Volume 4, Issue 2, December 2020, Page: 37-42
Epidemiological Study of Mortality in the First Twenty-Four Hours of Emergency Admission
Abdol Ghader Pakniyat, Department of Emergency Medicine, Faculty of Medicine, Kurdistan University of Medical Sceinces, Sanandaj, Iran
Maziar Nikouei, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
Mojtaba Cheraghi, Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
Farima Zakaryaei, Department of Emergency Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
Khaled Rahmani, Liver and Digestive Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Vahid Yousefinejad, Liver and Digestive Research Center, Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Shilan Nourani Koliji, Department of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
Received: Nov. 22, 2020;       Accepted: Dec. 2, 2020;       Published: Dec. 11, 2020
DOI: 10.11648/j.plm.20200402.12      View  73      Downloads  86
Abstract
Introduction: Epidemiological investigation of Mortality is essential for health policy control of risk factors and disease. Obtaining this information is the essential basis for planning, management and evaluation, and accountability in countries' health sector. Studying Mortality and its etiologic factors are the most appropriate strategies to reduce Mortality. Objective: The study aimed to investigate the causes of death and prognostic factor of death in patients referred to the emergency department. Method: this was a cross-sectional study from 2016 to 2018 at Tohid Teaching Hospital in Sanandaj. All history and clinical examination data and Para clinical study of the patients who had expired in the first 24 hours after emergency department admission were collected in questionnaire sheets. The data was interred into spss software and analyzed using descriptive statistics frequency and percentage. Result: 73 patients, 43.8% female, and 41% male with a mean age of 63.6 years old 20-90 evaluated in our study. The first common chief complaint of the patients was chest pain 24.7%, and the most common past medical disease in the patients was hypertension 28.8% also the first common reason of death was ischemic heart disease 31.5%.43.8% of patients had abnormal electrocardiograms, 19.2% had dysrhythmias, and 24.6% had ischemic changes. Laboratory results also showed that the prevalence of sodium imbalance was 53.5%, and potassium and calcium imbalance were 37.9%& 80.8%. Also, 80.8% of patients had PH abnormalities, 30.1% acidosis, and 50.7% alkalosis. Conclusion: According to the results, it can be concluded that patients with cardiac problems or a history of cardiovascular disease are the highest risk patients and should be considered more serious. Also, electrolyte and blood gas imbalance were prevalent in these patients.
Keywords
Epidemiology, Mortality, Emergency
To cite this article
Abdol Ghader Pakniyat, Maziar Nikouei, Mojtaba Cheraghi, Farima Zakaryaei, Khaled Rahmani, Vahid Yousefinejad, Shilan Nourani Koliji, Epidemiological Study of Mortality in the First Twenty-Four Hours of Emergency Admission, Pathology and Laboratory Medicine. Vol. 4, No. 2, 2020, pp. 37-42. doi: 10.11648/j.plm.20200402.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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