ICD-9 pattern of diseases at Nishtar hospital, Multan

ABSTRACT

To study the pattern of diseases during last ten years in accordance to ICD-9. Design: Retrospective analysis of the record of the patients admitted in the Medical Department. Setting: Central record office [Statistical Officer's record] of the Nishtar Hospital, Multan. Material: Record of the total adult [age > 12 years] patients [100758] admitted in the Medical Department of the Nishtar Hospital, Multan during 1984-1993. Main Outcome Measures: Rearrangement of the patient's data on the pattern of International Classification of Diseases-9 [ICD-9] and ranking of diseases according to number of patients and deaths. Total 100758 patients [16.14% of total admissions] were admitted during these 10 years in the Medical Department of Nishtar Hospital, Multan. 39.69% were females and 60.31% were male patients. There were 8328 [8.265%] deaths. A progressive significant increase [p < 0.001] in number of patients and deaths during this period was noted. Patients were rearranged into 12 main groups according to ICD-9. Cardiovascular diseases were at the top [patients 24.23% deaths 23.70%] and poisoning [patients 1.29%] and connective tissue diseases [deaths 1.20%] were at the bottom. Conclusions: A significant increase in number of patients/deaths [p< 0.05 or less] was noted in cardiovascular, Nervous system, Gastrointestinal and Liver, Neoplastic, Miscellaneous diseases or poisoning. While a significant decrease [p< 0.05 or less] was noted in respiratory, nephrological, diabetes mellitus and endocrine, anemias and blood and connective tissue diseases. The pattern of diseases observed here are entirely different from USA, UK, China or Mauritius. The limitations of hospital data have also been described