Prior Events of Emergency Hospitalization in a Tertiary Care Hospital of Bangladesh


Author(s):
H.A.M. Nazmul Ahasan; Md. Titu Miah; Khan Fariduddin Mohammad Ayaz; Mohammad Ashik Imran Khan; 
Md. Aminul Islam; Ashfaque Ahmed Siddique; S.M. Yasir Arafat

Abstract:
Seeking delayed emergency care facilities during life-threatening complications is a significant determinant of high mortality rate in developing countries. It was aimed to look into the antecedent events before emergency hospital admission in an adult medicine ward. The hospital based observational study was conducted at adult inpatient department of medicine of Dhaka Medical College Hospital from March 2012 to August 2012. All adult patients admitted in Dhaka Medical College Hospital who died within 48 hours after admission were included in the study. The study revealed that the patients who seeking the emergency care from residence their main transport system was Van (31%) and from another Hospital main transport system was Bus (27%). 66% of the patients were admitted with in the 48 hours of appearing of the symptoms. Majority of the patients (64%) had consulted by MBBS doctor before admission. Early admission and prompt treatment can reduce the mortality as well as subsequent morbidity. Timely access to health care facilities can ensure the issue and improve the quality of care as well as quality of life.

Keywords:
prior events, emergency care, medicine department, tertiary hospital, Bangladesh

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