An Audit of Admissions to Intensive Care Unit at Kamuzu Central Hospital in Malawi

Gundo, Rodwell; Lengu, Edoly Shirley; Maluwa, Alfred; Mtalimanja, Onias; Chipeta, Deliwe; Kadyaudzu, Clement

doi:10.4236/ojn.2014.48061

Cited by 15 publications

(17 citation statements)

References 11 publications

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“…The high mortality noted in our patients with significant intracranial trauma is often a combination of several factors such as the severity of the injury, delayed emergency medical services, lack of proper helmets, limited use of seatbelts and lack of appropriate resources. Interestingly, similar findings have been noted in other resource-constrained developing countries in: Africa, Asia, Middle East, and Central and South America (8)(9)(10)(11)(12)(13)(14)(15)(16). Also, like in these other ICUs, the preponderance of male patients (57.6%) in our ICU is attributable to the higher male involvement in trauma especially motor vehicle crashes and interpersonal violence.…”

Section: Discussionsupporting

confidence: 87%

A 2-year Review of Admissions to the Intensive Care Unit of the Georgetown Public Hospital Corporation, Guyana

Henry¹,

Amata²

2016

West Indian Med J

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Objective: To review the patterns of admissions, characteristics and clinical outcomes of the patients admitted to the seven-bed multidisciplinary general Intensive Care Unit (ICU) of the Georgetown Public Hospital Corporation (GPHC), Guyana. Methods: This was a retrospective study of all the patients admitted to the ICU between January 2008 and December, 2009. The study was conducted mainly by chart reviews and the collected data were stored and analysed using Microsoft Excel programme. Results: A total of 734 patients were admitted to the unit during the study period. Males comprised 56.5% and most of the admissions were from the operating rooms (38%). The mean age of the patients was 36 years, of this two-thirds (67%) of the patients were below 41 years. The average ICU length of stay (LOS) was 5.46 days with the survivors having a longer LOS than the non-survivors. Trauma was the largest diagnosis (24%) of the patients' admission, and mortality was highest among the medical and paediatric patients. The ICU mortality rate was 48%. Conclusion: Our ICU mortality was relatively high and many of the deaths were potentially preventable by simple public health interventions like immunization, vehicular accident reduction strategies, suicide prevention strategies, better sanitation, greater availability of primary healthcare, prompt basic emergency services, and regular availability of essential laboratory services and pharmaceutical supplies.

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Section: Discussionsupporting

confidence: 87%

A 2-year Review of Admissions to the Intensive Care Unit of the Georgetown Public Hospital Corporation, Guyana

Henry¹,

Amata²

2016

West Indian Med J

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“…The outcome of our patients with mortality of around 33.82% seems a bit high in comparison to ICUs in developed countries but in regard to developing countries, it seems to be similar to other developing countries. 7,8,9 This may be due to critical condition of patients admitted to our center where very sick patients are referred from all across the country.…”

Section: Discussionmentioning

confidence: 99%

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

Acharya

Bhattarai

2018

J Nepal Med Assoc

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Introduction: The patients with the most severe and life threatening illnesses requiring constant monitoring and support are admitted in the intensive care unit. Tribhuvan University Teaching Hospital is the oldest and tertiary referral center hospital in the country with eleven-bedded level III mixed medical surgical ICU. This audit was performed to study the profile of critically ill patients under different headings like diagnosis at admission, primary specialty, outcome of the patients, etc. Methods: A descriptive cross-sectional study was designed and all patients admitted to the intensive care unit of our center between 13 April 2017 and 13 April 2018 (1st Baisakh 2074 to 30th Chaitra 2074) were selected for this study. Results: A total of 813 patients were admitted in TUTH ICU over a period of one year (2074 B.S.) with male patients being more common. Neurosurgical cases were most common at 199 (24.48 %), followed by respiratory cases at 149 (18.32%) and so on. The overall mortality was 246 (32.8%). The overall surgical cases were more common than medical cases with better outcomes. Conclusions: This audit presents the profile of patients admitted in a tertiary level hospital in Nepal, their indications and mortality. The most common patients being admitted were Neurosurgical patients and the mortality was significantly higher compared to ICUs in developed countries.

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“…On the contrary, study by Gundo et al maximum number of patients who expired were below 40years of age. 11 In some studies no association was observed between age and mortality. 3,10 The most common source of patients to ICU was from emergency (48.5%) and least number of transfer in was from operation theatre.…”

Section: Discussionmentioning

confidence: 99%

Retrospective review of profile of intensive care unit admissions and outcomes in a tertiary care hospital of Himalayan region

et al. 2017

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Background: An Intensive care unit (ICU) is an area where highest level of care is given with close invasive and non-invasive monitoring to a critically ill patient. Medical audit is must to assess the quality care provided and lay down policies for future. Objectives: To review retrospectively the profile of patients admitted to ICU and assess their outcome.Methods: From January 2016 to December 2016, ICU records of all admissions, referred, discharges, and deaths were utilized for the purpose of this study. Data extracted from the records included age, sex, diagnosis and outcome.Results: A total of 2316 patients were admitted to ICU. Males were 1489 (64.3%) and females were 827 (35.7%). Most of the patients (42.8%) were between 46-70 years. Most of the patients were shifted from emergency (48.5%) and it was associated with better outcome. A total of 49.6% patients were shifted out of ICU in stable condition while mortality was 28.6%. Around 21.8% patients left ICU against Medical advice.Conclusions: Majority patients admitted to ICU were of general medicine and neurosurgery. Survival was inversely related to age. Mortality was not associated with sex. Outcome was also related to the source from where patient was admitted.

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An Audit of Admissions to Intensive Care Unit at Kamuzu Central Hospital in Malawi

Cited by 15 publications

References 11 publications

A 2-year Review of Admissions to the Intensive Care Unit of the Georgetown Public Hospital Corporation, Guyana

A 2-year Review of Admissions to the Intensive Care Unit of the Georgetown Public Hospital Corporation, Guyana

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

Retrospective review of profile of intensive care unit admissions and outcomes in a tertiary care hospital of Himalayan region

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