Admission pattern, Clinical outcome and associated factors among patients admitted in medical intensive care unit at University of Gondar Comprehensive and Specialized Hospital, Northwest Ethiopia, 2019. A retrospective cross-sectional study.

Abstract

Objective: To determine the admission patterns, clinical outcomes and associated factors among patients admitted in medical intensive care unit (MICU). Results: A total of 738 patients were admitted to MICU during September 2015- April 2019. Five hundred and four patients (68%) of all ICU admissions had complete data. Out of the 504 patients, 268 (53.2%) patients were females. Cardiovascular disease 182(36.1%) was the commonest categorical admission diagnosis. The overall mortality rate of the MICU was 38.7 %. In the multivariate analysis, mortality was associated with need for mechanical ventilation (AOR=5.87, 95% CI: 3.24 - 10.65) and abnormal mental status at admission (AOR = 2.8.8, 95% CI: 1.83-4.29). Patients who stayed less than four days in MICU are 5 times more likely to dies than who stayed(AOR= 5.58, 95% CI: 3.58- 8.69). In this study, the overall mortality was considerably high. Need for mechanical ventilator, length of ICU stay and mental status at admission were strongly associated with clinical outcome of patients admitted to MICU. Therefore, we recommend improving the acute critical care through the expansion of the care, supply emergency equipment’s and medications and implementation of admission protocols. Key words: Admission, Intensive care unit, Length of stay, Mortality, Outcome