Fetiya, Alferid (2014) Patterns of Admission and Mortality of Patients Admitted to Surgical Intensive Care of Tikur Anbesssa Specialized Teaching Hospital. PhD thesis, Addis Ababa University.
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Abstract
Critical patient have been admitted to SICU throughout the year since its establishment in the yr. However there is no study up to date that was done to determine admission pattern and outcome of patients. With only six beds at hand and establishment of the new ICU, it’s essential to know which patients are being admitted and their outcomes. Thus the aim of this study is to describe type of patient admitted to SICU of TASTH and their outcome. Back Ground TASTH is one of the largest referral and teaching hospital in Ethiopia accommodating referred patients from all over the country. SICU of TASTH is one of the two public SICU in Addis Ababa and the only ICU for neurosurgical patients. SICU admits more than 200 patients per year with only six beds at hand. [1] Not many researches could be found about the characteristics and mortality of patients admitted to SICU. Objectives The main objective of the study these study is to describe the characteristics and mortality of patients admitted to SICU of TASTH. Methodology Retrospective Descriptive Observational study of all patients admitted to SICU of TASH from Meskerem 1, 2005 to Paqume 5, 2005.[September 11,2012 to September 10,2013] Result The highest percent of admission was postoperative followed by respiratory compromise and circulatory compromise. Patient admitted to SICU ranged from 1 to 89 years of age with the median age being 30 the average age at admission was 33.3. There were higher admission rate of male than female (40.1% and 59.1% respectively). Majority of patient were from AA with 43.8% then Oromia 30.3 the SNNP 12.6%. Highest admission was observed from patients in neurosurgical department accounting 32 %. Cardiothoracic also have high admission 29% but low mortality (3%) in the SICU. The mortality rate was 31.5% .The average SICU stay in our study was 5.76 days. Of 30.9% cases which were trauma related RTA accounted for 15.2% of the patient followed by assault 6.2% and fall down 4.5%. From these trauma patients 40% of RTA patient had concomitant pneumonia and 48% of RTA patients died (13 out of 27). Mechanical ventilator was used by 28.1 % of the patients’ during their SICU stay. Average day 8 spent on mechanical ventilator by these patients was 1.9 with minimum 1 to maximum of 45 days .Ceftriaxone is the commonest antibiotic prescribed. CONCLUSION There is poor documentation and chart keeping with many cards missing. There is no proper guideline on admission criteria which should be organized and utilized. Mechanism like computerization of data records should be used to avoid missing or losing of charts. A person should be assigned on for making sure proper monitoring of documentation should be there. Many researches have to be done to improve the outcome of patients in ICU as well as to look for gaps in patient management. Much work has to be done in setting up new ICU in the other regions and even in Addis Ababa. There should be center for control of antibiotic resistance and much more study needs to address of antibiotic usage in TASTH Work Plan and Budget The study was conducted from August to October 2014. The total cost of the study will be 8,891.00birr.
| Item Type: | Thesis (PhD) |
|---|---|
| Subjects: | L Education > L Education (General) R Medicine > R Medicine (General) |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 31 Oct 2018 10:59 |
| Last Modified: | 31 Oct 2018 10:59 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7191 |
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