title: Role of our hospital in the Otokuni district determined from the analysis of statistics of patients discharged dead.
abstract: 1) The death rate that expresses the outcome of medical care was used as an indicator to evaluate the quality of the hospital function. From the statistics on the dead discharged, the clinical data were reviewed, and the results, problems and relationship with the community were clarified. 2) There were 245 patients discharged dead in 1999. The total number of patients discharged during this period was 5,596 patients and the crude death rate was 4.38%. Judging from these figures, our hospital may be considered to be adequately functioning as a core hospital in the Otokuni district. 3) At the time of admission 75 patients (30.6%) were critically ill, 92 patients (37.6%) were moderately ill and 78 patients(31.8%) were mild cases. The mean age of the patients was 71.5 years, and the mean length of hospital stay was 46.1 days. 4) There were 89 patients (36.3%) who were brought to the hospital by ambulance, 75 (84.3%) of whom were from the Otokuni district. 5) There were 121 patients (49.4%) referred for admission, 97 patients (80.2%) of whom were referred from within the Otokuni district, showing that this hospital functions closely in connection with the local clinics. 6) According to the residence, 205 patients (83.7%) were from the Otokuni district, strongly suggesting that our hospital played a role as a core hospital in this community. 7) The death statistics were analyzed. The results showed that our hospital should continue pursuing medical care closely in contact with the local community including the clinics, hospitals, public health department and administration of the Otokuni district.
authors.affiliation: Department of Obstetrics & Gynecology, Saiseikai Kyoto Hospital.
authors.forename: Takeki
authors.initials: T
authors.lastname: Iwasaki
authors.forename: Norio
authors.initials: N
authors.lastname: Nakajima
authors.forename: Masataka
authors.initials: M
authors.lastname: Nanaoka
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D017052:Hospital Mortality; D006764:Hospitals, Community / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D038801:International Classification of Diseases; D007564:Japan / Q000453:epidemiology; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data*; D019984:Quality Indicators, Health Care