RESUMO
Background: Mortality is the oldest known health care indicator and a valuable tool for planning and managing in hospitals. Identifying the causes of mortality in hospital is important to monitor the health of the nations, identifying priorities and burden of disease analysis to attempt to estimate the causes of loss of healthy life. Hence this study was done to know the causes of death as per International Classification of Diseases (ICD) 11 among patients who died in Hangal Sri Kumareshwar Hospital in the year 2023. Methods: A retrospective descriptive study was conducted from 01 January to 31 December 2023 in Hangal Sri Kumareshwar Hospital. All mortality data of the year 2023 in the hospital were included in the study. The content of format included demographic variables of patients on the patient record like age, sex, address, mortality and its causes and classified according to ICD 11. Collected data was analyzed using percentages and Chi-square test. Results: Out of 505 deaths in Hangal Sri Kumareshwar Hospital and Research centre in 2023, 305 (60.40%) were males and 200 (39.60%) were females. Majority of deaths (31.48%) occurred between 41 to 60 years age group followed by 31.29% deaths occurring between 61 to 80 years age group. Regarding cause of death according to ICD-11, majority (24.16%) had a circulatory disease followed by 16.24% due to an infectious disease. Conclusions: The National Health Program to combat non communicable diseases has been implemented and the 12th five-year plan has made specific provision for the management and control of non-communicable diseases.
RESUMO
The article reviews the historical background and symptoms of body dysmorphic disorder (BDD) and olfactory reference disorder, and describes the proposals of the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders related to these categories. This paper examines the possible classification of BDD symptoms in ICD-10. Four different possible diagnoses are found (hypochondriacal disorder, schizotypal disorder, delusional disorder, or other persistent delusional disorder). This has led to significant confusion and lack of clear identification in ICD-10. Olfactory reference disorder can also be classified as a delusional disorder in ICD-10, but there is no diagnosis for non-delusional cases. The Working Group reviewed the classification and diagnostic criteria of BDD in DSM-5, as well as cultural variations of BDD and olfactory reference disorder that include Taijin Kyofusho. The Working Group has proposed the inclusion of both BDD and olfactory reference disorder in ICD-11, and has provided diagnostic guidelines and guidance on differential diagnosis. The Working Group's proposals for ICD-11 related to BDD and olfactory reference disorder are consistent with available global evidence and current understanding of common mechanisms in obsessive-compulsive and related disorders, and resolve considerable confusion inherent in ICD-10. The proposals explicitly recognize cultural factors. They are intended to improve clinical utility related to appropriate identification, treatment, and resource allocation related to these disorders.