Atlas of Death for the Main Causes of Neurologic Disorders in a Local Hospital in Isfahan/Iran

  • Zahra Tolou_Ghamari
Keywords: Atlas, Death, Stroke, Intracranial, Iran


Introduction: In a recent study of 5360 deceased records′ within a local teaching hospital in Isfahan/Iran, neurological disorders′ ranked as the main cause of mortality among others. Additionally based on previous global reports, it seems that approximately 150000 individuals die within hospital every day. Therefore the current study aims to provide an atlas for the major causes of death correlated to neurologic disorders′ in a local hospital in Isfahan/Iran.
Methods: A retrospective survey of 1036 deceased individuals due to neurologic disorders′ (comprised of n = 607 males and n = 429 females), was carried out from the years 2011 to 2014. The study was conducted to Isfahan Kidney Transplantation Research Center (IKTRC). Death reported data such as age, gender, final code of death, date of admission, and duration of hospital stay were noted in Excel. The statistical analyses of d-Base were performed using SPSS (version 20) for windows. Descriptive statistics such as mean, minimum, maximum was reported for variables of interest.
Results: Out of total population studied 59% were males. Age related death in the 79% was between 31 to 96 years old of life. Location of disorders that caused death were ranked as brain (n = 89%) > both brain and spinal cord (n = 5%) > spinal cord (n = 4%). Ranked reasons of death due to brain disorders resulted as: unspecified intracranial hemorrhage (n = 283; 41%) > stroke (n = 224; 32%) > traumatic intracranial injuries (n = 186; 27%) and other reasons (n = 24%). With a minimum of 1 and a maximum of 162 days, the mean hospital stay in this group was 11.9 days. In the 52% of deceased population due to spinal cord injuries, age at death was under 15 years old of life. The average hospital stay within this group of deceased before death was 15.3 days with a minimum of 1 to a maximum of 74 days. There were 7 reported deaths due to multiple sclerosis at the minimum and maximum age of 22 and 66 years old.
Conclusions: The evaluation based on clinical research maps from this study could help upcoming investigation for inserting the new strategy of the multi-dimensional difference of main reasons of death due to neurological disorders in Isfahan/Iran. Finally in order to achieve for improved clinical, pharmacological or surgical performance and management, or a more profitable founding of health incomes, further study in this direction recommended.

Original Article