Aberra_mortality__trend (002).pdf (234 kB)
Mortality trends among inpatients at a tertiary psychiatric hospital in Ethiopia
journal contribution
posted on 2023-06-09, 14:11 authored by Selam Aberra, Ataly Alem, Abe WassieAbe WassieIntroduction: Mortality among people with mental illness is higher than the general population. Given the changes in the health service delivery in the past decade in Ethiopia, evaluating the pattern of mortality during this period may provide policy relevant information. The aim of this study was to assess the mortality pattern in a tertiary psychiatric hospital in Ethiopia. Method: A case-control design was employed. Using the Health Management Information System records and clinical records kept at the tertiary hospital; data on inpatient mortality was collected respectively for a period of nine years (2006 -2014). Changes in the service configuration were also tracked over the nine years period to explore the potential impact of changes in management upon mortality. Data was analyzed through simple descriptive methods and logistic regression. Result: A total of 16,081 patients were admitted during the nine year period. The overall mortality rate of inpatients was 2.5/1000 admitted patients. The sex specific all-cause mortality rates were high in females (4.6/1000) than in males (1.8/1000). The mortality rate varied over the nine years between 0.5/1000 to 5.0/1000, with indications of fluctuations commensurate with changes in service organizational changes although these changes were not statistically significant. Although suicide accounted for the death of 12.5% (n=5), most died of natural causes and also primarily of infectious diseases . Conclusion:Mortality occurs mainly from preventable causes including suicide. Service reconfigurations may play important role in mitigating mortality. However, further systematic studies are required to determine the impact of service configurations on mortality and general morbidity.
History
Publication status
- Published
File Version
- Accepted version
Journal
Ethiopian Medical JournalISSN
0014-1755Publisher
Ethiopian Medical AssociationIssue
3Volume
56Page range
205-210Department affiliated with
- Global Health and Infection Publications
Research groups affiliated with
- Wellcome Trust Brighton and Sussex Centre for Global Health Research Publications
Full text available
- Yes
Peer reviewed?
- Yes