University of Sussex
Browse
Aberra_mortality__trend (002).pdf (234 kB)

Mortality trends among inpatients at a tertiary psychiatric hospital in Ethiopia

Download (234 kB)
journal contribution
posted on 2023-06-09, 14:11 authored by Selam Aberra, Ataly Alem, Abe WassieAbe Wassie
Introduction: 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 Journal

ISSN

0014-1755

Publisher

Ethiopian Medical Association

Issue

3

Volume

56

Page range

205-210

Department 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

Legacy Posted Date

2018-07-17

First Open Access (FOA) Date

2018-07-17

First Compliant Deposit (FCD) Date

2018-07-17

Usage metrics

    University of Sussex (Publications)

    Categories

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC