PATTERN AND OUTCOME OF MEDICAL INTENSIVE CARE UNIT ADMISSIONS TO AYDER COMPREHENSIVE SPECIALIZED HOSPITAL IN TIGRAY, ETHIOPIA

Kibreab Gidey, Abraha Hailu, Alemayhu Bayray

Abstract


Introduction: Provision of intensive care services is growing globally. The service is on the increase in Ethiopia, but is not well studied to date. The rationale of this study is to assess the admission pattern, length of hospitals stay, and treatment outcomes of patients admitted to a medical intensive care unit.

Methods: We reviewed the registries and clinical charts of patients admitted to Medical Intensive Care Unit of Ayder Comprehensive Specialized Hospital in Mekele, Tigray, during the period, November 2011 - February 2015.

Results: A total of 1,211 patients were admitted to Medical Intensive Care Unit during the study period. Males constituted a higher proportion (55.6%) than females (44.4%). The commonest admissions were patients with cardiovascular diseases (26%), followed by infectious diseases (20%) and neurological diseases (19.8%). The commonest specific causes of admission to the Unit were diabetic ketoacidosis and heart failure, constituting 16% each, followed by stroke (15.2%). The overall mortality was 27%. The commonest cause of death was stroke (17%), followed by septic shock (11%). older age, HIV positive, acute respiratory distress syndrome, septic shock and status epilepticus were independent predictors of death.

Conclusion: There is an epidemiologic transition from the once by far the commonest diseases like infectious diseases to non-communicable diseases like cardiovascular diseases. Non-communicable diseases need to receive due attention. Communicable diseases still cause a substantially high number of deaths, though over taken by non-communicable disease. Expansion of intensive care unit care is required in order to optimize critical patients.

Key words: Intensive care unit, admission pattern, hospital stay, Ayder, outcome.

 


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