology (6.5%) and nephrology (5.5%). Key problems related to certification of death were identified. Nearly half of the deaths (49.3%: n = 2879) occurred by the completion of the third day, which indicates the time limits for investigation and treatment. On the other hand, 6% (n = 356) died between the 29th and 262nd days after admission. Inadequacies of the emergency care service, infection control, medical oncology, rehabilitation, chronic and terminal care facilities, as well as lack of regional targets for reducing mortality related to diabetes, recruitment of organ donors, provision for the aging population and lack of prevention programs were substantiated. Conclusion: Several important issues were raised. Disease specific characteristics, as well as functional and infrastructural inadequacies were identified and provided evidence for defining priorities and strategies for improving the standards of care. Effective transformation can promise better prospects.


Related Articles

  • Declining Mortality Rate Among People With Diabetes in North Dakota, 1997-2002. Tierney, Edward F.; Cadwell, Betsy L.; Engelgau, Michael M.; Shireley, Larry; Parsons, Sherri L.; Moum, Kathy; Geiss, Linda S. // Diabetes Care;Nov2004, Vol. 27 Issue 11, p2723 

    Presents a study which examined the mortality rates among individuals with diabetes in North Dakota from 1997 to 2002. Reasons for the difficulties in tracking mortality trends in the area; Research design and methodology; Percentage of decline in mortality rate in 2002 among individuals with...

  • Study: 75% of EDs have inadequate call coverage.  // ED Management;Dec2007, Vol. 19 Issue 12, p142 

    The article reports on the inadequate number of specialists for cardiac or neurological problems in the U.S., which accounted to 75% based on a study from the Center for Studying Health System Change. The study noted that the lack of specialists resulted to 21% of premature deaths and...

  • Relationship Between Diabetes and Mortality. Morgan, Christopher LL.; Currie, Craig J.; Peters, John R. // Diabetes Care;Aug2000, Vol. 23 Issue 8, p1103 

    Focuses on a study which determined the patterns and causes of mortality for patients with diabetes in a district health authority. Discussions on diabetic mortality; Research design and methods; Conclusions.

  • Is it safe to discharge a heart failure patient?  // ED Nursing;May2010, Vol. 13 Issue 7, p79 

    The article states that the mortality rate of patients discharged from emergency departments (ED) with heart failure is high and the condition should be viewed as a serious risk.

  • Former Farmer Is Short of Breath. Larson, Lyle W. // Clinician Reviews;Jan2014, Vol. 24 Issue 1, p12 

    The article describes the case of a 67-year-old man who has a history of chronic dyspnea and called 911 when he found himself profoundly short of breath while walking to his mailbox one morning. The working diagnosis in the emergency department is acute or chronic heart failure. It presents and...

  • Accuracy of chest radiograph interpretation by emergency physicians. Zohair Al aseri // Emergency Radiology;Mar2009, Vol. 16 Issue 2, p111 

    Abstract  Chest radiographs are one of the most complex imaging modalities to interpret. The objective of this study was to assess how accurately emergency physicians interpreted chest radiographs in relation to radiologist reports. Radiological descriptions of chest radiographs from 667...

  • Avandia, Risk of Congestive Heart Failure Significant Safety Risk.  // Clinical Oncology Alert;Jul2007, Vol. 23 Issue 7, p1 

    The article reports on the association of heart failure with rosiglitazone use. It states that the U.S. Food and Drug Administration (FDA) will give a black box warning to the drug which is used for treating type 2 diabetes. Based on a study conducted, there was no evidence of an increased death...

  • To die with or from heart failure: a difference that counts. Engelfriet, Peter M.; Hoogenveen, Rudolf T.; Boshuizen, Hendriek C.; van Baal, Pieter H.M. // European Journal of Heart Failure;Apr2011, Vol. 13 Issue 4, p377 

    Aims Mortality attributed to a disease is an important public health measure of the �burden� of that disease. A discrepancy has been noted between the high mortality rates associated with heart failure (HF) and the share of deaths ascribed to HF in official mortality statistics. It was...

  • Cardiac Troponin T as a Prognostic Marker in Patients With Heart Failure: A 3-Year Outcome Study. Demir, Mesut; Kanadaŝı, Mehmet; Akpınar, Onur; Dänmez, Yurdaer; Avkaroĝulları, Mahir; Alhan, Cumhur; İnal, Tamer; Şan, Mustafa; Usal, Ayhan; Demirtaş, Mustafa // Angiology;Oct/Nov2007, Vol. 58 Issue 5, p603 

    Cardiac troponin T (cTnT), a highly sensitive and specific indicator of myocardial cell death, may be elevated in congestive heart failure (CHF). The aims of this study were to test the hypothesis that decompensated CHF may be associated with an increase in cTnT release and to correlate between...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics