Death Audit of Swine Flu Cases in Surat city.Hiren Jadawala, Khushbu Patel, Rachna Prasad, Manan J Patel, Jayesh J Rana, RK Bansal.
"Introduction: Evaluation of medical care in retrospect through qualitative analysis of clinical records, including analysis of hospital services is a simpler way to look into the meaning of Death Audit. Late presentation at hospital and having co-morbid conditions were commonly observed to be associated with poor patient outcome. Objective of the study was to assess the epidemiologic characteristics & high risk profiles among reported deaths with H1N1 influenza in Surat city.
Method: Death audit of 47 swine flu positive cases were carried by household visit and checking medical records from respected hospitals of Surat Municipal Corporation area.
Results: Deaths were higher among age group of 40-60 years and above and female population. Out of total 47 deaths, only 20 swine flu positive patients had reported to hospital within 48 hours after onset of signs & symptoms. More than 83% swine flu death patients had not taken oseltamivir within 48 hours after onset of signs & symptoms. Diabetes and hypertension, IHD were co morbid condition and pregnancy was associated condition with H1N1 fatality.
Conclusion: Mortality was higher in patient having co-morbid conditions like hypertension, diabetes, pregnancy, thyroid disorder. Longer interval between onset of signs and symp-toms to diagnosis and initiation of oseltamivir may be the possible reason for higher mortality during swine flu epidemic 2015.
Key words: Death audit, Swine flu, H1N1 Positive Deaths; Oseltamivir Lag; Co-morbid condition; Surat