Round to two decimal places 1.) Gross death rate: a. 0.05% b. 0.57% c. 5.79% d.

Question

Round to two decimal places

1.) Gross death rate: a. 0.05% b. 0.57% c. 5.79% d. 57.87%   

2.) Adjusted hospital autopsy rate: a. 34.04% b. 0.34% c. 3.40% d. 3.04%

3.) Fetal death rate: a. 0.55% b. 5.51% c. 55.10% d. 0.06%

Statinties Discharges and Deaths Total adults and children 1432 123 120 Newborn Total live births Deaths (included in discharges) Adults and childrern 87 Newborn Autopsies 23 Adults and children Newborn Hospital autopsied outpatients Coroner's cases (unavailable for autopsy Fetal deaths Early Intermediate Late Fetal death autopsies Intermediate and late

Explanation / Answer

(1) Gross death rate = (n/t) * 100, where, n = number of deaths of inpatients in a period, t = number of discharges (including deaths) in the same period.
Here, n = deaths of adults and children + deaths of newborn = 87 + 3 = 90.
t = total no. of adults and children + newborn = 1432 + 123 = 1555.
Gross death rate = (90/1555) * 100 = 5.79% (Option C)

(3) Fetal death rate = (number of resident fetal deaths / (number of resident live births + number of resident fetal deaths)) * 100.
Now, number of resident fetal deaths = early fetal death + intermediate fetal death + late fetal death = 0 + 5 + 2 = 7.
Number of resident live births = 120.
Fetal death rate = (7 / (120 + 7)) * 100 = (7 / 127) * 100 = 5.51% (Option B)

(2) Adjusted hospital autopsy rate = (total hospital autopsies/total number of deaths of hospital patients whose bodies are available for autopsy) * 100.
Now, total hospital autopsies = 23 + 2 + 7 = 32.
Total number of deaths of hospital patients whose bodies are available for autopsy = Adult and children deaths + newborn deaths + hospital autopsied outpatients - coroner's cases (unavailable for autopsy) = 87 + 3 + 7 - 3 = 94.
Adjusted hospital autopsy rate = (32/94) * 100 = 34.04% (Option A)

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