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Admission pattern, Clinical outcomes and associated factors among patients admitted in medical intensive care unit at University of Gondar Comprehensive and specialized hospital, Northwest Ethiopia, 2019. A retrospective cross-sectional study.

Article scientifique 2019 Anglais

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Abstract Background: Intensive care unit (ICU) is a multidisciplinary staffed and specially equipped area of a hospital dedicated to providea care for patient with life-threatening illness. Provision of intensive care services to critically ill patients is a global enterprise. The care is advancing but in resource-limited settings, it is lagging far behind and ICU mortality is still higher due to various reasons. Objective: We aimed to determine the admission patterns, clinical outcomes and associated factors among patients admitted medical intensive care unit (MICU). Results: A total of 738 patients were admitted to MICU during September 2015- April 2019. Two hundred thirty four patients had incomplete data on the registries and their charts could not be located. So that, 504 (68%) of all ICU admissions had complete data and were analyzed. Out of the 504 patients, 268 (53.2%) patients were females. Cardiovascular disease 182(36.1%) was the commonest categorical admission diagnosis. The overall mortality rate of the MICU was 38.7 %. In the multivariate analysis, mortality was associated with need for mechanical ventilation (AOR=5.87, 95% CI: 3.24 - 10.65) and abnormal mental status at admission (AOR = 2.8.8, 95% CI: 1.83-4.29). Patients who stayed less than four days in MICU are 5 times more likely to dies than who stayed(AOR= 5.58, 95% CI: 3.58- 8.69). Therefore, we recommend improving the acute critical care through the expansion of the care, supply emergency equipment’s and medications and implementation of admission criteria protocols and other local guidelines. Key words: admission, intensive care unit, Length of stay, Mortality, Outcome

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Tessema, H., Lema, G., Mesfin, N., Fentie, D., Arefaynie, N. (2019). Admission pattern, Clinical outcomes and associated factors among patients admitted in medical intensive care unit at University of Gondar Comprehensive and specialized hospital, Northwest Ethiopia, 2019. A retrospective cross-sectional study.. https://doi.org/10.21203/rs.2.12415/v1

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Hailemariam Getachew Tessema Girmay Fitiwi Lema Nebiyu Mesfin Demeke Yilkal Fentie Nurhussien Rizke Arefaynie

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