Acharya Subhash Prasad, Bhattarai Binita, Bhattarai Adheesh, Pradhan Saurabh, Sharma Mohan Raj
Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
J Nepal Health Res Counc. 2018 Oct 30;16(3):336-339.
Neurosurgery has developed as a separate specialty and neurosurgical patients are some of the most common admitted in the intensive care unit. The objective of the study was to study the profile of neurosurgical patients admitted in level III mixed, medical-surgical intensive care unit in a tertiary level teaching hospital in Nepal with the view to identify the causes of intensive care unit admission, types of neurosurgery performed, outcome of the patients, in terms of intensive care unit stay, mechanical ventilation days and mortality.
A retrospective study was designed and all neurosurgical patients admitted to the intensive care unit of our center between 13 April 2017 and 13April 2018 (1st Baisakh 2074 to 30th Chaitra 2074) were enrolled in this study.
A total of 813 patients were admitted in ICU over a period of one year (2074 B.S.) of which 199 (24.48 %) were neurosurgical cases. Among these 170 (85.42%) cases were post-surgical, with 29 (14.58%) being pre-operative patients. One hundred forty nine patients (74.9%) were on mechanical ventilation. One hundred and thirty two (66.3%) patients improved and were transferred to a step down ward. Forty-three (22.5%) died in the intensive care unit, 14 (7.03%) left the hospital against medical advice and 9 (4.5%) patients expired after withdrawal of life support.
Despite improved care over the recent years the mortality and morbidity of neurosurgical patients is high.
神经外科已发展成为一个独立的专业领域，神经外科患者是重症监护病房中最常见的收治对象之一。本研究的目的是对尼泊尔一家三级教学医院的三级混合内科-外科重症监护病房收治的神经外科患者进行分析，以确定入住重症监护病房的原因、所施行的神经外科手术类型、患者的预后情况，包括重症监护病房住院时间、机械通气天数和死亡率。
设计了一项回顾性研究，纳入了2017年4月13日至2018年4月13日（尼泊尔历2074年4月1日至2074年3月30日）期间入住我们中心重症监护病房的所有神经外科患者。
在一年（尼泊尔历2074年）的时间里，共有813名患者入住重症监护病房，其中199例（24.48%）为神经外科病例。在这些病例中，170例（85.42%）为术后患者，29例（14.58%）为术前患者。149名患者（74.9%）接受了机械通气。132名（66.3%）患者病情好转并转入下级病房。43例（22.5%）患者在重症监护病房死亡，14例（7.03%）患者自动出院，9例（4.5%）患者在撤除生命支持后死亡。
尽管近年来护理水平有所提高，但神经外科患者的死亡率和发病率仍然很高。
