Magnitude and leading causes of in-hospital mortality at Aminu Kano Teaching Hospital, Kano, northern Nigeria: A 4-year prospective analysis

Zubairu Iliyasu MBBS MPH FWACP, Isa Sadeeq Abubakar MBBS FWACP, Auwal Umar Gajida MBBS FWACP

Available online Jul 13, 2018.

[ Original ] Volume 19, Issue 4, 2010, Pages 400-406


Abstract

Background: Population based mortality data are scarce
especially in developing countries including Nigeria.
Despite its limitations, hospital mortality analysis
assesses the quality of health-care delivery and provides
a proximate measure of mortality. We reviewed the
magnitude and causes of death among in-patients in a
tertiary hospital in northern Nigeria.
Methods: Analysis of mortality rate and causes of death
for the period 20052008 (inclusive) in Aminu Kano
Teaching Hospital. Causes of death were prospectively
entered on a database and classified according to the
International Classification of Diseases (ICD-10).
Results: Out of 51,975 patients admitted to the hospital,
4,029 of them died. This gives a mortality rate of 7.8%
(95% Confidence Interval of 7.5% to 8.0%). Specifically, of
the 15,484 males admitted, 2,361 died giving a mortality
rate of 15.2% while of the 36,491 females admitted, 1,668
died giving a mortality rate of 4.6%. The median age for all
patients that died was 32.4 years (range: less than 1 day
to 101 years), but 36.1 years (range: less than 1 day to
101 years) for the male and 29.3 (range: less than 1 day to
87 years) for the female subsets. The ten most common
causes of mortality were HIV/AIDS (8.3%), Septicaemia
(6.8%), cerebrovascular disease (6.3%), chronic renal
failure (3.9%) chronic liver disease (3.3%), diabetes
mellitus (3.2), neonatal jaundice (2.9%), severe birth
asphyxia (2.6%), prematurity (2.5%) and
bronchopneumonia (2.4%).
Conclusion: The mortality rate and causes of death are
comparable to similar centres. Regular mortality audits
could identify management errors and prevent recurrence
of avoidable deaths.


Keywords

Mortality, causes, Teaching hospital, Kano, Nigeria,

October - December 2010

Volume 19 | Issue 4

Page Nos. 400-406

Online since Jul 13, 2018

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