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On the other hand, the Mumbai registry is one of the oldest and most efficient systems of mortality ascertainment and thus the data are the best from this country [ 11].
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Reports on the performance, validity and evaluation of surveillance systems for mortality and morbidity in emergencies are lacking, although this is routinely done by humanitarian organizations.
As scoring system of ICU mortality the APACHE II score was used.
Overall, the digestive system accounted for 41.9% of mortality, the respiratory system for 27.7%, the musculoskeletal system for 3.6%, the nervous system for 2.0% and idiopathic peritonitis as such for 14.6%.
Severity as measured by the clinical scoring system was predictive of mortality.
Main critical issues identified related to the TOM system were registration of mortality in the elderly and registration of failure.
There is a place to study the predictive value of the Norton scoring system in terms of mortality long after rehabilitation separately for elderly patients following total hip replacement, stroke, and hospital-associated deconditioning.
In Sweden, Fossum and colleagues [ 24] had confirmed that with a change from the conventional battery-cages to litter-based system, the submission of mortality from layer chicken farms increased, and Gerzilov et al., [ 25] in their works in Bulgaria found out that mortality also spiked in young flocks on the litter compared to other housing systems and tend to normalize as the birds grow older.
They argued that individuals at birth have redundant systems of protection against mortality, say n redundant systems.
All scoring systems studied were predictive of mortality at 12 months (p < 0.001 for all except Child Pugh, p = 0.001).
Even countries with highly developed health care systems encounter high rates of mortality and morbidity due to the disease [6], [7].
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