IJCRAR is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCRAR Articles.

Abstract                 Volume:4  Issue-4  Year-2016          Original Research Articles


Online ISSN : 2347 - 3215
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcret@gmail.com

Admission Pattern and Outcome of Patients Attending a Tertiary Care Hospital
Bishnu Ram Das1*, Anuradha Hazarika Medhi2, Netri Das3, Gitali Kakoti4, Gunjan Nath5 and Abu Hasan Sarkar5
1Professor & Head, Department of Community Medicine, Jorhat Medical College, Jorhat-785001, Assam, India
2Lecturer in Biostatistics, Department of Community Medicine, Jorhat Medical College, Jorhat-785001, Assam, India
3Assistant Professor, Department of Community Medicine, Jorhat Medical College, Jorhat-785001, Assam, India
4Former Women Scientist-A (DST) & PhD Scholar, Regional Medical Research Centre, ICMR, Northeast Region, Post Box no. 105, Dibrugarh, Assam, India
5PGT, Department of Community Medicine, Jorhat Medical College, Jorhat-785001, Assam, India
*Corresponding author
Abstract:

Hospital admissions pattern helps to understand the acceptability and utilization of health care services and also indicates the disease burden prevailing in the serving community. This study is an attempt to determine the  current pattern of admissions and their clinical outcomes at a tertiary care hospital in Assam. A retrospective record-based study was conducted in Jorhat Medical College and Hospital from 2011 to 2014. A total of 9, 10,157 patients have attended the Out Patient Department (OPD) and 1,28,824 patients were admitted to the In Patients Department (IPD). The daily average of patients attended the OPD ranges between 688-848 and about 77 to 98 patients were admitted to the IPD. In OPD, majority of the patients attended medicine department (19.5%) followed by Emergency (15.4%) and Orthopedics (10.2%) department.  Similar pattern was observed in the IPD with Medicine having the highest case load (30.5%) followed by Obstetrics and Gynaecology (25.6%) and Surgery (16.7%). The rural urban patient ratio was calculated as 60:40. The Bed Occupancy Rate (BOR) of the hospital was found 87.8%. Approximately 3% patients died in hospital, 80% improved and 12% were referred to other institution. We could not evaluate the status of 5% patients who were Discharged Against Medical Advice (DAMA). Our study indicates that the services provided by this teaching hospital are acceptable to the community and showing an increasing trend of patient flow with efficient bed occupancy rate. Majority of the admitted patients were discharged from the hospital on improvement. For a newly established government hospital it may be labelled as time-honoured advancement.

Keywords: Tertiary,Admission profile,   Out Patients Department (OPD), In Patients Department (IPD), Bed Occupancy Rate (BOR),Discharge Against Medical Advice (DAMA).
Download this article as Download

How to cite this article:

Bishnu Ram Das, Anuradha Hazarika Medhi, Netri Das, Gitali Kakoti, Gunjan Nath and Abu Hasan Sarkar. 2016. Admission Pattern and Outcome of Patients Attending a Tertiary Care Hospital.Int.J.Curr.Res.Aca.Rev. 4(4): 21-28
doi: http://dx.doi.org/10.20546/ijcrar.2016.404.003