A study on hospital bed utilisation based on disease wise ICD-10 coding in surgery ward of a rural tertiary care hospital of Darjeeling district of West Bengal

Sumanta Chakraborty, Sunamika Banerjee


Background: Hospital costs are the largest component of health expenditure and they have therefore been a key focus in the drive for increased efficiency in the health sector.1With the simultaneous menace of ever increasing price rise and population explosion there is dearth of the existing meagre resources and thereby it becomes necessary to allocate and utilise the available resources to the fullest with provisions for minimum wastage. The objective of this study is to find out the pattern of diseases with their ICD-10 codes and the hospital performance indicators in patients admitted at the surgery ward of North Bengal Medical College during the study period.

Methods: A descriptive epidemiological study with cross-sectional design was done by complete enumeration of all patients admitted in surgery ward of North Bengal Medical College and Hospital in Darjeeling district of West Bengal from July 2016 to September 2016.

Results: A total of 2227 patients were admitted during the study period with intra-cerebral haemorrhage (I61) being the most common cause of admission followed by abdominal injury (S36) and burn (T29). The bed occupancy rate was 144.21%, bed turn-over rate 14.26 and average length 9.1. Scatter plot indicates hospital utilisation at Region IV as per Pabon Lasso Model of Hospital Utilisation.

Conclusions: A high bed occupancy rate and low bed turn-over rate indicates scarcity of hospital beds, preponderance of severe and chronic cases and unnecessary stay in hospital. 


Hospital bed utilisation, ICD-10 code, Pabon Lasso model, Darjeeling

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