Pattern and Outcome of Patients Discharged From Chest Ward of a University Hospital

Med J DY Patil Univ, Vol 6, Issue 3, July-September 2013

5 Pages Posted: 10 Jul 2014

See all articles by Ruchi Sachdeva

Ruchi Sachdeva

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS)

Sandeep Sachdeva

Independent

Krishan M. Gupta

Boston University

Date Written: July 8, 2014

Abstract

Aim: To describe morbidity and mortality profile of patients discharged from chest ward of a university hospital. Materials and Methods: Prospectively selected information (age, gender, residence, length of stay, outcome and primary diagnosis) of all consecutive in‑patients was recorded for six month reference period. Results: Out of 967 patients, mean age was 50.64 years (±15.71); M:F = 3.5:1; 81.3% were from rural area. Primary diagnosis was tuberculosis/sequel among 528 (54.60%) and non‑TB among 439 (45.4%) patients (chronic obstructive pulmonary diseases [COPD] - 20.3%; pneumonia - 15.8%; lung cancer - 5.0%; asthma - 1.6%; bronchiectasis - 0.9%, lung abscess - 0.8%, miscellaneous - 1.0%). Total deaths observed was 142 (14.7%) of all discharges and 54.25% of deaths occurred within 48 hours of admission suggesting criticality/late presentation; time distribution of death was similar considering 8‑hourly period of 24‑h cycle. Average length of stay for all patients was 6.91 (±5.14) days while it was 7.38 (±4.98) days for discharge live and 4.19 (±5.21) days for expired patients. Conclusion: Study provides a snapshot of patients discharged from chest ward that may aid in decision making, improving quality of care and initiation of educational activities at primary level.

Keywords: Chronic obstructive pulmonary disease, cancer, gender, hospital, lung, mortality, morbidity, respiratory diseases, rural, tuberculosis

JEL Classification: I00

Suggested Citation

Sachdeva, Ruchi and Sachdeva, Sandeep and Gupta, Krishan M., Pattern and Outcome of Patients Discharged From Chest Ward of a University Hospital (July 8, 2014). Med J DY Patil Univ, Vol 6, Issue 3, July-September 2013, Available at SSRN: https://ssrn.com/abstract=2463497

Ruchi Sachdeva

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS) ( email )

Haryana, 124001
India

Krishan M. Gupta

Boston University ( email )

595 Commonwealth Avenue
Boston, MA 02215
United States

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