A total of 5082 consecutive deliveries in Medical College Hospital, Kottayam during the period August 1992 to July 1993 constituted the study. Perinatal mortality rate (PMR) was 38.5 per 1000 total births and autopsy rate was 72%. More than 85% of perinatal deaths occured in low birth weight and preterm babies. Perinatal hypoxia and congenital anomalies were the leading causes in late fetal dea...

OBJECTIVE Socioeconomic status (SES) is inversely related to pediatric mortality in the community. However, it is unknown if this association exists for in-hospital pediatric mortality. Our objective was to determine the association of SES with in-hospital pediatric mortality among children's hospitals and to compare observed mortality with expected mortality generated from national all-hospita...

Sir, The work by Asadollahi et al. 1 is interesting, but far from novel. They state that there has been little robust research into early predictive factors of hospital mortality. However, they fail to acknowledge the considerable body of work already addressing this problem, much of which incorporates laboratory data to some extent. 2–10 They also suggest that risk assessment on the basis of l...

development of models that can predict potential stroke mortality is important for research purposes, but also to inform families correctly. Using data from Brasov Stroke Registry, we created predictive models for inhospital acute stroke mortality that include demographic (age, gender), history (arterial hypertension, diabetes mellitus, atrial fibrillation) and clinical information (NIHSS at ad...

A serious shortage of hospital nurses in the U.S., evident in the past decade, is expected to continue and worsen in the next 15 years. Increasingly, the public and the health professions are acknowledging that nurse understaffing represents a serious threat to patient safety in U.S. hospitals. Although anecdotal evidence has linked patient deaths to inadequate nurse staffing, the numbers and k...

From the Department of Health Services, University of California, Los Angeles, School of Public Health, Los Angeles ( J.N.); Vanderbilt University, Nashville (P.B.); Mayo Clinic Department of Health Sciences Research, Rochester, MN (V.S.P., C.L.L., M.H.); and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC (S.R.S.). Address reprint requests to Dr. Harris at the Mayo...

BACKGROUND Esophageal variceal hemorrhage (EVH) is one of the high mortality complications in cirrhotic patients. Endoscopic variceal ligation (EVL) is currently the standard therapy for EVH. However, some patients have expired during hospitalization or survived shortly after management. AIM To evaluate hospital and 6-week mortality by receiver operating characteristic (ROC) curve of chronic ...

Objectives: To describe trends in hospital admissions and mortality from congestive heart failure in the elderly population aged 65 years and over in Singapore, 1991 to 1998. Design: Analysis of trends and population subgroup differences in rates of hospital admission and mortality for a primary diagnosis of congestive heart failure, classified as ICD-9, codes 428, 402.0, 402.11, and 402.91. Se...

Objectives: To describe trends in hospital admissions and mortality from congestive heart failure in the elderly population aged 65 years and over in Singapore, 1991 to 1998. Design: Analysis of trends and population subgroup differences in rates of hospital admission and mortality for a primary diagnosis of congestive heart failure, classified as ICD-9, codes 428, 402.0, 402.11, and 402.91. Se...