INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT
| Autor: | Abdel-Hady El-Gilany, Mohamed Azmy Khafagy, Monir Hussein Bahgat, Noha Mohamed El Adawi, Abeer El-Ashry El-Adawy |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Discharge data business.industry medicine.disease Intensive care unit Comorbidity law.invention Odds Older patients law Intensive care Emergency medicine National study General Earth and Planetary Sciences Medicine Myocardial infarction business General Environmental Science |
| Zdroj: | Benha Medical Journal. |
| ISSN: | 2357-0016 |
| Popis: | Background: The patterns of comorbidity upon intensive care unit (ICU) admission and mortality upon discharge are not well-studied in Egypt. Aim: Therefore, this descriptive cross-sectional study aims to describe these patterns and to highlight their associated factors at the national level. Methods: The study enrolled 1132 ICU patients representing the seven Egyptian regions. Comorbidities were assessed by calculating Charlson comorbidity index (CCI) which was classified into low (≤6) and high (>6) CCI based on median value. Discharge data including condition at discharge were reported. Results: Results revealed male to female percentage of 58.4% and 41.6%, median age of 58 years, rural to urban percentage of 60.3% and 39.7%. Overall mortality was 24% at discharge. The median ICU stay was two days ranging from 0 to 27 days. The most frequent diagnosis was acute myocardial infarction (28.8%). High CCI was 34.9%. Older patients (≥60 years), female patients, and patients with long ICU stay had 7.40-, 1.34-, and 1.91-times higher odds to have high CCI; respectively. Also, older patients (≥60 years), patients from urban areas, patients with short ICU stay, and patients with high CCI had 1.54-, 1.71-, 1.52- and 1.53-times higher odds to die in ICU; respectively. Conclusion: In conclusion, this study revealed a 24% ICU mortality which is related to old age, urban residency, short ICU stay, and high CCI. |
| Databáze: | OpenAIRE |
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