DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174642

Retrospective review of profile of intensive care unit admissions and outcomes in a tertiary care hospital of Himalayan region

Sushant Khanduri, Sonika Katiyar, Nand Kishore, Rakhee Sodhi, Ankit Aggarwal

Abstract


Background: An Intensive care unit (ICU) is an area where highest level of care is given with close invasive and non-invasive monitoring to a critically ill patient. Medical audit is must to assess the quality care provided and lay down policies for future. Objectives: To review retrospectively the profile of patients admitted to ICU and assess their outcome.

Methods: From January 2016 to December 2016, ICU records of all admissions, referred, discharges, and deaths were utilized for the purpose of this study. Data extracted from the records included age, sex, diagnosis and outcome.

Results: A total of 2316 patients were admitted to ICU. Males were 1489 (64.3%) and females were 827 (35.7%). Most of the patients (42.8%) were between 46-70 years. Most of the patients were shifted from emergency (48.5%) and it was associated with better outcome. A total of 49.6% patients were shifted out of ICU in stable condition while mortality was 28.6%. Around 21.8% patients left ICU against Medical advice.

Conclusions: Majority patients admitted to ICU were of general medicine and neurosurgery. Survival was inversely related to age. Mortality was not associated with sex. Outcome was also related to the source from where patient was admitted.


Keywords


Intensive care unit, Medical audit, Outcome

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References


Hinds CJ, Watson D. Planning, organization and management of intensive care. In: A Concise Textbook. 2nd ed. WB Saunders Company Limited, London; 1996.

Dunser MW, Baelani I, Ganbold L. A review and analysis of intensive care medicine in the least developed countries. Critical Care Medicine. 2006;34:1234-42.

Poluyi EO, Fadiran OO, Poluyi CO, Alabi EO, Falohun SA. Profile of Intensive Care Unit Admissions and Outcomes in a Tertiary Care Center of a Developing Country in West Africa: A 5 Year Analysis. J Intensive Crit Care. 2016;2:1-7.

Gupta D, Butola KS, Nath B, Masood J. Retrospective review of disease patterns and outcomes of patients admitted in Medical Intensive Care Unit (MICU) of Government Medical College and Hospital, Srinagar (Uttarakhand). J Preventive Medicine Holistic Health. 2016;2:24-7.

Koirala S, Ghimire A, Sharma A, Bhattarai B. ICU admission and outcomes in a community-based tertiary hospital. Health Renaissance. 2011;9 :83-7.

Wong A, Masterson G. Improving quality in intensive care unit practice through clinical audit. J Intensive Care Society. 2015;16(1):5-8.

National Institute of Health and Care Excellence. Available at https://www.nice.org.uk/.

Park GR. Intensive care in the United Kingdom: Report from the King's Fund Panel. Anaesthesia. 1989;44(12):998-9.

Chalya PL, Gilyoma JM, Dass RM, Mchembe MD, Matasha M, et al. Trauma admissions to the Intensive Care Unit at a reference hospital in Northwestern Tanzania. Scand J Trauma Resusc Emerg Med. 2011;19: 61.

Isamade ES, Yiltok SJ, Uba AF, Isamade EI, Daru PH. Intensive care unit admissions in the Jos University Teaching Hospital. Nigerian J Clinical Practice. 2007;10:156-61.

Gundo R, Lengu ES, Maluwa A, Mtalimanja O, Chipeta D, Kadyaudzu C. An Audit of Admissions to Intensive Care Unit at Kamuzu Central Hospital in Malawi. Open Nursing. 2014;4:583-9.

Dragsted L, Qvist J, Madsen M. Outcome from intensive care II. A 5-year study of 1308 patients: Short-term outcome. European J Anaesthesiology. 1989; 6: 131-44.

Ridley S, Jackson R, Findlay J, Wallace P. Long term survival after intensive care. British Medical J. 1990;301:1127-30.