Assessment of Mortality Pattern among Patients Admitted to Medical ICU in Tash during the Last Five Years (Sep2009-Aug2014), Addis Ababa, Ethiopia

Getnet, Marye (2015) Assessment of Mortality Pattern among Patients Admitted to Medical ICU in Tash during the Last Five Years (Sep2009-Aug2014), Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Critically ill patients are usually treated in the intensive care unit (ICU) where the hospital highest mortality rates occur. Even though, few studies which had been conducted on specific single diseases indicated that the magnitude and causes of ICU mortality in developed and rarely in developing countries, information on medical Intensive Care Unit (MICU) mortality pattern is essentially nonexistent in Ethiopia as in the rest of the world. Objective: The objective of this study is assessment of mortality pattern among patients admitted to medical ICU of TASH during the last five years (Sep2009-Aug2014), A.A, Ethiopia. Methodology: A retrospective chart review study was conducted from December 2014 to May 2015 in medical intensive care unit (MICU) of TASH, A.A, Ethiopia. An appropriate structured checklist was utilized for data collection. Results: Four hundred thirty six death charts were reviewed by using pretested structured check list. From these 223(51.1%) were males and 213(49.1%) were females. The overall mortality /magnitude of medical ICU death/ was 29%. Stroke is the leading cause of MICU death accounting for 15.8% followed by CHF (13.8%), AMI (8%), severe pneumonia (6.9%), HIV/AIDS (6.4%), sepsis (4.6%), shock (4.4%). Majority of deceased patients had deranged vital signs and changed mental states at MICU admission, i.e. 97.5%, 95.4% , 86.2% , 84.9% , 70% , 53.4% had deranged pulse rate, respiratory rate, systolic blood pressure, diastolic blood pressure, oxygen saturation and body temperature respectively and 44.3% and 43.3% were comates and confused mental states respectively. The leading complication/immediate cause of death/ was respiratory failure accounting (32.8%) followed by shock (23.9%), multi organ failure (22%), cardiovascular failure (16.1%), cardiopulmonary arrest (3%) and central nervous system failure (0.9%). Conclusion and Recommendation: The overall medical ICU mortality remains high, non-communicable diseases are posing significant health problems in terms of mortality and among all non-communicable diseases, stroke and cardiac diseases were the most important health problems in terms of MICU mortality. Set up and strengthen national non-communicable diseases control program. Programs promoting public awareness and life style changes to prevent non-communicable diseases need to be promoted. Further studies should be conducted on admission and outcomes of patients in medical ICU.

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing
Divisions:	Africana
Depositing User:	Emmanuel Ndorimana
Date Deposited:	24 Oct 2018 08:15
Last Modified:	24 Oct 2018 08:15
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6993

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