Abstract:

Background: The incidence and spectrum of mortality and morbidity in Botswana are not well established. Mortality data can be provided through the hospital records and documentation.

Objectives: Based on the importance given to accident and emergency at princess marina hospital by both the leaders and the entire population in Botswana, it was opportune to conduct this study. The major objective is to establish some epidemiological markers of death in our facility and therefore to provide factors surrounding death and solutions to reduce mortality.

Methods: A retrospective study has been conducted, based on monthly mortality and morbidity report provided by different doctors within the department.

Results: 27361 patients were seen during the said period with about 111 deaths (0.41 %). A total number of 10041(36.7 %) patients were admitted to different wards for in-patients management. A couple of patients were brought in death after sudden collapse at home or being involved in road traffic accident. Roughly 9 patients died in accident and emergency each month with a mean of 2280 patients monthly attending the department. 56 % of patient died with an internal medicine condition. 51 % of died in accident and emergency were young adult on the range of 14 – 49 year old. No significance value concerning the difference in gender.

Conclusion: The study provided details and a preliminary answer to cause of death grossly. Despite of comorbidities and the high number of HIV patients at the age ranging between 14 and 49 year old, having a high percentage of patients adults dying in accident and emergency is alarming and suggestions had been given to shrink this number.

Keywords: mortality, morbidity, mortality and morbidity, princess marina hospital, accident and emergency department, brought in dead, died in casualty,

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