A 7-year review of medical admission profile for clinical diseases in an intensive care unit of a low-resource setting.

Autor: Nwachukwu CE; Department of Anaesthesia, Nnamdi Azikiwe University, Nnewi campus, Nigeria.; Department of Anaesthesia, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi campus, Nigeria., Nwachukwu J; Department of Anaesthesia, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi campus, Nigeria., Okpala BC; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi campus, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Nwachukwu CA; Medical Centre, Nnamdi Azikiwe University, Awka, Nigeria., Oranusi IO; Department of Anaesthesia, Nnamdi Azikiwe University, Nnewi campus, Nigeria.; Department of Anaesthesia, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi campus, Nigeria., Ufoaroh CU; Department of Internal Medicine, Nnamdi Azikiwe University, Nnewi campus, Nigeria.; Department of Internal Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria., Okpala AN; Department of Family Medicine, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria., Ofojebe CJ; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi campus, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Umeononihu OS; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University, Nnewi campus, Nigeria.; Department of Obstetrics and Gynaecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Nwajiaku LA; Medical Centre, Nnamdi Azikiwe University, Awka, Nigeria.
Jazyk: angličtina
Zdroj: SAGE open medicine [SAGE Open Med] 2023 Feb 12; Vol. 11, pp. 20503121231153104. Date of Electronic Publication: 2023 Feb 12 (Print Publication: 2023).
DOI: 10.1177/20503121231153104
Abstrakt: Objective: Various patients needing organ or systemic support and close monitoring are routinely managed in the intensive care unit. This includes patients that emanate from various sources, like the trauma unit, emergency department, inpatient wards, and post-anesthesia care unit. Admissions into the intensive care unit due to medical conditions have not been analyzed in our environment to determine the common indications and the outcome. We aimed to determine the pattern of medical admissions and outcomes in the intensive care unit.
Method: A retrospective study of all patients admitted to the intensive care unit of Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State, Nigeria, from January 1, 2014 to December 31, 2020, with medical diagnosis was conducted. Data were retrieved from the intensive care unit admission and discharge registers and analyzed using the Statistical Package for Social Sciences (SPSS) Version 20 (IBM Corp., Chicago, Illinois, USA).
Results: Eighty-nine medical patients were admitted, which accounted for 7.63% of the total intensive care unit admissions of 1167 patients during the period, with a preponderance of males (57.3%). The most common medical condition for intensive care unit admission (31.5%) was a cerebrovascular accident. The mean length of stay was found to be 5.13 ± 3.42 days. Mortality following medical intensive care unit admission was 56.18%, which contributed to about 11.4% of the total ICU mortality.
Conclusion: When compared to all other reasons for admission to a general intensive care unit, medical conditions account for a small percentage. The most frequent illness was a cerebrovascular accident.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2023.)
Databáze: MEDLINE