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Review Article

Med Arch. 2010; 64(5): 278-280


Mortality at the Clinic of Internal Medicine of University Clinical Center in Tuzla During 2008

Fahir Barakovic, Mithat Tabakovic, Zumreta Kusljugic, Denis Mrsic, Suada Mulic, Elnur Smajic, Esad Brkic, Denijal Tulumovic, Jasna Sehic- Meric, Nada Pavlovic, Mario Krizic..




Abstract

Introduction: Accurate information about the cause of death is given byexpert teams based on pathological or forensic expertise. Reliable informationcan be obtained from doctors from clinical-hospital institutionsif the deceased person was treated in such an institution and with previouslydiagnosed disease (hospital mortality). Analysis of hospital mortality providesa lot of data that can be used in planning the hospital beds capacities,the amount of drug procurement, purchasing equipment, organization andcreation of highly specialized medical teams (medical team for resuscitation),the number of reanimation techniques, the number of pathologists who arerequired for autopsy procedures, etc. Goal was to determine the total numberof deaths, the most common causes of death and the 10 leading diagnosesof deceased patients at the Clinic for Internal Medicine of Clinical Centerin Tuzla during 2008. Material and methods: We used the material fromthe archive (medical records and reports on deceased patients, delivered byphysicians working at the Clinic for Internal Medicine of Clinical Center inTuzla). Results: During 2008 at the Clinic for Internal Medicine 368 patientsdied. According to the analyzed data leading cause of death and leadingdiagnosis as cause of death at the Clinic for Internal Medicine in 2008 wereas follows: cardiogenic shock in 73 (19.84%), cerebrovascular stroke in 46(12.50%), coma due to stroke in 32 (8.70%), coma not classified as cerebralin 25 (6.79 %) (metabolic 13 (3.53%) and hepatic 12 (3.26%), cardiomyopathyin 22 (5.98%), malignant neoplasm of the abdomen in 17 (4.62%), respiratoryinsufficiency in 17 (4.62%), acute myocardial infarction and myocardialinfarction with rupture in 17 (4.62%), pulmonary edema in 16 (4.35%), andcardiorespiratory arrest in 13 (3.53%) deaths. Conclusion: During 2008 atthe Clinic for Internal Medicine of Clinical Center in Tuzla died a total of368 patients. The most common cause of death of patients at the Clinic forInternal Medicine of Clinical Center in Tuzla are cardiovascular disease(n=175; 47.55% of deaths), in second place was cerebrovascular disease (n=76;20.65% of deaths) for a total of 251 (68.20%) of deaths from cardiovascularand cerebrovascular disease.

Key words: overall mortality, cardiovasculardisease, cerebrovascular diseases, mortality rate.






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