The relationship between the time factor and in-hospital mortality in the hospitalized patients

Yıl 2022, Cilt: 8 Sayı: 4, 475 - 481, 04.07.2022

Veysi Eryiğit Melih Yüksel Mehmet Emre Erimşah Ulaş Karaaslan

https://doi.org/10.18621/eurj.920650

Öz

Objectives: As in-hospital deaths are encountered by all healthcare professionals, investigating the factors affecting in-hospital mortality may help to reduce the number of deaths. In this study; the relationship between time factor and in-hospital deaths is examined.

Methods: The study included all hospitalized patients who died at Balikesir State Hospital between January 01, 2014 and December 31, 2014. Time of death, workdays, and holidays were examined on a monthly and seasonal basis and at shift change times. In calculating in-hospital mortality, 'Crude Death Rate (CDR)' was used.

Results: The number of in-hospital deaths during the study period was found to be 1418. It was discovered that the number of patients hospitalized per day was 314.6 ± 46.95, the number of hospitalized patients who died per day was 3.88 ± 2.16, and the mean daily CDR was 12.77 ± 7.5. Additionally, CDR was found to be as 7.56 ± 5.5 in males, while it was 5.21 ± 4.55 in females. Moreover, CDR was 13.07 ± 7.52 on workdays, whereas it was 12.07 ± 7.43 on holidays. As for seasons, CDR was found to be as 14.35 ±8.63 in summer, while it was 11.43 ± 7.84 in winter.

Conclusions: In-hospital mortality, the death rate of males was higher than females while their average age was found to be less than females. No change was observed at shift change hours. The mortality rate increased in summer. However, no difference was found between workdays and holidays in terms of mortality rate.

Anahtar Kelimeler

Emergency department,, mortality rate, Crude death rate

Kaynakça

• 1. McCormick B, Pearson M, White J. Hospital mortality rates and place of death. J Public Health (Oxf) 2016;38:800-5.
• 2. Bottle A, Jarman B, Aylin P. Strengths and weaknesses of hospital standardised mortality ratios. BMJ 2010;342:c7116.
• 3. Şener MT, Kara Ç. [Determination of forensic deaths and the way to follow in forensic death cases]. Genel Tıp Dergisi 2014;24:58-61. [Article in Turkish]
• 4. Ölüm istatistikleri. Available at: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=18623. Accessed Nov. 26, 2015.
• 5. Sümbüloglu V, Gören A, Sümbüloglu K. Ölüm raporu yazım kılavuzu. T.C. Saglık Bakanlıgı Saglık Projesi Genel Koordinatörlügü Saglık Enformasyon Sistemleri Egitim Dizisi No: 3 Degistirilmis 2. Baskı Ankara, 1995:1-4.
• 6. Çilingiroğlu N, Subaşı N, Çiçekli Ö, Kara AV, Ferlengez E, Kocatürk Ö. [Evaluation of deaths at Hacettepe University Hospital for the year 2004]. Hacettepe Sağlık İdaresi Dergisi 2005;8:307-24. [Article in Turkish]
• 7. Korkmaz T, Balaban B. [Consistency Assessment for the Causes of Death as Indicated in the Death Certificates and in ICD Codes]. Haseki Tıp Bülteni 2014;52:103-10. [Article in Turkish]
• 8. Mohammed MA, Sidhu KS, Rudge G, Stevens AJ. Weekend admission to hospital has a higher risk of death in the elective setting than in the emergency setting: a retrospective database study of national health service hospitals in England. BMC Health Serv Res 2012;12:87.
• 9. Barba R, Losa EJ, Velasco M, C Guijarro, García de Casasola G, Zapatero A. Mortality among adult patients admitted to the hospital on weekends. Eur J Intern Med 2006;17:322-4.
• 10. Aylin P, Yunus A, Bottle A, Majeed A, Bell D. Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care 2010;19:213-7.
• 11. Ensminger SA, Morales IJ, Peters SG, Keegan MT, Finkielman JD, Lymp JF, et al. The hospital mortality of patients admitted to the ICU on weekends. Chest 2004;126:1292-8.