DEATH AUDIT MARCchchchchhchchhchchchcH.pptx

death audit

1. DEPT.OF GENERAL SURGERY GOVT.STANLEY MEDICAL COLLEGE HOSPITAL DEATH AUDIT MARCH 2024 DR.THIRUMURUGANAND M.S. ASSOCIATE PROFESOR DEPARTMENT OF GENERAL SURGERY SMCH

2. STATISTICS STATISTICS MARCH 23 MARCH 24 OUTPATIENT 7479 10915 ADMISSION 1887 1781 DISCHARGE 1291 1320 DEATH 19 23

3. MALE FEMALE TOTAL S1 5 3 8 S2 1 1 S3 S4 2 1 3 S5 5 2 7 S6 3 1 4 S7 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 Amputation-2 Hollow viscus perforation-3 Wound debridement- 4 PRE OPERATIVE CASES – 2 Other causes- 12

6. DURATION OF STAY JULY 2023 0-3 H0URS 3-24 HOURS 2 1-2 DAYS 6 2-5 DAYS 4 >5 DAYS 11 TOTAL 23

7. AGE IN YEARS DEATHS <20 20-40 3 40-60 12 60-80 8 >80 TOTAL 23

8. MONTH OF MARCH 2024

9. S 1 UNIT NAME A GE / SEX IP.NO MLC/NMLC DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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.CHRONIC DEBILITATED STATE/HYPONATREMIA/SEPSIS/SEPTIC SHOCK/MODS SEPSIS/ SEPTIC SHOCK 19 DAYS 17 HOURS

12. NAME A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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. S 2 UNIT NAME A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N REMARKS MR. SENGUTTUVAN 45/M 24030492 NMLC BISMUTH TYPE4 CHOLANGIOCARCINOMA/BILATERAL 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. S 5 UNIT NAME A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N REMARKS 5.MR.LAKSHMIPATHY 62/M 24028705 NMLC LEFT ACUTE LOWER LIMB ISCHEMIA/LEFT FEMPOP OCCLUSION/WET GANGRENE/DYSELECTROLYTEMIA/SEPSIS/SEPTIC SHOCK SEPSIS/SEPTIC SHOCK 1 DAY 10 HOURS 6.MR.CHANDRAN 59/M 24031121 NMLC ACUTE CHOLANGITIS/CHOLELITHIASIS/CHOLEDOCHOLITHIASIS/S/P ERCP STENTING/ARDS/AKI RECOVERED/MODS/SEPSIS/SEPTIC SHOCK MODS/SEPSIS/SEPTIC SHOCK 9 DAYS 12 HOURS

19. NAME A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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 A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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/SEVERE METABOLIC ACIDOSIS/POST RESUSCITATION STATUS SEPSIS/SEPTIC SHOCK 2 DAYS 21 HOURS

21. NAME A GE / SEX IP.NO MLC/ N M L C DIAGNOSIS CAUSE OF DEATH D U R A T I O N 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/SEPTIC SHOCK 14 DAYS 8 HOURS

22. TAKE HOME MESSAGE Documentation of Basic investigations in notes. Documentation of callover sending Obtaining of daily DIL Consent forms to be attached seperately

23. THANK YOU !