Admission Pattern and Outcome of Patients Attending a Tertiary Care Hospital

Abstract

Hospital admissions pattern helps to understand the acceptability and utilization of health care services and also indicates the disease burden prevailing in the serving community. This study is an attempt to determine the current pattern of admissions and their clinical outcomes at a tertiary care hospital in Assam. A retrospective record-based study was conducted in Jorhat Medical College and Hospital from 2011 to 2014. A total of 9, 10,157 patients have attended the Out Patient Department (OPD) and 1,28,824 patients were admitted to the In Patients Department (IPD). The daily average of patients attended the OPD ranges between 688-848 and about 77 to 98 patients were admitted to the IPD. In OPD, majority of the patients attended medicine department (19.5%) followed by Emergency (15.4%) and Orthopedics (10.2%) department. Similar pattern was observed in the IPD with Medicine having the highest case load (30.5%) followed by Obstetrics and Gynaecology (25.6%) and Surgery (16.7%). The rural urban patient ratio was calculated as 60:40. The Bed Occupancy Rate (BOR) of the hospital was found 87.8%. Approximately 3% patients died in hospital, 80% improved and 12% were referred to other institution. We could not evaluate the status of 5% patients who were Discharged Against Medical Advice (DAMA). Our study indicates that the services provided by this teaching hospital are acceptable to the community and showing an increasing trend of patient flow with efficient bed occupancy rate. Majority of the admitted patients were discharged from the hospital on improvement. For a newly established government hospital it may be labelled as time-honoured advancement.

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“…But, there is a current global trend towards NCDs as documented in some literatures [7,8] . Adult mortality in sub Saharan Africa is 4 -40 times more than in developed countries [9][10][11] and the pattern of diseases responsible for this high adult mortality is not well characterized [12][13][14] .…”