Improvement in intensive care unit: Effect on mortality

Background: The Lagos University Teaching Hospital's Intensive Care Unit (ICU) was founded in 1975. It was designed as an eight-bedded ICU, a previous review of outcome of surgical admissions in the ICU in 2002 placed mortality at 40.3%, however, presently run as a five-bed unit with new ICU eq...

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Main Authors: Adeniyi Adesida, Olanrewaju Akanmu, Rita Oladele, Oyebola Olubodun Adekola, Ibironke Desalu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Clinical Sciences
Subjects:
Online Access:http://www.jcsjournal.org/article.asp?issn=2468-6859;year=2017;volume=14;issue=2;spage=62;epage=67;aulast=Adesida
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author Adeniyi Adesida
Olanrewaju Akanmu
Rita Oladele
Oyebola Olubodun Adekola
Ibironke Desalu
author_facet Adeniyi Adesida
Olanrewaju Akanmu
Rita Oladele
Oyebola Olubodun Adekola
Ibironke Desalu
author_sort Adeniyi Adesida
collection DOAJ
description Background: The Lagos University Teaching Hospital's Intensive Care Unit (ICU) was founded in 1975. It was designed as an eight-bedded ICU, a previous review of outcome of surgical admissions in the ICU in 2002 placed mortality at 40.3%, however, presently run as a five-bed unit with new ICU equipment procured in 2012, arterial blood gas machines, patient monitors, and ventilators with sustained multidisciplinary approach to patient management. We compared the number of admissions, mortality, and discharges to the ward 1 year before (Period I) and after the upgrade of the ICU facilities (Period II). Methods: This was a retrospective study of all patients admitted into the ICU between June 2011 and May 2013. We looked at the admission register of the ICU and retrieved biometric data, diagnosis, age, pattern of units admitting patients into ICU, length of stay (LOS), and outcome of ICU care whether the patient died in ICU or was discharged to the ward. Results: There were 122 patients admitted into the ICU in Period I and 156 patients were admitted in Period II with a mean LOS of 6.3 ± 5.4 days and 7.8 ± 7.3 days, respectively. Mortality rate in Period I was 74.6% while mortality fell to 57.7% in Period II (P = 0.005). Conclusion: There was a significant improvement in the ICU outcome with the upgrade of the ICU facilities.
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spelling doaj.art-78c1c9b8e87345e9b149ac7047694cb32022-12-22T03:43:59ZengWolters Kluwer Medknow PublicationsJournal of Clinical Sciences2468-68592408-74082017-01-01142626710.4103/2468-6859.204703Improvement in intensive care unit: Effect on mortalityAdeniyi AdesidaOlanrewaju AkanmuRita OladeleOyebola Olubodun AdekolaIbironke DesaluBackground: The Lagos University Teaching Hospital's Intensive Care Unit (ICU) was founded in 1975. It was designed as an eight-bedded ICU, a previous review of outcome of surgical admissions in the ICU in 2002 placed mortality at 40.3%, however, presently run as a five-bed unit with new ICU equipment procured in 2012, arterial blood gas machines, patient monitors, and ventilators with sustained multidisciplinary approach to patient management. We compared the number of admissions, mortality, and discharges to the ward 1 year before (Period I) and after the upgrade of the ICU facilities (Period II). Methods: This was a retrospective study of all patients admitted into the ICU between June 2011 and May 2013. We looked at the admission register of the ICU and retrieved biometric data, diagnosis, age, pattern of units admitting patients into ICU, length of stay (LOS), and outcome of ICU care whether the patient died in ICU or was discharged to the ward. Results: There were 122 patients admitted into the ICU in Period I and 156 patients were admitted in Period II with a mean LOS of 6.3 ± 5.4 days and 7.8 ± 7.3 days, respectively. Mortality rate in Period I was 74.6% while mortality fell to 57.7% in Period II (P = 0.005). Conclusion: There was a significant improvement in the ICU outcome with the upgrade of the ICU facilities.http://www.jcsjournal.org/article.asp?issn=2468-6859;year=2017;volume=14;issue=2;spage=62;epage=67;aulast=AdesidaIntensive Care Unitlength of staymortality rate
spellingShingle Adeniyi Adesida
Olanrewaju Akanmu
Rita Oladele
Oyebola Olubodun Adekola
Ibironke Desalu
Improvement in intensive care unit: Effect on mortality
Journal of Clinical Sciences
Intensive Care Unit
length of stay
mortality rate
title Improvement in intensive care unit: Effect on mortality
title_full Improvement in intensive care unit: Effect on mortality
title_fullStr Improvement in intensive care unit: Effect on mortality
title_full_unstemmed Improvement in intensive care unit: Effect on mortality
title_short Improvement in intensive care unit: Effect on mortality
title_sort improvement in intensive care unit effect on mortality
topic Intensive Care Unit
length of stay
mortality rate
url http://www.jcsjournal.org/article.asp?issn=2468-6859;year=2017;volume=14;issue=2;spage=62;epage=67;aulast=Adesida
work_keys_str_mv AT adeniyiadesida improvementinintensivecareuniteffectonmortality
AT olanrewajuakanmu improvementinintensivecareuniteffectonmortality
AT ritaoladele improvementinintensivecareuniteffectonmortality
AT oyebolaolubodunadekola improvementinintensivecareuniteffectonmortality
AT ibironkedesalu improvementinintensivecareuniteffectonmortality