Background: Patients with neurocritical disorders who require admission to intensive care units (ICUs) constitute about 10-15% of critical care cases.
Objectives:To study the outcome of neurocritical disorders in intensive care units.Methodology: This is a prospective cross-sectional study that was conducted among neurocritical patients who were admitted in four intensive care units of four major hospitals in Khartoum state during the period from November 2020 to March 2021.Results: Seventy-two neurocritical patients were included in this study; 40(55.6%) were males and 32(44.4%) were females. Twenty-one (29.2%) patients fully recovered, 35 (48.6%) partially recovered and 16 (22.2%) died. The mortality of the common neurocritical diseases were as follows: stroke 30.4%, encephalitis (8.3%), status epilepticus (11.1%), Guillain-Barre syndrome (GBS) (16.7%), and myasthenia gravis (MG) (25%).
Conclusion:This study identified that near two-thirds of the patients required mechanical ventilation. Delayed admission was observed due to causes distributed between the medical side and patient side. The majority of patients were discharged from ICU with partial recovery.
Background: Neurocritical care is a growing subspecialty. It concerns with the management of life-threatening neurological disorders. There is limited information regarding epidemiological data, disease characteristics, variability of clinical care, and in-hospital mortality of neurocritical patients worldwide.Objectives: To study the pattern of neurocritical disorders in intensive care units.Methodology: This prospective observational study was conducted on neurocritical patients who were admitted to four intensive care units of major hospitals in Khartoum state during the period from November 2020 to January 2021.Results: Seventy-two neurocritical patients were included in this study, 40 (55.6%) were males and 32(44.4%) were females. Twenty-three (31.9%) patients were with stroke, 12 (16.7%) with encephalitis, 9 (12.5%) with status epilepticus, 6 (8.3%) with Guillain Barre syndrome, and 4(5.6%) with Myasthenia Gravis (MG). Twenty-three patients (39.9%) needed mechanical ventilation (MV), which was the major indication for intensive care unit admission.
Conclusion:Stroke was the dominant diagnostic pattern requiring intensive care unit admission. Mechanical ventilation was the major indication for admission. Establishing specialized neurocritical intensive care units is highly recommended.
Background:Patients with neurocritical disorders that require admission to intensive care units (ICUs) constitute about 10–15% of critical care cases.Objectives:To study the outcome of neurocritical disorders in intensive care units.Methodology:This is a prospective observational study which was conducted in neurocritical patients who were admitted in four intensive care units of major hospitals in Khartoum state during the period from November 2020 to March 2021.Results:72 neurocritical patients were included in this study, 40(55.6%) were males and 32(44.4%) were females. 21 (29.2%) patients fully recovered, 35 (48.6%) partially recovered and 16 (22.2%) died. The mortality of the common neurocritical diseases were as follows: Stroke 30.4%, Encephalitis (8.3%), Status epilepticus (11.1%), Guillain-Barre syndrome (GBS) (16.7%) and Myasthenia gravis (MG) (25%).Conclusion:This study identified that near two third of the patients required mechanical ventilation. Delayed admission was observed due to causes distributed between the medical side and patient side. The majority of patients were discharged from ICU with partial recovery.
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