An Analysis of 1255 ICU Patients at a Tertiary Military Hospital

Abstract

An intensive care unit (ICU) is a special part of hospital where expertise medical and nursing care has been provided along with monitoring and organ support. An analysis of 1255 patients was carried out to investigate retrospective review of data from ICU of combined military hospital (CMH) Dhaka. During this study period, the frequency of admission into ICU was more from medical discipline (59.92%) than other disciplines like surgical (37.52%), gynaecological, obstetric and other disciplines (2.55%). The incidence of survival was 53.86% from medical, 69% from surgical and 84.38% from gynaecological, obstetric and other disciplines and mortality was 46.14%, 31% and 15.62% respectively. Occurrence of total ventilatory support provided in all disciplines was 45.34%. In other studies it was found that the ICU mortality varies between 15% to 44% depending on various factors like age, severity of diseases, length of stay and organizational capability of the ICU. The most prevalence of diseases admitted into this ICU was cardiovascular diseases, which were 42.47% and second prevalent diseases were head injury (11.34%). The incidence of immediate mortality within 12 hours was 7.97%.DOI: http://dx.doi.org/10.3329/bccj.v1i1.14368 Bangladesh Crit Care J March 2013; 1: 40-44

An Audit of An Intensive Care Unit of A Tertiary Care Hospital

“…In TUTH ICU, the best outcome was found in patients following elective surgeries amongst which also neurosurgical patients had the best outcomes. The outcomes of the surgical patients were better than the medical patients and our are similar to the study done by Vaidya PR et al 3 and MHM Delwar H et al 10 Patients admitted primarily for renal problems had the worst outcome followed by patients with respiratory illnesses.…”

Profile of Intensive Care Unit admission and Outcomes of Medical and Surgical patients at A Tertiary Government Hospital: A 5 Year Trend Analysis

“…It was significantly higher among the patients from surgery discipline (p<0.001). The finding is different from the findings of Hossain et al 15 where it was found that requirement of ventilatory support is much less than that of other ICUs (45.34%)…”

“…In our study, medicine specialty is observed to be the highest specialty utilizing the ICU bed spaces in last 5 years, 1035 (55.20%). Findings are similar with the profile of another tertiary hospital of Chittagong, Chittagong Military Hospital (CMH) where the prevalence of admission into this ICU was more from medical discipline (59.92%) than that of other disciplines like surgical (37.52%) discipline 15 . This was different from the study done by Abubakar et al 16 where there were a total of 114 admissions into their critical care unit in one year and they were majorly surgical patients (66.7%).…”

An Analysis of First 300 ICU Patients at Rajshahi Medical College Hospital

“…length of stay and organizational aspects of the unit and corresponding mortality in the hospitalized patients was 30 to 42.2% 10,11,12 . A study done in CMH Dhaka, it was found that the incidence of mortality was more in medical discipline (46.14%) than surgical discipline (31%) and least in gynaecological and other disciplines (15.62%) and total ICU mortality rate was 39.69% 13 .Another study done in ICU Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2006 to December 2006 Overall mortality of ICU admitted patient were 60.61% 14 . In our study, it was found that the incidence of mortality was more in gynaecological and other disciplines (61.53%) than medical discipline (55.76%%) and least in surgical discipline (43.35%) and total ICU mortality rate was 51%, which is comparable to other ICUs ( Table -II…”