Nineteenth-century mortality rates?
|Publication:||Name: South African Medical Journal Publisher: South African Medical Association Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2013 South African Medical Association ISSN: 0256-9574|
|Issue:||Date: Jan, 2013 Source Volume: 103 Source Issue: 1|
Medical inpatient mortality rates at Groote Schuur Hospital of
12-17% are comparable to rates observed in North America in the mid-19th
century (down to 2% in the modern era), say Myer et al. (3) These high
rates reflect South Africa's shifting burden of disease due to HIV
and tuberculosis, paralleling increases in chronic disease of lifestyle
and increased access to higher hospital-based levels of care as primary
healthcare access improves. The sobering reality is that the majority of
deaths occur shortly after admission, which speaks volumes about the
severity of illness at admission and deficiencies in pre-hospital care.
(3.) Myer L, Smith E, Mayosi BM. Medical inpatient mortality at Groote Schuur Hospital, Cape Town, 2002 2009. S Afr Med J 2013;103(1):28-31. [http://dx.doi.org/10.7196/SAMJ.6285]
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