Variation of adult admission and co-morbidity to general intensive care unit of BSMMU: Impact on outcome

Abstract

A retrospective study was done in ICU of BSMMU during January to June 2007 with a total number of 157 patients. Patients were included from this hospital and also from private hospitals. In accordance of the criteria for analysis a structured questionnaire was used whereas data obtain from hospital record sheets and file. We observed admission diagnosis, co-morbidities, length of stay, different procedures and overall outcome. Among 157 Patients age group of 61-70 yrs. constitutes the major proportion, which was 20.4% and male was 61.8%. 108 patients (75.2%) were admitted due medical illness and among which respiratory failure was 15.3%, intracranial hemorrhage was 13.4%. Among 112 deaths 77 died after 96 hours of admission. Death occurred in 90.5% for non-traumatic hemorrhage and 94.1% cases for pneumonia (P<0.5). We did not find any significant association between outcome and co-morbidities except for cerebrovascular in sufficiency (P<0.5). Therefore we can predict that admission diagnosis and other factors

An Audit on Pattern of Mortality in a Medicine Icu at Tertiary Care Hospital of North-East India

“…Different factors for ICU mortality which are usually reported sometimes found to be contradictory partly because of differences in statistical analyses [3]. Mortality is higher among more than 60 years age group and in males which is comparable with other similar studies [4,5].Sepsis was the main cause of death in our study though other few studies had shown Ischaemic heart disease as the prime cause [6,7].In our study respiratory and cardiovascular causes for mortalty are 14.7% and 10.9% respectively. In a similar previous study Dongre A et al (2016) and Paudel et al(2011) found 19.06%-17.51% &22.86%-22.86% respectively [8,9].In our study population maximum were from rural area(70.7%).…”

An appraisal of mortality in Intensive Care Unit of a Level III military hospital of Bangladesh

“…Naturally, the death rate among the geriatric patients was high (12.26%), and the male preponderance among the patients (2.41:1) and in the deceased (4.38:1) was comparable to other studies. [ 15 20 21 ] However, the death rate in pediatric group (2.39-2.56%) resulted in this study is imperfect, which is quite high in other studies. [ 22 23 ] Not including the neonates and infants treated in pediatric ICU was one of the limitations of this study.…”

“…However, medical patients are at the higher risk of hospital mortality (23% vs. 14% for operative admission) because of their greater severity of illness in terms of acute physiological derangement and un-optimized comorbidity. [ 15 17 ] One multicenter cross-sectional Japanese study also reported similarly that a number of medical cases were much higher (61.1%) and surgery cases admitted ICU and mortality rate in ICU was found 2.5 time higher than hospital morality rate. [ 25 ] The current study result may have been affected by the local conditions of the health system and medical treatment, diagnostic system, and many confounding factors.…”

“…In this study, the overall death rate in the ICU was 3.58%, whereas it was found 18.53% in the ICU of a large public hospital in this developing country. [ 15 ] On the other hand, in a developed country like France, in a study, the estimated mean ICU mortality was found about 15% and 6%–25% for hospital mortality after ICU discharge, yielding a hospital mortality rate of 20%–30% with substantial variations across the studies. [ 16 ] The probable factors of the decreased mortality rate in this center in comparison to the standard hospital ICUs may be the followings: this is a specialized service hospital for armed forces personnel who are adult with vigor and agile, majority of who reside in a cared and healthy environment, come across periodical health check-up, get proper prophylaxis, obtained adequate prehospital management after falling sick, etc.…”

“…Therefore, there is an immense scarcity of ICU beds is prevailing. [ 15 ] In this hospital, the number of ICU beds is 1.8% of total hospital beds, whereas in the USA, it is 7%,[ 19 ] which warrants interest to our health-care authority concerned.…”