Causes of Death among New Tuberculosis Patients in Area Health 10th

Abstract

The aim of this survey study was to study characteristics and causes of death in new tuberculosis patients which registered of treatment during the 1st October 2014 – 30th June 2015 in 70 hospitals at 10^th Public Health, Ubonratchathani. Results of study were used as guidelines to improve the quality of patient care and reduce death among the following treatment. Data were collected from the tuberculosis management program, TBCM 2010. Descriptive statistics include: the number of values, percentage, risk ratio and confidence interval estimation. Chi square test was used for analysis.

The study found that patients with tuberculosis are 4,146 people and death 233 people (5.60%). Average age of tuberculosis patient’s death is 59 years old, with male higher than female (1.7:1). The mortality rate in age >60 years old group show the highest mortality rate during the treatment at 53.65%. In patient, BMI lower than 18.5 presents 52.02% of mortality rate. Associated disease with tuberculosis, the most common AIDS is 49 people (21.03%), diabetes mellitus is 43 people (18.45%). Tuberculosis patient with HIV/AIDS have mortality rate higher than non-infected 2.20 times (OR 2.20; 95% CI 1.14, 5.64) and group that is associated with diabetes have mortality rate higher than non-DM 2.95 times (OR 2.95; 95% CI 2.07, 4.21) and 67.81% died within 2 months of treatment.

In tuberculosis patient should be screen other diseases. In cases of HIV/AIDS, diabetes and elderly people should be screening tuberculosis, together. Early diagnosis of tuberculosis and maintenance very closely patient care during the first 2 months of treatment might be able to reduce mortality rate in the tuberculosis patient.