Comparison of Mortality in Patients with Multiple Morbidities and with Single Morbidity Admitted at Acute Medical Unit, Pak Emirates Military Hospital, Rawalpindi, Pakistan

Abstract

Objective: to discover the impact of single and multimorbidity on the specific outcomes in patients admitted to a critical care setup, Acute Medical Unit, at Pak Emirates Military Hospital, Rawalpindi Pakistan. Study Design: Cross sectional comparative study. Place and Duration of Study: Acute Medical Unit, Pakistan Emirates Military Hospital, Rawalpindi Pakistan, from Aug 2018 to Jan 2019. Methodology: All patients admitted to AMU were included in the study. Age was kept as the primary inclusion criteria for this study. Non-probability convenient sampling technique was used. After exclusion, the final sample size was 354. Data was analysed using SPSS version 22.0. Results: Out of 354 patients that were included in the study, 215(60.7%) were males while 139(39.3%) were females. The patients were divided in 4 age groups i.e., 15-35 years, 36-55 years, 56-75 years and 76-90 years. Based on the history taken from the patient and the lab tests ordered, 216(61%) had more than one disease while 138(39%) had only a single disease. Most common comorbid diseases, found in our study were diabetes mellitus, hypertension, ischemic heart disease (IHD) and cerebrovascular accident, Mortality rates of patients with multiple morbidities were higher than those with single morbidity. Conclusion: Multimorbidity is a great challenge faced by physicians of today. Our study found greater mortality rates in patients with multiple morbidities and greater age than those with single morbidities and lesser age.