Causes of Mortality among Critically Ill Patients Admitted in Intensive Care Unit

Omar, Mohammed; Aram, Fahmi Omer; Banafa, Nawal Saeed

doi:10.12816/0014441

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Cardiac is the major and renal is next in order is similar to study conducted by Omar MAK et al, Aram FO et al, Banafa NS et al 11 Cardiac is the major and respiratory comes next in the study conducted by Orban JC et al 12 Cerebrovascular, respiratory failure in the order also not consistent with other studies by Orban JC et al 12 Among cerebro vascular we have seen deaths in hemorrhagic cases is less than Infarct cases which is generally vice versa in any setting.…”

Section: Discussionsupporting

confidence: 61%

Analytical study of mortality in Intensive Care Unit

Reddy¹,

Reddy

2019

Int J Adv Med

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Background: Intensive care Unit is the one place where we come across various medical critical cases and high number of deaths is also recorded here. In spite of so many deaths occurring at this unit, cause of death is poorly reported. We studied the different causes for deaths in ICU which includes single and multiple factors for cause of death.Methods: A retrospective study performed between January 2017 to January 2018 at Rajiv Gandhi Institute of Medical sciences, Kadapa, Ongole, A.P. This study includes 260 deaths among patients admitted in ICU of our institute during this duration. We gathered data at various levels like clinical evaluation and investigations.Results: A total of 260 deaths were recorded during this study. Among these 215 (82.69%) are female and 45 (17.30%) are male. At the time of death 174 (66.92%) patients has single systemic cause 86 (33.06%) had more than one systemic cause. Cardiovascular death 50 (19.23%) is the most common cause of death among all in which CAD 28 (10.76%) are major portion and congestive cardiac failure 20 (7.6%) are the remaining portion of the cardiac deaths. Chronic kidney disease 37 (14.2%) is the next highest deaths recorded and cerebro vascular 35 (13.46%) deaths follows the next in line.Conclusions: Majority of ICU patients were present with at least one organ failure at the time of death. What we have concluded in this study is that there are more number of deaths with single systemic cause than multiple systemic causes.

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Section: Discussionsupporting

confidence: 61%

Analytical study of mortality in Intensive Care Unit

Reddy¹,

Reddy

2019

Int J Adv Med

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“…Sistem sirkulasi (penyakit serebrovaskular, penyakit jantung iskemik dan penyakit jantung kongestif) merupakan penyebab kematian paling sering pada pasien yang dirawat di ICU dengan persentase sebesar 42,91% diikuti gagal ginjal (20,36%), keganasan (6,99%) dan penyakit infeksi sebesar 6,8%. 11 Hasil yang berbeda didapatkan pada penelitian yang dilakukan oleh Braber dan Arthur pada tahun 2010 dimana sepsis menempati urutan pertama sebagai penyebab kematian di ICU sebesar 48,3% lalu diikuti kerusakan otak irreversibel dan penyakit jantung kongestif sebesar 14,5% dan 13,8% berturut-turut. 12 Pada distribusi subjek berdasarkan riwayat merokok terhadap mortalitas terdapat sebanyak 94,4% subjek yang tidak memiliki riwayat merokok dan 5,6% subjek yang memiliki riwayat merokok pada kelompok yang meninggal, sedangkan terdapat sebanyak 94,8% subjek yang tidak memiliki riwayat merokok dan 5,2% subjek yang memiliki riwayat merokok pada kelompok yang hidup.…”

Section: Pendahuluanunclassified

Hubungan Rasio Neutrofil Limfosit dengan Mortalitas ≤28 hari di General Intensive Care Unit RSUP Dr. Mohammad Hoesin Palembang

Riandy¹,

Purba²,

Puspita³

et al. 2019

jap

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AbstrakRasio neutrofil limfosit adalah metode yang cepat dan sederhana untuk mengevaluasi stres peradangan dan memprediksi mortalitas di ruangan intensif. Penelitian ini bertujuan mengetahui hubungan rasio neutrofil-limfosit dengan mortalitas ≤28 hari di ruangan rawat intensif. Penelitian ini menggunakan desain penelitian cross sectional berdasarkan data sekunder rekam medis dengan sampel semua pasien yang dirawat di ICU RSUP Dr. Mohammad Hoesin Palembang dari Januari-Desember 2018. Didapatkan total sampel sebanyak 562 sampel, dan sebanyak 347 yang memenuhi kriteria inklusi. Pada uji analisis regresi diagnosis, kelompok usia, jenis kelamin dan terapi terhadap nilai rasio neutrofil limfosit, didapatkan bahwa diagnosis merupakan faktor risiko yang dapat memengaruhi nilai rasio neutrofil limfosit (p=0,001). Pada distribusi subjek berdasarkan rasio neutrofil limfosit terhadap mortalitas terdapat rerata rasio neutrofil limfosit pada kelompok yang meninggal adalah 17,75±15,06 dan rerata rasio neutrofil limfosit subjek pada kelompok yang hidup adalah 13,63±10,71. Dilakukan Uji Mann-Whitney dan didapatkan bahwa terdapat perbedaan rerata antara rasio neutrofil limfosit antara kelompok yang hidup dan meninggal dengan nilai p=0,009. Simpulan, rasio neutrofil limfosit merupakan salah satu biomarker yang dapat memprediksi mortalitas pada pasien di ICU RSUP Dr. Moh. Hoesin Palembang. AbstractNeutrophil lymphocyte ratio is a fast and simple method for evaluating inflammatory stress and predicting mortality in intensive care. The purpose of this study was to determine the relationship between the ratio of neutrophils to lymphocytes to ≤28 day mortality in the intensive care unit. This was a crosssectional study on secondary data collected from medical records of all patients treated at the ICU of Dr. Mohammad Hoesin General Hospital Palembang during the period of January-December 2018. A total sample of 562 samples was obtained and 347 of them met the inclusion criteria. When diagnosis, age group, gender, and therapy for neutrophil-lymphocyte ratio value were subjected to regression analysis, it was revealed that diagnosis was a risk factor that could affect the neutrophil-lymphocyte ratio value (p=0,001). When subject distribution was assessed based on neutrophil lymphocyte ratio to mortality, an average neutrophil lymphocyte ratio of 17.75±15.06 was observed in the deceased group while the average ratio in survived patients was 13.63±10.71. Mann-Whitney test was then performed and a difference in the neutrophil to lymphocyte ratio was found between the survived and deceased groups with a p value of 0.009. In conclusion, neutrophil to lymphocyte ratio can be used as one of the biomarkers that can predict mortality in patients treated in intensive care unit.

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