Original Research Article
Year: 2017 | Month: April | Volume: 7 | Issue: 4 | Pages: 34-39
Diagnosis of Deaths in Initial Hours in Medicine Ward in a Tertiary Care Hospital of Bangladesh
H A M NazmulAhasan1, Md. Titu Miah2, Khan Fariduddin Mohammad Ayaz2, Mohammad Ashik Imran Khan3, Md. Aminul Islam4, Ashfaque Ahmed Siddique5, Russell Kabir6, S.M. Yasir Arafat7
1Professor, Department of Medicine, Popular Medical College Hospital, Dhaka, Bangladesh
2Professor, Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
3Resident, Pulmonuology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
4Transplant Co-ordinator, Dhaka Medical College Hospital, Dhaka, Bangladesh
5Officer on Special Duty, Director General of Health Service, Dhaka, Bangladesh
6Senior Lecturer, Department for Allied and Public Health, Anglia Ruskin University, Chelmsford, Essex, UK
7Resident, Department of Psychiatry, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Corresponding Author: S.M. Yasir Arafat
ABSTRACT
Introduction: The increasing number of acute medical admissions to major teaching hospitals over the past years has resulted in increased number of undiagnosed hospital deaths. In Dhaka Medical College Hospital, about 2.57% patient death occurred in the Department of Medicine in the year 2010 as per the year book but the actual number is probably higher. Due to many contributing factors etiology of most of these early deaths remain a mystery and there is an urgent need to consider these deaths. This study is aimed to analyze the deaths occurring in the first 48 hours into hospital admission in the adult medicine ward.
Materials and Methods: A hospital based observational study was conducted at adult inpatient department of medicine of Dhaka Medical College Hospital from March 2012 to August 2012. All adult (>18 years) Patients admitted in Dhaka Medical College Hospital who died within 48 hours after admission were included in the study.
Results: The result shows that cerebrovascular disease (CVD) or stroke, Diabetes mellitus & its complications such as diabetic ketoacidosis, chronic kidney diseases, encephalitis, hypertensive heart diseases & its complications were the leading causes of death in our medical ward. About 20% of the deaths occurred in the age group below 40 years, which is the most economically productive segment of the society. This has negative implications for the development of the nation. Bangladesh is still a developing country where a health care facility to all populations especially in remote areas is limited. The socio-economic status and many human diseases are as comparable with African countries. CVD is the most common cause of admission followed by infective diseases such as COPD, CLD, pneumonia, enteric fever, tuberculosis etc.
Conclusion: These common diseases can be prevented by taking anti-smoking measures, vaccination against HBV & HCV and TB, by improving indoor pollution and awareness of people.
Key words: Deaths, Tertiary hospital, Dhaka, Bangladesh, Medicine ward.