Admission Patterns and Outcomes in an Adult Intensive Care Unit in Medical Patients in Karachi

Rajput, Teena

doi:10.19080/jaicm.2018.07.555710

Cited by 2 publications

(5 citation statements)

References 4 publications

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“…Others were Cellulitis 0.8%, , Hypertensive Crisis 4.1%, Arrhythmias 0.8%, Diabetes with complication 2.5%, Carcinoma 0.4%, 2.1% Tb with complication, GI Bleed 3.3%, Heat stroke 0.4%, Poisoning 3.3%, Shock 1.2%, , and 0.4% (related to medical issues). 11 Another study was also consistent with our study where the most common specific diagnosis at ICU admission was all types of myocardial infarction 19% followed by Heart failure 11.1%, ARDS 8.9%, septic shock 7.3% and HIV infection 5% of the all admissions. 10 Surgical patients were the most admitted patients in the ICU mainly post operative cases of peritonitis, post operative monitoring, cancer operated patients and multiple trauma patients.…”

Section: Discussionsupporting

confidence: 91%

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

Mandal,

Bhandari,

Gupta

et al. 2023

Nep. Mediciti Med. J.

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BACKGROUND Intensive care is a crucial component of hospital care, reserved for patients with potentially recoverable conditions who can benefit from invasive treatment. However, in developing countries like Nepal, resources and availability of intensive care become hurdles in delivering healthcare. This study presents the pattern of admission and outcome of patients' management in a general intensive care unit (ICU) of this tertiary care center in Lumbini Province, Nepal. METHODS A cross sectional study conducted in the Department of Internal Medicine, Bheri Hospital between July 2021 to June 2022. A total of 792 patient’s details were obtained from the record section. Demographic data, diagnosis, duration of stay in ICU, managing units, and outcome were collected and analyzed with Statistical Package for the Social Sciences 20. RESULTS A total of 729 patients were admitted in the study period; 57.82% were male and 42.18% were female. Majority 60% of admissions were from Department of Medicine followed by Cardiology 24% and Surgery 10%. Pneumonia and Chronic Obstructive Pulmonary Disease 18.30% followed by Myocardial Infraction 14.52%, Acute abdomen 10.22% and sepsis 9.84% were the most common morbidity. Mean duration of ICU stay was 3.5. days. Discharge rate was 69.82% and the mortality rate was 17.80 %. CONCLUSION The most common patients admitted in the ICU of Bheri hospital were mostly Medical cases. Surgical and obstetric cases were lesser in number. The outcomes were comparable with other multidisciplinary ICU of similar settings.

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Section: Discussionsupporting

confidence: 91%

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

Mandal,

Bhandari,

Gupta

et al. 2023

Nep. Mediciti Med. J.

View full text Add to dashboard Cite

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“…The above assertion was supported by some researchers who submitted that the mortality rate is lower when diseases are managed in a special ICU than in a general ICU. 16,20 2014 The average length of stay of 5.13 ± 3.42 days is comparable to the findings of Bolaji and Kolawole, 12 but lower than the findings of Koirala et al 13 This similarity to Bolaji and Kolawole could be explained by the fact that the research was carried out in a hospital in Nigeria with comparable demographics and medical facilities, whereas Koirala's study was carried out in Nepal, India.In Koirala's study, the mortality rate was 26%, while in our case it was 56.18%. Patients in their study presented early and were managed in a specialized ICU; hence, the lower mortality rate and longer stay.…”

Section: Discussionsupporting

confidence: 59%

“…This might be due to compliance with the antihypertensive drugs, as reported by several authors in the study area. 14 , 15 The gender distribution is similar to the result of Rajput et al 16 but opposite to the findings of Tesema et al 17 who noted female preponderance. Rajput et al, in their study of 241 patients admitted to the ICU during their study period, found that 51% were males while 49% were females, which is similar to our finding of 57.3% (males) and 42.7% (females).…”

Section: Discussionsupporting

confidence: 43%

“…Tesema et al 17 found that cardiovascular disease was the most common admission diagnosis in Ethiopia, accounting for 36.1% of all admissions. Rajput et al 16 in their study in Karachi, Pakistan, reported that hepatic disease was the commonest medical condition necessitating ICU admission. This variation in the indication for ICU admission may be related to commonly diagnosed medical complications in the study area.…”

Section: Discussionmentioning

confidence: 99%

“…The above assertion was supported by some researchers who submitted that the mortality rate is lower when diseases are managed in a special ICU than in a general ICU. 16 , 20 …”

Section: Discussionmentioning

confidence: 99%

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

Nwachukwu

Okpala

et al. 2023

SAGE Open Medicine

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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.

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Admission Patterns and Outcomes in an Adult Intensive Care Unit in Medical Patients in Karachi

Cited by 2 publications

References 4 publications

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

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

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