Nineteenth-century mortality rates?
Subject: Mortality
Pub Date: 01/01/2013
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
Accession Number: 312828747
Full Text: 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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