Reasons for admission and mortalities following admissions in the intensive care unit of a specialized hospital, in Ethiopia

Agalu, Asrat; Woldie, Mirkuzie; Ayele, Yemane; Bedada, Worku

doi:10.5897/ijmms2013.0883

Cited by 12 publications

(11 citation statements)

References 7 publications

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“…In the present review, the median age was in the third decades with proportional male to female ratio and median ICU admission was three days. These results were consistent with prior reports from other referral hospitals in Ethiopia ( 1 , 2 ). The overall mortality rate of the ICU was 45.8 %.…”

Section: Discussionsupporting

confidence: 93%

“…Intensive Care Unit (ICU) is a special unit of a hospital for patients with severe and life-threatening conditions requiring close intensive monitoring, specialized support using varies sophisticated equipment's and medications in order to maintain normal human physiologic function ( 1 ). ICUs in most of the developed world are high-technology facilities with the most advanced medical technology and skilled personnel.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with ICU Mortality at Hawassa University Comprehensive Specialized Hospital (HUCSH)

Wotiye

Shimber

Ayele

2022

Ethiop J Health Sci

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BACKGROUND: Providing acute care to critically ill patients in intensive care unit (ICU) is a global necessity, regardless of health system capacity. The objectives of the present study were to assess the reasons for admission and clinical outcomes of adult patients admitted to general ICU at Hawassa University Comprehensive Specialized Hospital (HUCSH).METHODS: A retrospective study based on a record review of logbook and charts of 310 adult patients admitted to general ICU of HUCSH between April 2012 and April 2017. Both descriptive analysis and inferential statistics were used.RESULTS: The average age was 41 ± 17.9 years (range: 18-100 years). Males accounted 51.6%. The average duration of stay in the ICU was 5.3 ± 6.7 days (range 1- 49 days). Cardiovascular disorders were the commonest cause of admission, accounted for 22.9%, followed by neurological disorders (17.7%), and trauma related illnesses (13.9%). Among 310 adults admitted during the study period, 23.1% required mechanical ventilator support; and 5.3% developed Hospital acquired infection. In-patient mortality rate was 45.8%. In multivariate analysis, the presences of aspiration pneumonia, and need for ventilator support, acute kidney injury, hospital acquired infection, and short ICU stays were associated with ICU mortality.CONCLUSION: The present study indicates high prevalence of ICU mortality among adults admitted to HUCSH during the study period. ICU mortality was associated with the presences of renal failure, hospital acquired infections, aspiration pneumonia and the need for mechanical ventilator.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Factors Associated with ICU Mortality at Hawassa University Comprehensive Specialized Hospital (HUCSH)

Wotiye

Shimber

Ayele

2022

Ethiop J Health Sci

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“…20 Cardiovascular disease accounted 36% of all ICU admission followed by respiratory (17.9%) which is similar to the studies done in Mekelle and Jimma. 12,21 However, it was different from studies done in Uganda and Nigeria, infectious illness and post-operative care were the main reasons for admission. 3,7 In the current study, there was higher case fatality ratio of cardiogenic shock (57.1%), ARDS (54.4%) and ischemic heart disease (53.5%) which is different from studies done in Mekelle and Addis Ababa, septic shock (58%) and severe pneumonia (56.4%) respectively.…”

Section: Discussionmentioning

confidence: 91%

Patterns of Admission and Clinical Outcomes Among Patients Admitted to Medical Intensive Care Unit of a Teaching and Referral Hospital, Northwest Ethiopia

Tesema

Lema

Mesfin

et al. 2021

Glob Adv Health Med

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Background The intensive care unit (ICU) is a health care delivery service for patients who are in critical condition with potentially recoverable diseases. Patients can benefit from more detailed observation, monitoring and advanced treatment than other wards or department. The care is advancing but in resource-limited settings, it is lagging far behind and mortality is still higher due to various reasons. Therefore, we aimed to determine the admission patterns, clinical outcomes and associated factors among patients admitted medical intensive care unit (MICU). Methods A retrospective cross-sectional study was conducted based on a record review of logbook and charts of patients admitted from September, 2015 to April, 2019. Data were entered and analysed using SPSS version 20. Both bivariate and multivariate logistic regression analyses were used and a P-value < 0.05 was considered statistically significant. Results A total of 738 patients were admitted to medical intensive care unit (MICU) during September, 2015 - April, 2019. Five hundred and four patients (68%) of all intensive care unit (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 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, 95% CI: 1.83-4.29). Patients who had stay less than four days in MICU were 5 times more likely to die than those who has stay longer time (AOR= 5.58, 95% CI: 3.58- 8.69). Conclusions The overall mortality was considerably high and cardiovascular diseases were the most common cause of admission in MICU. Need for mechanical ventilator, length of intensive care unit stay and mental status at admission were strongly associated with clinical outcome of patients admitted to medical intensive care unit.

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“…The very low critical care capacities and the more risk factors make critical illness more prevalent in developing countries [1,2]. A larger number of critical patients in these countries are with potentially treatable disease conditions [3].…”

Section: Introductionmentioning

confidence: 99%

“…Families of ICU patients are the source of information including past medical history of the patient [8]. They also do shared decision makings, pay the medical bills, function as a legal representation to give consent and respect patient rights, and do the routine care for the other affected family members of the patient at home [2,8]. Families are often times overwhelmed with a lot of the above stated activities and therefore may experience different issues and challenges such as psychosocial trauma and/or crisis within the family [6,9].…”

Section: Introductionmentioning

confidence: 99%

A phenomenological study on the lived experiences of families of ICU patients, Addis Ababa, Ethiopia

2020

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Background Family-centered care of ICU patients is increasingly recommended as it is believed to have effect on family members’ psychosocial status and patient outcomes. Defining the nature and extent of families’ involvement in a given health care environment for different stakeholders is a challenge. Understanding the lived experiences of families of ICU patients would help strategize on how to better engage family members for improved ICU care processes and outcomes. Objectives The aim of this study is to explore the lived experiences of families of patients in the ICUs of hospitals in Addis Ababa, Ethiopia. Methods The study adopted a qualitative approach and a phenomenological research design. In-depth interviews were conducted with twelve (12) family members who were purposively sampled from two government hospitals and four private hospitals. Thematic approach with the application of hermeneutic circle of interpretation was applied to understand the meanings of their experiences. Results The study revealed the following major themes: financial burden, challenge in decision making, shattered family integrity and expectations, information and communication gap between family members and health professionals, lack of confidence in the service delivery of hospitals, social pressure against patient families, and families being immersed in an unfriendly environment. Though they do not explicitly mention it to the health care tram, further interpretation of the main themes elucidated that family’s need the intensive care process be cut shorter irrespective of the outcome of the patient condition. Conclusion The study gave an insight on the multiple and interrelated challenges faced by families of ICU patients admitted in the hospitals of Addis Ababa. Further contextualized interpretation of their experiences revealed that families were somehow in a state of despair and they implicitly need the ICU care for their family member be ended irrespective of the potential clinical consequences on the patient. The philosophy of family-centered care be advocated in hospitals. The study result affirms the need to include family members during nursing assessment of patients in ICUs and also offers the basis for guidelines development on informational support to the families of the patients hospitalized in ICUs.

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Reasons for admission and mortalities following admissions in the intensive care unit of a specialized hospital, in Ethiopia

Cited by 12 publications

References 7 publications

Factors Associated with ICU Mortality at Hawassa University Comprehensive Specialized Hospital (HUCSH)

Factors Associated with ICU Mortality at Hawassa University Comprehensive Specialized Hospital (HUCSH)

Patterns of Admission and Clinical Outcomes Among Patients Admitted to Medical Intensive Care Unit of a Teaching and Referral Hospital, Northwest Ethiopia

A phenomenological study on the lived experiences of families of ICU patients, Addis Ababa, Ethiopia

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