Audit of general intensive care unit of Bangabandhu Sheikh Mujib Medical University

Banik, Debabrata; Quamrul, AK Huda; Siddique, Rafayet Ullah; Rahman, Mizanur; Huda, Rezaul; Islam, Mohammad Sirajul; Akhtaruzzaman, Akm

doi:10.3329/jbsa.v22i1.18095

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…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…”

Section: Discussionmentioning

confidence: 97%

“…In our country, by the time the patients reach into the ICU, it was identified that the patient remain in high risk or death, because of severe compromised physiological reserve and irreversible organ failure and it may be too late to do much influence the outcome of those who die within 12 hours to 48 hours of admission. Such patients are head injury, severe hypoxia, end stage organ failure and terminal cancer 14 . In this study it was found that the incidence of medical disease related mortality rate within 24 hours was 35 (42%) out of 82 patients, head injury and surgical patient was 23(41.01%) out of 55 (Table-V).…”

Section: Discussionmentioning

confidence: 99%

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

Kamal

Khatun

2018

TAJ: J of Teachers Assoc

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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 first 300 patients was carried out to investigate retrospective review of data from ICU of Rajshahi Medical College Hospital (RMCH) Rajshahi. During this study period, the frequency of admission into ICU was more from medical discipline (49%%) than other disciplines like surgical (42.33%), gynaecological, obstetric and other disciplines (8.66%%). The incidence of survival was 56.69% from surgical, 44.21% from medical and 38.46% from gynaecological and other disciplines and mortality was 35.94%, 53.59% and 10.45% respectively. Occurrence of total ventilatory support provided in all disciplines was 68%. 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 medical diseases, which were 25% and second prevalent diseases were head injury 20.66%. The incidence of immediate mortality within 24 hours was 42 %TAJ 2012; 25: 8-12

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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

Kamal

Khatun

2018

TAJ: J of Teachers Assoc

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“…Unfortunately our postoperative care is based on isolation of patients only and minimal facilities are available. Therefore, surgical team and patients´ party prefer to shift these patients to the intensive care unit [6]. Because judicious use of drugs, bloods and fluids, restoration of cardiac output and blood pressure, control of temperature, provision of appropriate nutrition, analgesia and respiratory support are only available in the intensive care unit.…”

Section: Introductionmentioning

confidence: 99%

Audit of General Intensive Care Unit of Sir Salimullah Medical College, Mitford, Dhaka

Islam¹,

Murshed²,

Akter³

et al. 2022

Glob Acad J Med Sci

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Background: Intensive care units provide care to patients with severe or life-threatening illnesses and injuries, which require constant support, close supervision from life support equipment and medication in order to ensure normal bodily functions. It is staffed by highly trained physicians, nurses and respiratory therapists who specialize in caring for critically ill patients. ICUs are also different from general hospital wards by a higher staff-to-patient ratio and access to advanced medical resources and equipment that is not routinely available somewhere else. Common conditions include acute respiratory distress syndrome, septic shock, and other life-threatening conditions that are treated within ICUs. Aim of the study: The aim of the study was to assess the operational power, existing facilities, bed requirement, patients source and follow up and to determine and analyze the mortality in the ICU of this institution. Methods: It was a retrospective study conducted in the General Intensive Care Unit of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh from January 2019 to December 2019. A total of 607 patients who had been taken admission in General ICU unit of the hospital was recruited as study population. According to the criteria of analysis already informed, data were collected from admission register and mortality record books. We divided the total number of patients into 4 age groups, 10-30 years, 31-45 years, 46-65 years and above 65 years. We calculated patients’ mortality and male female ratio. We also considered patients coming from different specialties those who were referred to the ICU. We observed the relationship of mortality with number of organ failure too. We categorized the patients as single, double or more organs involvement and its relationship with mortality. Duration of stay in the ICU was defined as the number of days between the admission in ICU and discharge with a minimum stay of one day and also more. Relationship with mortality and number of staying days was noticed. All data were collected within data collection sheets. Result: Hospital ICU mortality in an average was 45%. Patients with long ICU stay have higher mortality than shorter stay. Nonsurvivors were older than survivors. Patients from outside have a higher mortality (85%) than those from ward, postoperative and emergency (35%).25% of patients were in the intensive care unit for more than 3 days and shared 80% of bed occupancy. Much mortality was due to inappropriate early discharge, lack of meticulous attention before admission and inadequate care after discharge. Conclusion: So strengthening of facilities may be provided by appropriate transport system and acute medicine service at emergency and also by step down units or high dependency unit in ICU surroundings. Resources and study should be directed towards the low probable mortalities to improve the ICU outcome and to decrease the mortality percentage. Continuous advice and follow up should be provided to the patients after transferring to the ward, cabin or home.

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An Analysis of 1255 ICU Patients at a Tertiary Military Hospital

Hossain

Maruf²

2013

Bangladesh Crit Care J

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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

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Audit of general intensive care unit of Bangabandhu Sheikh Mujib Medical University

Cited by 3 publications

References 7 publications

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

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

Audit of General Intensive Care Unit of Sir Salimullah Medical College, Mitford, Dhaka

An Analysis of 1255 ICU Patients at a Tertiary Military Hospital

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