The Intensive Care Unit of the University Teaching Hospital, Ilorin, Nigeria: A Ten Year Review (1991–2001)

Bolaji, BO; Kolawole, IK

doi:10.1080/22201173.2005.10872416

Cited by 11 publications

(14 citation statements)

References 7 publications

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“…General surgery accounted for accounted for 36.3% (86) of all post-operative admissions which was followed by Neurosurgery 27.8% (66) and Oral and maxillofacial surgery 0.4% (1) accounted for the least post-operative admissions ( Figure 6). This result is in contrast to previous studies done by Isamade et al [9] and by Bolaji and Kolawale [27].…”

Section: Number Of Medical Admissionscontrasting

confidence: 56%

“…Twenty six (83.9%) of burns patients who died, had over 50% of the body surface area affected (Table 3). This is in contrast with the study in University Teaching Hospital, Ilorin, Nigeria [27] where the lowest percentage of body surface area (BSA) burned in patients that were admitted was 20%. The total number of death recorded was 93.5% (29) of all our burns admissions.…”

Section: Number Of Medical Admissionscontrasting

confidence: 52%

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Profile of Intensive Care Unit Admissions and Outcomes in a Tertiary Care Center of a Developing Country in West Africa: A 5 Year Analysis

Poluyi¹,

Oo²,

Co³

et al. 2016

Intensive & Crit Care

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Objective: The objective was to determine the Profile of Intensive Care Unit admissions and outcomes in the Lagos University Teaching Hospital (LUTH). Results: A total of 647 patients were admitted into the ICU, there were 352 (54.4) males and 295 (45.6) females giving a male to female ratio of 1.2: 1. The young and the middle aged group (20-59 years) accounted for 66.9% (433) of all the ICU admissions. The study showed that neurosurgical cases accounted for 32.0% (207) of all admissions into ICU while the lowest was from oral and maxillofacial surgery 0.1% (1). Severe traumatic brain injury accounted for 77.3% (160) of all Neurosurgical admission. Mortality rate was 61.4% (397) in our study and 38.7% (250) patients survived. There was no correlation between the age of patients and number of deaths across the specialty. Burns and plastics cases accounted for 4.9% (32) of all admissions into ICU of which 96.9% (31) of cases had a recorded percentage area of body surface burns. Patients referred from the specialty of Internal medicine made up 18.5% (119) of the total ICU admissions, while the most common medical indication for admission was Neurological cases 53.8% (64). Post-operative surgical care across all specialties accounted for 36.6% (237) of all ICU admission. Materials and methods: Conclusion:Survival rate of patients in our ICU is uncomfortably low. The need to set up a local critical care medicine training program to produce intensive care physicians for the ICUs should be put in place to help improve the outcome of patients. Also, the absence of numerous data in our region on workload, outcome and costs, and the heterogeneity of ICUs, makes it evident that any recommendation about future provision will be highly speculative.

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Section: Number Of Medical Admissionscontrasting

confidence: 56%

Section: Number Of Medical Admissionscontrasting

confidence: 52%

Profile of Intensive Care Unit Admissions and Outcomes in a Tertiary Care Center of a Developing Country in West Africa: A 5 Year Analysis

Poluyi¹,

Oo²,

Co³

et al. 2016

Intensive & Crit Care

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“…Patients had emergency laparotomy with either simple closure for single intestinal perforation or bowel resection and anastomosis or hemicolectomy for multiple intestinal perforations. In a study by Bolaji and Kolawole,[11] bowel perforation in patients with typhoid fever was the most common indication for laparotomy (20 patients [20.6%]). Fifteen of these patients were in the ASA IV category while the remaining 5 were in ASA V category; however, none of our patients was in ASA V category.…”

Section: Discussionmentioning

confidence: 99%

“…reported 40% rate of mechanical ventilation. [11] In another report by Bolaji et al .,[12] only 5 (20%) of 25 patients who required mechanical ventilation were ventilated while 75% could not be ventilated due to inadequate number or unavailability of mechanical ventilators in their ICU. This brings to the fore some of the challenges encountered in critical care in a resource-limited environment.…”

Section: Discussionmentioning

confidence: 99%

Typhoid perforation: Post-operative Intensive Care Unit care and outcome

Akinwale¹,

Sanusi²,

Adebayo³

2016

Afr J Paediatr Surg

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Background:Typhoid perforation ileitis is a serious complication of typhoid fever, a common and unfortunate health problem in a resource-poor country like Nigeria. Following bowel perforation, treatment is usually by simple closure or bowel resection and anastomosis after adequate aggressive fluid resuscitation and electrolyte correction. Postoperatively, some of these patients do require management in Intensive Care Unit (ICU) on account of sepsis or septic shock and to improve survival.Patients and Methods:This is a prospective observational study in which 67 consecutive patients who had exploratory laparotomy for typhoid perforation between August 2009 and October 2012 in the main operating theatre of the University College Hospital, Ibadan, were studied. The attending anaesthetists had the freedom of choosing the appropriate anaesthetic drugs depending on the patients’ clinical condition. The reason for admission into the ICU, the types of organ support required and outcomes were recorded.Results:Twenty-five patients (37.3%) out of 67 required critical care. Reasons for admission among others included poor respiratory effort, hypotension, septic shock and delayed recovery from anaesthesia. Twenty-one patients (84%) required mechanical ventilation with a mean duration of 2.14 days (range 1–5 days). Fourteen patients required ionotropic support and the length of ICU stay ranged from 1 to 15 days (mean 4.32 days). Nineteen patients (76%) were successfully managed and discharged to the ward while 24% (6 patients) mortality rate was recorded.Conclusion:This study showed high rate of post-operative ICU admission in patients with typhoid perforation with a high demand for critical care involving mechanical ventilation and ionotropic support. In centres that manage patients presenting with typhoid ileitis and perforation, post-operative critical care should be available.

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“…This result is similar to previous studies done by Isamade et al [11] and by Bolaji and Kolawale. [12] In centers with functional high dependency unit (HDU), the number of postoperative cases managed in the ICU would be greatly reduced as some of these cases could have been treated in the HDU.…”

Section: Discussionmentioning

confidence: 99%

Pattern of admission and outcome of patients admitted into the Intensive Care Unit of University of Nigeria Teaching Hospital Enugu: A 5-year review

Onyekwulu

Anya

2015

Niger J Clin Pract

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The Intensive Care Unit of the University Teaching Hospital, Ilorin, Nigeria: A Ten Year Review (1991–2001)

Cited by 11 publications

References 7 publications

Profile of Intensive Care Unit Admissions and Outcomes in a Tertiary Care Center of a Developing Country in West Africa: A 5 Year Analysis

Profile of Intensive Care Unit Admissions and Outcomes in a Tertiary Care Center of a Developing Country in West Africa: A 5 Year Analysis

Typhoid perforation: Post-operative Intensive Care Unit care and outcome

Pattern of admission and outcome of patients admitted into the Intensive Care Unit of University of Nigeria Teaching Hospital Enugu: A 5-year review

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