Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan

Sulieman, Hagir; El-Mahdi, Wael; Awadelkareem, Mohannad; Nazer, Lama

doi:10.18295/squmj.2018.18.02.011

Cited by 11 publications

(12 citation statements)

References 13 publications

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“…In addition, our data shows that more than half of patients admitted from the emergency room, The present results are in the same line with (Amalraj et al, 2017) who reported that most of their patients were admitted to ICU directly from the emergency room and a few were admission in ICU from the wards/rooms. Regarding comorbidities, our present study shows that the majority of patients had no identifiable comorbidities prior to ICU admission, this finding congruence with a prospective observational study by (Sulieman, et al, 2018) who found that majority of patients had no comorbidities before admission to the ICU. Of those with comorbidities, the most common were hypertension and diabetes.…”

Section: Baseline Personal and Clinical Characteristics Of Patientssupporting

confidence: 92%

Common Types of Acid-Base Disturbances in Critically Ill Patients in Icu: A Prospective Observational Study

Musleh

Bakri

Abdel-Aziz

et al. 2020

Assiut Scientific Nursing Journal

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Background: Acid-base disturbances are common in critically ill patients and pose a great burden in the management of the underlying condition. Aim: To explore the common types of acid-base disturbances among the critically ill patients in ICU. Design: A descriptive study design was utilized. Setting: This study was carried out in the Trauma and general Intensive Care Units at Assiut university hospital. Sample: Eighty adult male and female patients admitted to trauma and general ICUs. Tools: Three tools were used in this study, patient assessment tool, APACHE II tool, and Acid-base parameters assessment tool. Result: Eighty patients suffered from acid-base disorders with mean age (41.88 ±13.39) years. The mean pH on admission was (7.34 ±0.13), the mean length of ICU stay was (10.90 ±7.86). Respiratory alkalosis was the most frequent of simple acid-base disturbance (73.8%) followed by metabolic alkalosis (33.8%), respiratory acidosis (32.5%). Mixed acid-base disorders were relatively less frequent, the common combination was metabolic acidosis with respiratory acidosis (15.0%). Conclusion: Acidbase disturbance are common among critically ill patients presenting at the ICU. Respiratory alkalosis was the most frequent simple acid-base disturbance was observed among such group of patients. Recommendation: Acid-base disturbance should be monitored closely, diagnosed early, and managed correctly during hospitalization.

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Section: Baseline Personal and Clinical Characteristics Of Patientssupporting

confidence: 92%

Common Types of Acid-Base Disturbances in Critically Ill Patients in Icu: A Prospective Observational Study

Musleh

Bakri

Abdel-Aziz

et al. 2020

Assiut Scientific Nursing Journal

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“…The average days a patient was admitted in the hospital were 8.77 ± 5.37. This length of stay was reasonable for ICUs' patients when compared to other research studies (Sulieman, 2018) (Merzougui, 2018). Patients suffering from cardiovascular, nervous, cerebrovascular or multiple diseases usually have significantly higher length of stay.…”

Section: Discussionsupporting

confidence: 53%

Contextualizing the Relevance of Antimicrobial Resistance in the Drug Prescription and Consumption Pattern of a Tertiary Level Hospital

Bhardwaj

Mahajan

Singh

et al. 2018

JMRH

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Rampant, irrational and unscientific use of antimicrobials by the healthcare practitioners is adding to the problem of antimicrobial resistance. Therefore, it is of utmost importance to evolve and implement new policies, recommence research actions and pursue steps to manage the crisis of antimicrobial resistance, which can be accomplished by a well-designed Antimicrobial Stewardship programme. A prospective observational study aiming to investigate the use of antimicrobials in Intensive Care Units by means of an AMS programme was carried out in a 400 bedded tertiary level hospital in New Delhi with 140 ICU beds. This evidence-based study looksinto the prescription and consumption of antimicrobials, specifically in the ICUs, and attempts to corelate it with the resistance pattern of antimicrobials being used. All the patients being treated with antimicrobials, admitted in the ICUs of the hospital were selected for this descriptive research. Information associated with antimicrobials including the susceptibility pattern of isolates and full dosage regime of each patient from the group was obtained by conducting daily audits for a period of five months. Among the usage of different antimicrobial categories (antibacterial, antifungal and antiviral), the resistance percentage correlation was predominantly focused on theantibacterial. However, the study suggests no conclusive direct or indirect correlation between the usage of an antibacterial (in terms of prescription and consumption) and its resistance, which itself could be a cause of concern for medical practitioners.

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“…The length of ICU stay was 10.3 days, similar to a regional adult ICU study length of stay of 11.8 days. [25] Other South African studies have shown disparate results [26,27] reflecting differing predominance of HIVpositive patients or surgical populations. In the secondary analysis of the 159 patients with known HIV status, HIV-negative patients had statistically significant higher APACHE II scores than HIV-positive patients.…”

Section: Excluded N=69mentioning

confidence: 99%

Results from the first audit of an intensive care unit in Botswana

2020

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The intensive care unit (ICU) is slowly establishing itself in low-middle income countries (LMIC), including in sub-Saharan Africa (sSA). Few studies have been published on ICU services in sSA. However, they reveal multiple challenges, especially in limited bed capacity, infrequent resources and medical personnel. [1-4] Recent articles highlight the paucity of LMICs ICU data and the need for more research. [5,6] Botswana is an upper middle-income country in southern Africa with a population of over 2 million people. Princess Marina Hospital (PMH) in Gaborone, the capital city, is currently the largest publicly funded and university teaching hospital in Botswana with a 24-hour emergency department (ED), 567 inpatient beds and the most complete range of specialty services. PMH ICU is an 8-bed ward managed by specialists 24 hours, 7 days a week, assessing patient eligibility for admission and managing clinical care. These specialists consist of anaesthetists and one intensivist with formal ICU postgraduate training, but are only onsite Monday to Friday during normal working hours. There are no ICU registrars or ICU training programmes in the country; hospital medical officers are infrequently available from the ED to provide clinical support to the ICU. PMH ICU nurse to patient ratio is 1:2 during day shifts and 1:3 during night shifts with no formal ICU or critical care nursing education programmes in the country. PMH ICU has 24-hour access to radiology (X-rays, ultrasound, computed tomography (CT) scan) and basic laboratory investigations. Dietitians, physiotherapists, psychologists, occupational therapists and social workers are available on referral bases, but no clinical pharmacist is available. At the time of this study there were no endorsed official local ICU admission or management guidelines. Botswana has not escaped the large southern African burden of HIV, with a recent UNAIDS estimate of 370 000 adults aged 15 and over living with HIV in Botswana, representing 18.2% of the total population. [7] Botswana was one of the first countries in sSA to initiate HIV interventions, including highly active antiretroviral treatment (HAART) with a local study showing significant improvements in HIV mortality since these initiatives. [8] A 2015 study of medical admissions to PMH revealed a continued high burden of HIV disease and opportunistic illnesses of tuberculosis (TB) and cryptococcal meningitis. [9] To date, no clinical ICU studies have been

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Characteristics of Critically-Ill Patients at Two Tertiary Care Hospitals in Sudan

Abstract: Most of the patients admitted to the ICUs were middle-aged females with no known underlying comorbidities. Larger studies are necessary to provide a comprehensive understanding of the critical care needs of Sudanese hospitals.

Cited by 11 publications

References 13 publications

Common Types of Acid-Base Disturbances in Critically Ill Patients in Icu: A Prospective Observational Study

Common Types of Acid-Base Disturbances in Critically Ill Patients in Icu: A Prospective Observational Study

Contextualizing the Relevance of Antimicrobial Resistance in the Drug Prescription and Consumption Pattern of a Tertiary Level Hospital

Results from the first audit of an intensive care unit in Botswana

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