Hospital based infectious disease related proportional mortality study
Objective: To understand the temporal trends in mortality in Rural Central India. Design: Retrospective review of physician issued death certificates from a rural teaching hospital. Materials and Methods: Physician issued death certificates from 1979 to 2008, available with a rural teaching hospital...
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Wolters Kluwer Medknow Publications
2014-01-01
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doaj-a234686de896401f9f4141fb29f59ee02020-11-25T00:19:38ZengWolters Kluwer Medknow PublicationsJournal of Global Infectious Diseases0974-777X2014-01-0161101610.4103/0974-777X.127942Hospital based infectious disease related proportional mortality studyRajnish JoshiRahul LodheSachin AgrawalA P JainObjective: To understand the temporal trends in mortality in Rural Central India. Design: Retrospective review of physician issued death certificates from a rural teaching hospital. Materials and Methods: Physician issued death certificates from 1979 to 2008, available with a rural teaching hospital were analyzed and information on age, gender, date, and cause of death was abstracted. We estimated cause-specific, proportional mortality ratio (PMR) stratified by age, and gender. We compared the difference in PMR in first fifteen years of the study period (period A, 1979-1993) with the later (period B, 1994-2008). Results: We found 20494 death certificates between 1979 and 2008. Proportion of infectious disease related mortality declined from 35% in 1979-1983-26% in 2004-2008. In the same periods, injury related mortality increased from 4.6% to 13.4%, and chronic disease mortality from 19% to 28%. The absolute difference in PMR (per 1000 deaths) was statistically significant between period B and period A, for infections (a decline of 80.67 [95% CI 66.97-94.03]), chronic diseases (an increase of 45.85 [95% CI 33.49-58.55]), and injuries (an increase of 42.98 [95% CI 33.87-52.26]). Conclusion: Temporal trend in mortality from a single hospital in rural Central-India over the past three decades shows decline in infectious diseases, and rise in injuries and chronic diseases.http://www.jgid.org/article.asp?issn=0974-777X;year=2014;volume=6;issue=1;spage=10;epage=16;aulast=JoshiMortalityRural IndiaTemporal pattern |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rajnish Joshi Rahul Lodhe Sachin Agrawal A P Jain |
spellingShingle |
Rajnish Joshi Rahul Lodhe Sachin Agrawal A P Jain Hospital based infectious disease related proportional mortality study Journal of Global Infectious Diseases Mortality Rural India Temporal pattern |
author_facet |
Rajnish Joshi Rahul Lodhe Sachin Agrawal A P Jain |
author_sort |
Rajnish Joshi |
title |
Hospital based infectious disease related proportional mortality study |
title_short |
Hospital based infectious disease related proportional mortality study |
title_full |
Hospital based infectious disease related proportional mortality study |
title_fullStr |
Hospital based infectious disease related proportional mortality study |
title_full_unstemmed |
Hospital based infectious disease related proportional mortality study |
title_sort |
hospital based infectious disease related proportional mortality study |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Global Infectious Diseases |
issn |
0974-777X |
publishDate |
2014-01-01 |
description |
Objective: To understand the temporal trends in mortality in Rural Central India. Design: Retrospective review of physician issued death certificates from a rural teaching hospital. Materials and Methods: Physician issued death certificates from 1979 to 2008, available with a rural teaching hospital were analyzed and information on age, gender, date, and cause of death was abstracted. We estimated cause-specific, proportional mortality ratio (PMR) stratified by age, and gender. We compared the difference in PMR in first fifteen years of the study period (period A, 1979-1993) with the later (period B, 1994-2008). Results: We found 20494 death certificates between 1979 and 2008. Proportion of infectious disease related mortality declined from 35% in 1979-1983-26% in 2004-2008. In the same periods, injury related mortality increased from 4.6% to 13.4%, and chronic disease mortality from 19% to 28%. The absolute difference in PMR (per 1000 deaths) was statistically significant between period B and period A, for infections (a decline of 80.67 [95% CI 66.97-94.03]), chronic diseases (an increase of 45.85 [95% CI 33.49-58.55]), and injuries (an increase of 42.98 [95% CI 33.87-52.26]). Conclusion: Temporal trend in mortality from a single hospital in rural Central-India over the past three decades shows decline in infectious diseases, and rise in injuries and chronic diseases. |
topic |
Mortality Rural India Temporal pattern |
url |
http://www.jgid.org/article.asp?issn=0974-777X;year=2014;volume=6;issue=1;spage=10;epage=16;aulast=Joshi |
work_keys_str_mv |
AT rajnishjoshi hospitalbasedinfectiousdiseaserelatedproportionalmortalitystudy AT rahullodhe hospitalbasedinfectiousdiseaserelatedproportionalmortalitystudy AT sachinagrawal hospitalbasedinfectiousdiseaserelatedproportionalmortalitystudy AT apjain hospitalbasedinfectiousdiseaserelatedproportionalmortalitystudy |
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1725370799041282048 |