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DEATH AUDIT MARCchchchchhchchhchchchcH.pptx
- 1. DEPT.OF GENERAL SURGERY GOVT.STANLEYMEDICAL COLLEGE HOSPITAL DEATH AUDIT MARCH 2024 DR.THIRUMURUGANAND M.S. ASSOCIATE PROFESOR DEPARTMENT OF GENERAL SURGERY SMCH
- 2. STATISTICS STATISTICS MARCH 23 MARCH24 OUTPATIENT 7479 10915 ADMISSION 1887 1781 DISCHARGE 1291 1320 DEATH 19 23
- 3. MALE FEMALE TOTAL S15 3 8 S2 1 0 1 S3 0 0 0 S4 2 1 3 S5 5 2 7 S6 3 1 4 S7 0 0 0 TOTAL 16 7 23 DEATH DETAILS OF MARCH - 2024
- 4. CAUSE OF DEATH: MLC-5 NMLC –18 SEPSIS 11 MODS 3 ACUTE CORONARY SYNDROME 3 ARDS 2 SEVERE HEAD INJURY 2 IRREVERSIBLE HYPOVOLEMIC SHOCK 1 CANCER CACHEXIA 1
- 5. • POST OPERATIVE CASES 1.Amputation-2 2.Hollowviscus perforation- 3 3.Wound debridement- 4 • PRE OPERATIVE CASES – 2 • Other causes- 12
- 6. DURATION OF STAYJULY 2023 0-3 H0URS 0 3-24 HOURS 2 1-2 DAYS 6 2-5 DAYS 4 >5 DAYS 11 TOTAL 23
- 7. AGE IN YEARSDEATHS <20 0 20-40 3 40-60 12 60-80 8 >80 0 TOTAL 23
- 8. MONTH OF MARCH2024
- 9. S1 UNIT NAME AGE / SEX IP.NOMLC/ NML C DIAGNOSIS CAUSE OF DEATH DURATI ON REMARKS 1.MR. ABANI 50/M 24031841 NMLC RIGHT DIABETIC FOOT/S/P ABOVE KNEE AMPUTATION/TYPE 2 DIABETES MELLITUS/SEPSIS/SEPTIC SHOCK SEPSIS/SEPTIC SHCOK 12 DAYS 1 HOUR 2.MRS.KANCHANA 58/F 24031755 NMLC MESENTERIC LYMPHOMA WITH DISSEMINATED DISEASE/CAD/BILATERAL PLEURAL EFFUSION/CANCER CACHEXIA CANCER CACHEXIA 5 DAYS 8 HOURS
- 10. NAME AG E/ SE X IP.NO MLC / NML C DIAGNOSISCAUSE OF DEATH DURATION REMARKS 3.MRS. SUMATHI 35/F 24031868 MLC ACCIDENTAL FALL FROM HEIGHT WITH POLYTRAUMA/PSYCHIATRIC DISORDER/HEMOPERITONEUM/ BILATERAL HEMOTHORAX/SEVERE HEAD INJURY SEVERE HEAD INJURY 21 HOURS 40 MINS 4. MR. GURUSWAMY 54/M 24025043 NMLC RIGHT LOWER LIMB CELLULITIS/ S/P WOUND DEBRIDEMENT/NEWLY DIAGNOSED TYPE 2 DIABETES MELLITUS/SEPSIS/SEPTIC SHOCK SEPSIS/ SEPTIC SHOCK 21 DAYS 6 HOURS
- 11. NAME AG E/ SE X IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATION REMARKS 5.MR. KIRUTHI NARAYAN MISHRA 73/M 24025399 NMLC GANGRENOUS LEFT HEMICOLON/ S/P EMERGENCY LAPARATOMY WITH LEFT HEMICOLECTOMY WITH PERITONEAL LAVAGE, TRANSVERSE COLOSTOMY AND HARTMANN’S PROCEDURE/ S/PP LAPAROSTOMY WITH PERITONEAL LAVAGE/ AKI(RECOVERED)/SYSTEMIC HYPERTENSION/ATRIAL FIBRILLATION ARDS 16 DAYS 6 HOURS 6..MR. VENKATESAN 43/M 24029689 MLC RTA WITH POLYTRAUMA/ MULTIPLE PELVIC BONE #/RIGHT THIGH MORELLE LAVALLE LESION/S/P WOUND DEBRIDEMENTS/OBESITY.CHRO NIC DEBILITATED STATE/HYPONATREMIA/SEPSIS/ SEPTIC SHOCK/MODS SEPSIS/ SEPTIC SHOCK 19 DAYS 17 HOURS
- 12. NAME AGE/ SEX IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATION REMARKS 7.KARPAGAM 72/F 24034007 NMLC GRADE 3 BEDSORES RIGHT LOWER LIMB/CARCINOMA CERVIX/RIGHT HEMIPLEGIA/OLD LEFT CVA SEPSIS/SEPTIC SHOCK 5 DAYS 4 HOURS 8.ELANGOVAN 65/M 24029695 NMLC LEFT LOWER LIMB CELLULITIS/ S/P WOUND DEBRIDEMENT/T2DM/CAD/ SEPSIS/SEPTIC SHOCK SEPSIS/ SEPTIC SHOCK 8 DAYS
- 13. S2 UNIT NAME AGE/ SEX IP.NOMLC/ NMLC DIAGNOSIS CAUSE OF DEATH DURATI ON REMARKS MR. DEVARAJULU 61/M 24034304 NMLC ACUTE MESENTERIC ISCHEMIA/SMA THROMBOSIS WITH BOWEL GANGRENE/S/P INTESTINAL RESECTION WITH JEJUNAL END STOMA AND DISTAL TRANSVERSE COLONIC MUCOUS FISTULA/SEPSIS/SEPTIC SHOCK/MODS/SHTN SEPTIC SHOCK 1 DAY 22 HOURS 30 MINUTES
- 14. S4 UNIT NAME AGE/ SEX IP.NOML C/ NM LC DIAGNOSIS CAUSE OF DEATH DURATIO N REMARKS 1.MRS. RANI 60/F 24032552 NMLC EXTENSIVE DERMATOPHYTOSIS/RIGHT LOWER LIMB CELLULITIS/SUBACUTE SMALL BOWEL OBSTRUCTION ACUTE CORONARY SYNDROME 14 DAYS 8 HOURS 2.MR. VINOTH KUMAR 41/M 24028595 CHRONIC PARENCHYMAL LIVER DISEASE/ PORTAL HYPERTENSION/MASSIVE UGI BLEED/AKI/IRREVERSIBLE HYPOVOLEMIC SHOCK IVVERSIBLE HYPOVOLEMIC SHOCK 1 DAY 5 HOURS
- 15. NAME AGE/ SEX IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATION REMARKS MR. SENGUTTUVAN 45/M 24030492 NMLC BISMUTH TYPE4 CHOLANGIOCARCINOMA/BILATERA L LOBAR LIVER METASTASIS/OBSTRUCTIVE JAUNDICE/S/P ERCP STENTING/ POST CPR STATUS POST ERCP (OUTSIDE) /SEPSIS/AKI/DYSELECTROLYTEMIA/ T2DM/RESPIRATORY FAILURE/MODS MODS 5 DAYS 14 HOURS
- 16. S5 UNIT NAME AGE/ SEX IP.NOMLC/ NMLC DIAGNOSIS CAUSE OF DEATH DURATION REMARKS 1. MR. VISHWANATHAN 40/M 24028620 MLC RTA/POLYTRAUMA/SEVERE HEAD INJURY/PNEUMOPERITONEUM/S/P EXPLORATORY LAPARATOMY/PERITONEAL LAVAGE SEVERE HEAD INJURY 2.MR.SUBRAMANI 73/M 24030144 MLC ACCIDENTAL FALL FROM STAIRS/LEFT MODERATE PNEUMOTHORAX/S/P TUBE THORACOSTOMY/METABOLIC ACIDOSIS WITH RESPIRATORY ACIDOSIS/SEVERE ANEMIA/ACUTE ENCEPHALOPATHY/ARDS ARDS 3 DAYS 11 HOURS
- 17. NAME AGE/ SEX IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATION REMARKS 3.UNKNOWN 45/M 24035150 ACUTE ENCEPHALOPATHY ? METABOLIC/LEFT LUNG PATCHY CONSOLIDATION/ANEMIA OF CHRONIC DISEASE/CHRONIC DEBILITATED STATE/ACUTE CORONARY SYNDROME ACUTE CORONARY SYNDROME 23 HOURS 25 MINS 4.MRS. ESTHAR 56/F 24033081 RIGHT DIAPHRAGMATIC HERNIA/SHTN/NEPHROTIC SYNDROME/VOLUME OVERLOAD STATUS/RESPIRATORY FAILURE/SUDDEN CARDIAC ARREST. SUDDEN CARDIAC ARREST 1 DAY 3 HOURS
- 18. NAME AGE/ SEX IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATION REMA RKS 5.MR.LAKSHMIPATHY 62/M 24028705 NMLC LEFT ACUTE LOWER LIMB ISCHEMIA/LEFT FEMPOP OCCLUSION/WET GANGRENE/DYSELECTROLYTEMIA/S EPSIS/SEPTIC SHOCK SEPSIS/SEPTIC SHOCK 1 DAY 10 HOURS 6.MR.CHANDRAN 59/M 24031121 NMLC ACUTE CHOLANGITIS/CHOLELITHIASIS/CHO LEDOCHOLITHIASIS/S/P ERCP STENTING/ARDS/AKI RECOVERED/MODS/SEPSIS/SEPTIC SHOCK MODS/SEPSIS/ SEPTIC SHOCK 9 DAYS 12 HOURS
- 19. NAME AGE/ SEX IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATION REMARKS 7.MRS.CHRITINA SEQUIERA 80/F 24033186 NMLC SEVERE ACUTE PANCREATITIS/TYPE 2 RESPIRATORY FAILURE/ARDS/AKI/METABOLIC ACIDOSIS/PERIAMPULLARY GROWTH/SIRS/MODS MODS 9 DAYS
- 20. S6 UNIT NAME AGE/ SEX IP.NOMLC/ NMLC DIAGNOSIS CAUSE OF DEATH DURATION REMARKS 1.MR. DAWATH 72/M 24031215 NMLC STRANGULATED LEFT INGUINAL HERNIA/GANGRENOUS ILEUM WITH ILEAL PERFORATION/S/P EMERGENCY LAPARATOMY WITH RESECTION OF GANGRENOUS ILEUM WITH ILEOCOLIC ANASTOMOSIS WITH DIVERSION LOOP ILEOSTOMY/RESPIRATORY ACIDOSIS/TYPE 2 RESPIRATORY FAILURE/SHTN/AKI/SEPSIS/SEPTIC SHOCK/MODS SEPSIS/SEPTIC SHOCK/MODS 2 DAYS 20 HOURS 2.MRS.REVATHI 41/F 24033437 NMLC RIGHT FTP INFARCT WITH LEFT HEMIPLEGIA/S/P RIGHT AK AMPUTATION/S/P TRACHEOSTOMY/GRADE 3 PRESSURE SORE LEFT HEEL/SHTN/HYPOTHYROIDISM/SEV ERE METABOLIC ACIDOSIS/POST RESUSCITATION STATUS SEPSIS/SEPTIC SHOCK 2 DAYS 21 HOURS
- 21. NAME AGE/ SEX IP.NO MLC/ NMLC DIAGNOSISCAUSE OF DEATH DURATI ON REMARKS 3.MR.AROCKIYA SELVARAJ 51/M 24029156 NMLC UPPER GI BLEED UNDER EVALUATION/LEFT PYELONEPHRITIS/UNCONTROLLED T2DM/DKA/SEPSIS/SEPTIC SHOCK/AKI/MODS MODS 3 DAYS 8 HOURS 4.MR.VENKATRAMAN 32/M 24029109 NMLC ACUTE NECROTISING PANCREATITIS/T2DM/SHTN/DKA/ARDS /SEPSIS/SEPTIC SHOCK/MODS SEPSIS/SE PTIC SHOCK 14 DAYS 8 HOURS
- 22. TAKE HOME MESSAGE Documentationof Basic investigations in notes. Documentation of callover sending Obtaining of daily DIL Consent forms to be attached seperately
- 23.