MORTALITY OF PATIENTS IN REPUBLICAN HOSPITAL INSTITUTIONS: CAUSES AND PREVENTION STRATEGIES

Aim. To study and analyze the causes of mortality in health facilities of the Republic of Tajikistan. Materials and methods. The main factors of mortality in the structure of hospital facilities of the Republic of Tajikistan during 2017 - 2018 were studied based on regulatory documents. Results and discussion. Mortality in the compared years was 5272/5239, which makes 0.54 and 0.52% of hospital deaths. The main causes of death in adults in the hospital are diseases of the cardio-vascular system (45.2% / 45.4%), injuries and poisoning (14.6% / 13.5%), among children - perinatal period diseases (58.7% / 64.1%), and respiratory diseases (14.8% /10.8%). There is a high incidence of postoperative mortality after surgery on the gastrointestinal tract (46.2% / 44.0%), the nervous system (15.1% /12.0%) and after heart surgery (5.4% /10.6%). As a result of assessing the causes of maternal mortality, 147 specialists got administrative penalties, 80 specialists recieved disciplinary sanctions, in 77 cases qualifications were decreased, and 90 workers were denied the right to work. Conclusions. In order to determine the cause of death, as well as the difference between the final clinical diagnosis and the results of the pathological examination, it is necessary to establish the work of the the deaths analysis commission.

inpatient treatment, hospital mortality (inpatient, hospital), indicators of inpatient treatment, diseases of the cardiovascular system, trauma and poisoning, respiratory diseases

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