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Published on: January 15, 2017
Causes of mortality on a university hospital neurology service
1University of Michigan, Department of Neurology, Ann Arbor, Michigan, USA.
Background:
The mortality rate for all patients cared for by inpatient neurology services has not been described.
Methods:
Quality assurance case discussions of all patients (n = 6012) admitted to a neurology service from 1996 to 2003 were reviewed to determine frequency and causes of mortality. All cases of mortality were reviewed in detail.
Results:
The majority of patients (98%) survived their admission; 118 patients died. In 95/118 cases, care had been withdrawn at the time of death. In 11 cases, adverse events occurred during the patients' hospital stay and may have impacted outcome. Few patients (18%) had clear advance directives.
Conclusion:
Most mortality in this acute care neurology setting occurs in the course of stroke, epilepsy, or complicated tumor management and is managed through withdrawal of care with family participation.
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