Working practices and patient outcome in the intensive care unit of the University of Benin Teaching Hospital

Adudu, OP; Adudu, OG

doi:10.4314/jmbr.v3i1.10659

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Previous research published on the patterns and outcomes of patients admitted to ICUs in other sub-Saharan countries, including Benin, Nigeria, Tanzania and Uganda, indicated wide variations in disease characteristics and mortality rates. [9][10][11][12][13][14] Moreover, it is to be expected that the characteristics and outcomes of patients admitted to ICUs in developing countries will differ from those in industrialised countries due to vast differences in diseases patterns and the available healthcare infrastructure and resources. Dünser et al reported significant differences in patient characteristics, ICU practices and patient outcomes at the ICUs of a 400-bed tertiary care university hospital in Mongolia and a 429-bed hospital in Austria.…”

Section: Discussionmentioning

confidence: 99%

“…Although this mortality rate was lower than that reported for other populations of critically-ill patients in sub-Saharan countries (range: 27-64%), it was nevertheless higher than the predicted mortality rate based on the mean APACHE II score upon ICU admission (≈15%). [8][9][10][11][12][13][14]17 Although the exact reason for this higher mortality rate is unclear, several factors may have contributed to this outcome. First, it is possible that there was a delay in providing therapy for some patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan

Sulieman

El-Mahdi²,

Awadelkareem³

et al. 2018

Sultan Qaboos Univ Med J

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan

Sulieman

El-Mahdi²,

Awadelkareem³

et al. 2018

Sultan Qaboos Univ Med J

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“…In many developing countries such as Egypt 4 and Nigeria, 5 this trend also exists to a lesser extent. Cohort studies on outcome of patients admitted into pediatric intensive care unit, 4 medical admissions into intensive care units 5,6 and working practices and outcome in intensive care units (ICU) 7 have been carried out in African countries. There is paucity of information on the morbidity and mortality patterns of patients with neurological morbidities admitted into the ICU in sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

Morbidity and mortality patterns among neurological patients in the intensive care unit of a tertiary health facility

2007

Self Cite

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Background/Objective: The morbidity and mortality of neurological patients managed in the intensive care unit reflect the causes of neurological disorders and the effectiveness of management. Method: The morbidity and mortality patterns of neurological patients admitted into the intensive care unit of the University of Benin Teaching Hospital (UBTH), a tertiary health institution in Nigeria, was examined over an 18-year period (January 1985 to December 2003. A complete sampling frame was used with all patients' records scrutinized. Results: A total of 187 patients, (16.6% of the total ICU admissions) with neurological morbidity were admitted during the period. We observed that morbidity was high for preventable etiologies -head injury (119 patients constituting 63.7%), tetanus (26 patients constituting 13.9%), hypertensive encephalopathy (12 patients constituting 6.4%) and meningitis (8 patients constituting 4.8%). The case fatality rates for these causes were 50.4%, 61.5%, 66.7% and 62.5% respectively. The case fatality rate for cerebral malaria was 100%. In addition, males (67.9%) were more likely to have trauma-related morbidity (P<.001) than females (32.1%). Overall mortality rate was high (52.4%) and calls for urgent attention. Conclusion:We concluded that preventable morbidities (head injury, tetanus, meningitis and hypertensive encephalopathy) accounted for fatality among neurological patients in the ICU, Benin City, Nigeria. Mortality was higher among those that required significant intensive interventions. Improved public awareness, traffic legislation, prompt emergency medical care and immunization against tetanus and meningitis should reduce morbidity and mortality. Key words: Morbidity, mortality, neurological patients, intensive care unitRésumé Introduction/Objectif: La morbidité et la mortalité des malades neurologiques traités dans le Service de soins intensifs a montré les causes des troubles neurologiques et l'efficacité de la prise en charge. Méthodes: La tendance de la morbidité et de la mortalité des malades neurologiques admis dans le service des soins intensifs du centre hospitalier universitaire du Benin (CHUB), un centre de la sente tertiaire au Nigeria, a été étudié au cours d'une période de 10 ans (janvier 1985 au décembre 2003). Un plan de sondage complet a été utilisé avec tous les dossiers des patients étudiés. Résultats: Un total de 187 patients, (16,6% du total des admissions ICU) atteints de la morbidité neurologique ont été admis au cours de la période. Nous avons noté que le taux de la morbidité est élevé pour les étiologies évitables -blessures de tête (119 patients recensés en 63,7%) ; le tétanos (26 malades recensés en 13,9%) ; hypertension encéphalopathie (12 malades recensés en 6,4%) et la méningite (8 malades recensés en 4,8%) ; Le taux du cas de la fatalité pour ces causes étaient 50,4%, 61,5%, 66,7% et 62,5% respectivement. Le taux du cas de la fatalité pour la fièvre cérébrale était 100%. En outre, sexe masculin (67,9(%) étaient plus susceptibles d'avoir des tra...

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“…One study showed that 82.5% of medical students were unaware of the variety involved in anesthesia; some not even realizing that anesthesiologists were doctors. 4 Onrubia et al conducted a survey on medical students who had not yet worked in a hospital. Of these students, 78.4% believed that the anesthesiologists function did not go beyond warning the surgeon of changes in vital signs.…”

Section: Discussionmentioning

confidence: 99%

Designing an Optimally Educational Anesthesia Clerkship for Medical Students – Survey Results of a New Curriculum

2010

JEPM

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Background:The field of anesthesia continues to be poorly understood and underestimated as a career choice for graduating medical students. The anesthesia clerkship is an important educational experience in which students learn a wealth of medical knowledge. Our aim was to develop an anesthesia clerkship which exposed the students to many aspects of anesthesiology in a well structured supervised environment. Based on this, we hoped that a positive learning experience would attract medical students to choose anesthesiology as a career. Methods:We structured a four week anesthesia clerkship for third and fourth year medical students, which comprised of time in operating room, intensive care unit, pain and perioperative environments. The students completed a survey anonymously at the conclusion of their clerkship. We gathered 25 medical students' opinion of their newly revised 4 week anesthesia clerkship and analyzed their comments in the hope of creating an optimal educational experience for future students. Results:Students reported an overall satisfaction with the new curriculum. Ninety-six percent of students stated that the clerkship increased their desire to pursue a career in anesthesia. Conclusion:The response to our survey showed that a structured educational four week anesthesia clerkship was highly satisfactory and increased medical students desire to pursue a career in anesthesia.

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Working practices and patient outcome in the intensive care unit of the University of Benin Teaching Hospital

Cited by 4 publications

References 11 publications

Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan

Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan

Morbidity and mortality patterns among neurological patients in the intensive care unit of a tertiary health facility

Designing an Optimally Educational Anesthesia Clerkship for Medical Students – Survey Results of a New Curriculum

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