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Public Hospital Inpatient Discharge Survey 2005 |
IHP Health Statistics Reports No.1 |
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Chamikara Perera, Ravi P. Rannan-Eliya, Sunil Senanayake, Shanti Dalpatadu, Hirushaka de Silva, Ruki Wijesinghe
1 Oct 2009 | ISBN 978-955-1707-07-1| 20 pages
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Abstract: Inpatient services represent the most costly element of national health services, and the bulk of inpatient activity occurs in public sector hospitals. Previously, routine statistics on inpatients at government hospitals have been restricted to aggregate patient numbers. To address this gap, this first national survey of inpatient discharge records was conducted which develops a profile of inpatient discharges in the country in 2005.
Methods: Data were collected by extracting information from the bed head ticket record compiled for each discharge at Government Hospitals. Using a paper recording form, information was recorded on a sample of patient discharges for 2005. These were taken mainly from a representative sample of facilities at all levels in three districts, supplemented by teaching hospitals in other districts. Data collected included the age and gender of inpatients, the outcome of admission, the presumed diagnosis (ICD-10) and treatment interventions provided, including a full listing of all medicines dispensed. During the data analysis stage, the sample was re-weighted by reference to the national patient statistics, in order to ensure the overall representativeness of the final estimates.
Results: There were a total of 4.3 million inpatients discharged from Health Ministry hospitals in 2005. Female and male patients accounted for 50% each of all discharges, implying a higher hospitalisation rate for males than females. The average length of stay was 4.2 days, with most discharges (61%) taking place on the day of admission or within the next two days. Some conditions were characterised by longer than average lengths of stay, such as schizophrenia (20.5 days), fractures (7.3), and bronchitis and emphysema (5.9). For most primary diagnoses, there is little variation in lengths of stay across different levels of hospital, although the length of stay tends to increase at higher levels of hospitals. Childbirth was the leading cause of admission in females, whilst injuries were the leading cause in males. In young children, the leading cause of admission was diarrhoea and gastroenteritis due to infection whilst in older adults the leading cause of admission was asthma followed by hypertensive heart disease. An average of four medicines were prescribed or dispensed to each patient, with paracetamol being the most commonly prescribed medicine (42% of all inpatients). |
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