Mortality Rate of Coronary Heart Disease at Detudom Royal Crown Prince Hospital, Ubonratchathani in 2013 and 2016

Abstract

Coronary Heart Disease (CHD) mortality trends upward in Detudom Royal Crown Prince Hospital as the National statistics in Thailand. Objective: To determine coronary heart disease (CHD) mortality trends in 2013 and 2016 by using IMPACT model. Materials and Method: The study applied the IMPACT model to patient data with the hospital database, HOSxp, and empirical evidences. Data analysis was performed in 2 groups i.e., patients under medication treatment and those at risk of  CHD with age between 25-84 years old. Outcome measures were mortality fall and death prevented and postponed.  Results: Mortality rate of CHD in 2016 increased from 202 deaths per 100,000 persons in 2013 to be 204 deaths per 100,000 persons. The overall death prevented and postponed in the medical treatment group was 91 deaths per 100,000 persons accounting for 44.5 % of expected death. The mortality rate of the medical treatment decreased in the in-patient heart failure and out-patient heart failure by 21.1% and 12.1 % of expected death, respectively. The overall DPPs in the group of patients who had risk factors showed increased deaths of 26 per 100,000 persons accounting for 12.6% of expected death. The most major risk factors of increased mortality were smoking, total cholesterol and physical inactivity accounting for 6.5%, 6.3% and 5.2% of expected death, respectively. Conclusion: The death rate of CHD increased within 4 years. Although medical treatment could prevent and postpone death, the overall DPPs was lower than 50% of expected death. Risk factors especially smoking, total cholesterol and physical inactivity did not achieve targets to prevent and postpone death.