An evaluation of inpatient morbidity and critical care provision in Zambia
Autor: | Z. Rakhda, S. L. Mwansa, John Kinnear, M. D. Bould, David Michael Snell, P. J. Dart |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Critical Care Prevalence Developing country Zambia Care provision law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Patient Admission Ambulatory care law Intensive care Critical care nursing medicine Humans 030212 general & internal medicine Hospitals Teaching Aged Aged 80 and over Inpatients business.industry 030208 emergency & critical care medicine Middle Aged Early warning score Intensive care unit Anesthesiology and Pain Medicine Emergency medicine Female Morbidity business |
Zdroj: | Anaesthesia. 72(2) |
ISSN: | 1365-2044 |
Popis: | The aim of this study was to objectively measure demand for critical care services in a southern African tertiary referral centre. We carried out a point prevalence study of medical and surgical admissions over a 48-h period at the University Teaching Hospital, Lusaka, recording the following: age; sex; diagnosis; Human Immunodeficiency Virus (HIV) status and National Early Warning Score. One-hundred and twenty medical and surgical admissions were studied. Fifty-four patients (45%) had objective evidence of a requirement for critical care review and potential or probable admission to an intensive care unit, according to the Royal College of Physicians (UK) guidelines. A greater than expected HIV rate was also noted; 53 of 75 tested patients (71%). When applied to the estimated 17,496 annual acute admissions, this would equate to 7873 patients requiring critical care input annually at this hospital alone. In contrast to this demand, we identified 109 critical care beds nationally, and only eight at this institution. |
Databáze: | OpenAIRE |
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