Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study
Abstract Background The present study aimed to assess variables associated to ICU-mortality among patients admitted to surgical intensive care unit in Ethiopia. Methods A Hospital-based retrospective follow-up study was conducted on all patients who were admitted to the surgical intensive care unit....
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-023-02230-w |
| _version_ | 1797451747071885312 |
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| author | Misgan Mulatie Zewudie Debas Yaregal Melesse Tesera Dereje Filatie Mulualem Endeshaw Zeleke |
| author_facet | Misgan Mulatie Zewudie Debas Yaregal Melesse Tesera Dereje Filatie Mulualem Endeshaw Zeleke |
| author_sort | Misgan Mulatie Zewudie |
| collection | DOAJ |
| description | Abstract Background The present study aimed to assess variables associated to ICU-mortality among patients admitted to surgical intensive care unit in Ethiopia. Methods A Hospital-based retrospective follow-up study was conducted on all patients who were admitted to the surgical intensive care unit. Data were extracted from patients’ charts with a pretested data extraction tool, entered into Epi-data 4.6.0, and analyzed with STATA- 14. Bivariate and multivariate Cox proportional hazards regression models were fitted. Results Of the total study participants (388), 148 (38.1%) patients admitted to the surgical intensive care unit died during the follow-up period with a median survival time of 11 days. Potassium level < 3.5 mmol/L (adjusted hazard ratio ( AHR): 3.46, 95% CI (1.83 6.55), potassium level > 5.0 mmol/L (AHR:2.41, 95% CI (1.29–4.51), hypoxia (AHR:1.66, 95% CI (1.10–2.48), Glasgow Coma Scale (GCS) score < 9 (AHR: 4.06, 95% CI (1.51–10.89), mechanical ventilation (AHR:12, 95%CI (3–45), absence of thromboprophylaxis (AHR:10.8,95% CI (6.04–19.29), absence of enteral feeding (AHR:3.56, 95% CI (2.20–5.78) were variables associated with ICU-mortality among patients admitted to surgical intensive care unit. Conclusions The overall ICU-mortality of patients admitted to our surgical intensive care unit was higher compared to patients admitted to similar intensive care unit in developed countries. The variables associated to ICU-mortality among patients admitted to surgical intensive care unit were abnormal serum potassium level, lower GCS score, mechanical support, hypoxia, absence of thromboprophylaxis, and enteral feeding. |
| first_indexed | 2024-03-09T14:57:58Z |
| format | Article |
| id | doaj.art-3f47b6f75e284e9cb3abfc0d0687b914 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-03-09T14:57:58Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-3f47b6f75e284e9cb3abfc0d0687b9142023-11-26T14:02:59ZengBMCBMC Anesthesiology1471-22532023-08-012311910.1186/s12871-023-02230-wVariables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational studyMisgan Mulatie Zewudie0Debas Yaregal Melesse1Tesera Dereje Filatie2Mulualem Endeshaw Zeleke3Department of Anesthesia, College of Medicine and Health Sciences, Injibara UniversityDepartment of Anesthesia, College of Medicine and Health Science, University of GondarDepartment of Anesthesia, College of Medicine and Health Science, University of GondarDepartment of Anesthesia, College of Medicine and Health Science, University of GondarAbstract Background The present study aimed to assess variables associated to ICU-mortality among patients admitted to surgical intensive care unit in Ethiopia. Methods A Hospital-based retrospective follow-up study was conducted on all patients who were admitted to the surgical intensive care unit. Data were extracted from patients’ charts with a pretested data extraction tool, entered into Epi-data 4.6.0, and analyzed with STATA- 14. Bivariate and multivariate Cox proportional hazards regression models were fitted. Results Of the total study participants (388), 148 (38.1%) patients admitted to the surgical intensive care unit died during the follow-up period with a median survival time of 11 days. Potassium level < 3.5 mmol/L (adjusted hazard ratio ( AHR): 3.46, 95% CI (1.83 6.55), potassium level > 5.0 mmol/L (AHR:2.41, 95% CI (1.29–4.51), hypoxia (AHR:1.66, 95% CI (1.10–2.48), Glasgow Coma Scale (GCS) score < 9 (AHR: 4.06, 95% CI (1.51–10.89), mechanical ventilation (AHR:12, 95%CI (3–45), absence of thromboprophylaxis (AHR:10.8,95% CI (6.04–19.29), absence of enteral feeding (AHR:3.56, 95% CI (2.20–5.78) were variables associated with ICU-mortality among patients admitted to surgical intensive care unit. Conclusions The overall ICU-mortality of patients admitted to our surgical intensive care unit was higher compared to patients admitted to similar intensive care unit in developed countries. The variables associated to ICU-mortality among patients admitted to surgical intensive care unit were abnormal serum potassium level, lower GCS score, mechanical support, hypoxia, absence of thromboprophylaxis, and enteral feeding.https://doi.org/10.1186/s12871-023-02230-wIncidenceIntensive care unitMortalityPredictorsSurgical |
| spellingShingle | Misgan Mulatie Zewudie Debas Yaregal Melesse Tesera Dereje Filatie Mulualem Endeshaw Zeleke Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study BMC Anesthesiology Incidence Intensive care unit Mortality Predictors Surgical |
| title | Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study |
| title_full | Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study |
| title_fullStr | Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study |
| title_full_unstemmed | Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study |
| title_short | Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study |
| title_sort | variables associated to intensive care unit icu mortality among patients admitted to surgical intensive care unit in ethiopia a retrospective observational study |
| topic | Incidence Intensive care unit Mortality Predictors Surgical |
| url | https://doi.org/10.1186/s12871-023-02230-w |
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