Acharya Subhash Prasad, Bhattarai Adheesh, Bhattarai Binita
Department of Anesthesiology, Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2018 Jul-Aug;56(212):759-762. doi: 10.31729/jnma.3703.
The patients with the most severe and life threatening illnesses requiring constant monitoring and support are admitted in the intensive care unit. Tribhuvan University Teaching Hospital is the oldest and tertiary referral center hospital in the country with eleven-bedded level III mixed medical surgical ICU. This audit was performed to study the profile of critically ill patients under different headings like diagnosis at admission, primary specialty, outcome of the patients, etc. Methods: A descriptive cross-sectional study was designed and all patients admitted to the intensive care unit of our center between 13 April 2017 and 13 April 2018 (1st Baisakh 2074 to 30th Chaitra 2074) were selected for this study.
A total of 813 patients were admitted in TUTH ICU over a period of one year (2074 B.S.) with male patients being more common. Neurosurgical cases were most common at 199 (24.48 %), followed by respiratory cases at 149 (18.32%) and so on. The overall mortality was 246 (32.8%). The overall surgical cases were more common than medical cases with better outcomes.
This audit presents the profile of patients admitted in a tertiary level hospital in Nepal, their indications and mortality. The most common patients being admitted were Neurosurgical patients and the mortality was significantly higher compared to ICUs in developed countries.
患有最严重且危及生命的疾病、需要持续监测和支持的患者会被收治入重症监护病房。特里布万大学教学医院是该国最古老的三级转诊中心医院，拥有一个有11张床位的三级混合内科外科重症监护病房。本次审计旨在研究不同类别下危重症患者的情况，如入院诊断、主要专科、患者结局等。方法：设计了一项描述性横断面研究，选取了2017年4月13日至2018年4月13日（2074年白沙拉月1日至2074年斋月30日）期间入住本中心重症监护病房的所有患者进行本研究。
在一年时间里（2074年尼泊尔历），共有813名患者入住特里布万大学教学医院重症监护病房，男性患者更为常见。神经外科病例最为常见，有199例（24.48%），其次是呼吸科病例，有149例（18.32%），等等。总体死亡率为246例（32.8%）。总体而言，外科病例比内科病例更常见，且结局更好。
本次审计展示了尼泊尔一家三级医院收治患者的情况、他们的收治指征和死亡率。收治的最常见患者是神经外科患者，与发达国家的重症监护病房相比，死亡率显著更高。
