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Four-year assessment of the leading causes of morbidity and mortality among adult in-patients in selected tertiary hospitals in the Philippines.


Ma. Kristine Joy S. Calvario,
Maria Luz Joana B. Soria,
Zenaida M. Javier-Uy,
Ellery Apolinario

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Publication Information

Publication Type
Book of Abstracts
Publication Sub Type
CSMC Research Abstract Compendium


INTRODUCTION:  The Philippines DOH FHSIS reported that the top morbidity in 2012 was acute respiratory infections, and the top mortality was diseases of the heart (21.5%). This study aimed to assess the leading causes of morbidity and mortality among adult in-patients in selected tertiary hospitals in the Philippines from January 2011 to December 2014.   

METHODS:  This was a multi-center, observational, descriptive, cross-sectional study conducted in three tertiary hospitals in the Philippines. Charts from January 2011 to December 2014 from these hospitals were reviewed. Descriptive analysis of the leading causes of morbidity and mortality (based on the International Statistical Classification of Diseases and Related Health Problems-ICD-10) were generated using frequency and percentages. Sex and age group specific frequency distribution of the causes of morbidity and mortality for 2014 were described using bar and line graph. This research was reviewed by the Ethics Committee of the three hospitals.   

RESULTS:  The three hospitals included in the study were Cardinal Santos Medical Center (CSMC), Makati Medical Center (MMC) and Zamboanga City Medical Center (ZCMC). The leading causes of morbidity in CSMC among all adult patients from 2011 to 2014, were non-communicable diseases such as hypertension, coronary artery disease  (CAD) and diabetes mellitus.  They were most prevalent among males, 65 years old and above: hypertension  645 (51%), CAD  647 (67%), and diabetes mellitus 92 (57%). In MMC, community-acquired pneumonia (CAP), diarrhea and dengue fever were the leading causes of morbidity, and in ZCMC, diarrhea, pneumonia and other cerebral infarction. The leading cause of mortality in CSMC was ischemic heart disease, and pneumonia for both MMC and ZCMC. In all three hospitals , the mortality was highest among males who were 65 years old and above.      

DISCUSSION: Geographic, socio-economic, and lifestyle preferences may have contributed to the differences of leading morbidities and mortalities among patients of the three hospitals. A larger and more comprehensive sampling of hospitals nationwide may reflect a more accurate health data on Filipinos.    



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LocationLocation CodeAvailable FormatAvailability
Cardinal Santos Medical Center - Research Center Abstract Print Format

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