Mortality Pattern in the Emergency Room

Amatya BB Dangol NM, Shakya SK,


Introduction: The emergency department of any hospital provides insight to the quality of care in the institution and study of mortality is very important tool. The aim of this study was to know the pattern of mortality, time spent before death in the emergency room and ways to improve the services.

Methods: A six months retrospective review, covering July to December 2014, of patients attended and died in the Emergency Room of NAMS, Bir hospital was carried out. Attendance and death registers, death certificates were used to extracts demographic indices, causes of death and time from arrival to death in the emergency room. The data were analyzed using Microsoft word Excel and simple statistical methods.

Results: Of the 22858 patients attended in the ER 128 died during the study period, giving mortality of 5.60/1,000.Non-trauma deaths were 118(92.2%) and trauma death were 10(7.8%). Male to female death ratio was 2.7:1. In non-trauma CVA was most common causes of death and in trauma, head injury being most common. More than 57% died after 6 hours in the ER.

Conclusion: The ER needs to function efficiently and its services should be of stander quality. For this we need to improve our diagnostic capabilities, adequate manpower, timely consultation and admission.

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