Clinical outcomes of patients admitted in intensive care units of Nigist Eleni Mohammed Memorial Hospital of Hosanna, Southern Ethiopia

Obsa, Mohammed Suleiman; Adem, Abdi Oumer; Gete, Getish Bezabih

doi:10.5897/ijmms2017.1297

Cited by 11 publications

(5 citation statements)

References 29 publications

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“…Unlike our ndings, Mohammed et al reported that acute abdomen, speci cally small bowel obstruction, was the most common cause of ICU admission (15). The others were septic shock and ARDS (28.2%), acute abdomen and other surgical diseases (18.6%), and severe traumatic brain injury (9%).…”

Section: Discussioncontrasting

confidence: 83%

Disease pattern and mortality rate among patients admitted to the Intensive Care Unit in Arbaminch General Hospital, Southern Ethiopia

Daniel,

Abera,

Yihune

2024

Preprint

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Background: Disease patterns in intensive care Unit is differ from place to place. Cardiac disease, septic shock, trauma, and acute abdomen are the common causes of admission. The mortality rate in the Intensive Care Unit (ICU) was higher than that in the other hospital units. Our aim was to assess the common admission diagnosis and mortality rate among Intensive Care Unit (ICU) patients in the Arbaminch General Hospital. Methods: A retrospective cross-sectional study was conducted based on a review of the records and charts of patients admitted from January 1, 2019, to January 1, 2021. Descriptive statistics were also calculated. An independent variable effect on the mortality rate was observed. Result: The most common admission diagnoses were cardiac and other medical diseases, septic shock and ARDS followed by acute abdomen and other surgical diseases. The overall mortality rate was 40.7%. On multivariate logistic regression analysis, no significant mortality rate affecting factors were identified. Conclusion: Cardiac and other medical diseases were the most common admissions diagnoses, with an overall mortality rate of 40.7%. No significant association was found between the mortality rate and independent variables in the multivariate logistic regression.

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Section: Discussioncontrasting

confidence: 83%

Disease pattern and mortality rate among patients admitted to the Intensive Care Unit in Arbaminch General Hospital, Southern Ethiopia

Daniel,

Abera,

Yihune

2024

Preprint

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“…This difference might be due to factors such as late arrival at the ICU and delay in intervention, shortage of critical emergency drugs, resuscitation ability of the MICU, and absence of airway management equipment in the emergency department [6]. However, this result was different from the study conducted in Ethiopia, where the LOS of ICU mortality was more than 14 days [18].…”

Section: Discussionmentioning

confidence: 75%

Pattern of diseases and clinical outcomes in medical intensive care unit at a tertiary hospital in northeastern Tanzania: A three-year retrospective study

Sadiq

Kilonzo

2023

PLoS ONE

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Background The availability of medical intensive care unit (MICU) services is limited, which is the main obstacle to providing optimal care to critically ill patients. Describing disease patterns and clinical outcomes will help make better use of the limited resources. This retrospective study was conducted to determine the pattern and outcome of MICU admissions to aid continuous quality improvement in obstetric care. Materials and methods This was a retrospective study conducted in a tertiary hospital in northeastern Tanzania. Data on participant characteristics were collected from patient records for all MICU admissions to identify the pattern of disease, length of stay, and clinical outcome from 1st January 2018 to 31st December 2020. Descriptive statistics were presented as frequencies, proportions, and tables. The odds ratio was generated for the relationship between MICU admission outcome and participant characteristics. A p-value <0.05 was considered statistically significant. Results Of the 1425 patients analyzed, 780 (54.7%) were males. Most patients (61.5%) were admitted to the MICU from the emergency department. The overall mortality rate was 37.6%. Mortality was associated with being over 75 years old (OR 1.66, 95% CI 1.20–2.30, P 0.002), being transferred from the medical ward (OR 1.46, 95% CI 1.16–1.82, P 0.001), having a communicable disease (OR 2.63, 95% CI 1.98–3.50, P <0.001), and having cardiovascular disease (OR 1.46, 95% CI 1.14–1.86, P 0.002). Conclusion The overall mortality rate in the MICU was high. Elderly patients, transfers from the medical ward, and short ICU stays were significantly associated with the poor outcome of MICU patients. Further studies are needed to better appreciate the causes underlying MICU admission outcomes.

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“…The determinants of the PICU outcome were based on the seriousness of the condition at admission, patient age, presence of comorbidities, the quality of pre-hospital and emergency trauma care; factors reported during the PICU admission like the use of mechanical ventilation, level of consciousness, duration of the PICU stay; complications during the PICU stay like circulatory and ventilator-related respiratory complications [7][8][9][10]. It is challenging to give effective, and adequate care for the children admitted to the PICU without knowing the causes of admission.…”

Section: Discussionmentioning

confidence: 99%

“…The ICU outcomes were determined by clinical condition at admission, patient age, comorbidity, level of pre-hospital and emergency trauma care, and factors reported during ICU admission, such as the use of mechanical ventilation, level of consciousness, duration of ICU stay, as well as complications during ICU stay, such as circulatory and ventilator-related respiratory complications [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Admission pattern, treatment outcomes, and associated factors for children admitted to pediatric intensive care unit of Tikur Anbessa specialized hospital, 2021: a retrospective cross-sectional study

et al. 2022

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Background Assessement of the pattern of admission and treatment outcomes of critically ill pediatrics admitted to pediatric intensive care units (PICU) in developing countries is crucial. In these countries with resource limitations, it may help to identify priorities for resource mobilization that may improve patient service quality. The PICU mortality rate varies globally, depending on the facilities of the intensive care unit, availability of experties, and admission patterns. This study assessed the admission pattern, treatment outcomes, and associated factors for children admitted to the PICU. Methods A retrospective cross-sectional study was implemented on 406 randomly selected pediatrics patients admitted to the PICU of Tikur Anbessa Specialized Hospital from 1-Oct-2018 to 30-Sept-2020. The data were collected with a pretested questionnaire. A normality curve was used to check for data the distribution. Both bivariable and multivariable analyses were used to see association of variables. A variable with a p-value of < 0.2 in the bivariable model was a candidate for multivariate analysis. The strength of association was shown by an adjusted odds ratio (AOR) with a 95% Confidence interval (CI), and a p-value of < 0.05 was considered statistically significant. Frequency, percentage,and tables were used to present the data. Results A total of 361 (89% response rate) patient charts were studied, 197 (54.6%) were male, and 164(45.4%) were female. The most common pattern for admission was a septic shock (27.14%), whereas the least common pattern was Asthma 9(2.50%). The mortality rate at the pediatric intensive care unit was 43.8%. Moreover, mechanical ventilation need (AOR = 11.2, 95%CI (4.3–28.9), P < 0.001), need for inotropic agents (AOR = 10.7, 95%CI (4.1–27.8), P < 0.001), comorbidity (AOR =8.4, 95%CI (3.5–20.5), P < 0.001), length of PICU stay from 2 to 7 days (AOR = 7.3, 95%CI (1.7–30.6), P = 0.007) and severe GCS (< 8) (AOR = 10.5, 95%CI (3.8–29.1), P < 0.001) were independent clinical outcome predictors (mortality). Conclusion The mortality rate at the PICU was 43.8%. Septic shock, and meningitis were the common cause of death and the largest death has happened in less than 7 days of admission.

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Clinical outcomes of patients admitted in intensive care units of Nigist Eleni Mohammed Memorial Hospital of Hosanna, Southern Ethiopia

Cited by 11 publications

References 29 publications

Disease pattern and mortality rate among patients admitted to the Intensive Care Unit in Arbaminch General Hospital, Southern Ethiopia

Disease pattern and mortality rate among patients admitted to the Intensive Care Unit in Arbaminch General Hospital, Southern Ethiopia

Pattern of diseases and clinical outcomes in medical intensive care unit at a tertiary hospital in northeastern Tanzania: A three-year retrospective study

Admission pattern, treatment outcomes, and associated factors for children admitted to pediatric intensive care unit of Tikur Anbessa specialized hospital, 2021: a retrospective cross-sectional study

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