DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202463

Profile of mortality among beneficiaries of public health assurance schemes in Karnataka: a retrospective study

Chandrashekarappa B. G., Pallavi Sarji Uthkarsh, Sudha Chandrashekar, D. M. Koradhanyamath, Dewakar N. R., Gangabhoraiah ., M. K. Sudarshan

Abstract


Background: The burden of non-communicable diseases (NCDs) that can potentially be dealt at tertiary care is increasing in developing countries including India which increase the out of pocket expenditure. Different health assurance schemes have been implemented in the state of Karnataka to provide access to quality tertiary medical care to all. The current study was undertaken to study the profile of mortality under these schemes as no information was available till date.

Methods: Data of beneficiaries availing treatment in empanelled tertiary care hospitals under health assurance schemes was collected from Suvarna Arogya Suraksha Trust (SAST) online data base from April 2015 to March 2016 on 20 August 2016. Statistical analysis was done by data collection using Microsoft EXCEL 2010 and SPSS-20 version.

Results: Majority of the beneficiaries (91.9%) were treated under Vajpayee Arogyashree Scheme. Deaths were more in beneficiaries of Mysore division with significant high mortality in burn patients. Nearly 63.2% of the beneficiaries were males and were in the age group of 15-60 years and higher hospital mortality was seen among infants (6.8%). Age less than one year, longer cardio pulmonary bypass time and longer aortic cross-clamp time are significantly (p<0.001) associated with hospital mortality in surgeries of congenital heart disease.

Conclusions: Mortality in beneficiaries of health assurance schemes was more in infants, females, burn cases and in Mysore division. 


Keywords


Aortic cross clamp time, Cardiopulmonary bypass time, Health assurance, Karnataka, Mortality, Pulmonary arterial hypertension, Suvarna arogya suraksha trust

Full Text:

PDF

References


World Health Organization. Global Status Report on non-communicable diseases, Geneva 2014.

Mondal S, Kanjilal B, Peters DH, Lucas H. Catastrophic out-of-pocket payments for health care and its impact on households: experience from West Bengal, India. Future Health Systems Innovat Equity. 2010;20(3):33-9.

Home sastgov. Available at http://sastgov.in/. Accessed on 11 January 2019.

Godale L, Mulaje S. Mortality trend and pattern in tertiary care hospital of Solapur in Maharashtra. Indian J Community Med. 2013;38(1):49-52.

Shanmugakrishnan RR, Narayanan V, Thirumalaikolundusubramanian P. Epidemiology of burns in a teaching hospital in south India. Indian J Plast Surg. 2008;41(1):34-7.

Subrahmanyam M. Epidemiology of burns in a district hospital in western India. Burns J Int Soc. 1996;22(6):439-42.

Ahuja RB, Bhattacharya S. An analysis of 11,196 burn admissions and evaluation of conservative management techniques. Burns J Int Soc. 2002;28(6):555-61.

Gupta AK, Uppal S, Garg R, Gupta A, Pal R. A clinico-epidemiologic study of 892 patients with burn injuries at a tertiary care hospital in Punjab. India J Emerg Trauma Shock. 2011;4(1):7-11.

Shankar G, Naik VA, Powar R. Epidemiolgical study of burn injuries admitted in two hospitals of North Karnataka. Indian J Community Med. 2010;35(4):509-12.

Khan T, Wani A, Darzi M, Bijli A. Epidemiology of burn patients in a tertiary care hospital in Kashmir: A prospective study. Indian J Burns. 2014;22(1):98-103.

Subban V, Lakshmanan A, Victor SM, Pakshirajan B, Udayakumaran K, Gnanaraj A, et al. Outcome of primary PCI - an Indian tertiary care center experience. Indian Heart J. 2014;66(1):25-30.

Rajasekhar D, Vanajakshamma V, Vamisidhar A. Boochi BM. Experience of primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction at a referral healthcare centre in India. Natl Med J India. 2015;28(6):276-9.

Upadhyay RP. An overview of the burden of non-communicable diseases in India. Iran J Public Health. 2012;41(3):1-8.