Department of Surgery, St. Paul's Hospital Millennium Medical College.
Department of Surgery, Arsi University Asella School of Medicine and Health Sciences.
Ethiop J Health Sci. 2020 Sep;30(5):725-732. doi: 10.4314/ejhs.v30i5.11.
Intensive Care Unit (ICU) is a special unit where critically ill patients who require advanced respiratory or hemodynamic support are admitted. Little has been published about surgical intensive care unit patients in Ethiopia. The aim of this study was to assess the pattern of admission and treatment outcomes of adult surgical patients admitted to the Intensive Care Unit at St. Paul's Hospital Millennium Medical College (SPHMMC).
A two-year retrospective medical record review of all adult surgical patients admitted to Intensive Care Unit at St. Paul's Hospital Millennium Medical College.
Surgical patients made up 91(22.1%) of 411 admissions of adult intensive care unit. Of these, 82 (M: F = 1.5:1) patients were analyzed. Age ranged from 16 to 82 years with a mean age of 43 years (SD +/-18.2). Emergency admissions accounted for 70(85.4%) cases. The top three primary admission diagnoses were generalized peritonitis secondary to perforated viscus (25,30.5%), bowel obstruction (21,25.6 %) and trauma (13,15.9%). Acute respiratory failure (38,46.3%) and septic shock (23,28.0%) were the leading indications of intensive care unit admission. Most patients (62,75.6%) received mechanical ventilatory support. The mean length of intensive care unit stay was 7.3 days (SD+/-5.2).Death occurred in 33(40.2%) patients. Mortality was higher in those who stayed for 48 hours (OR=5.6;95% CI 1.60-19.69; p=0.007) and in ventilated patients (OR=5.3; 95% CI 1.41-19.98; p=0.013).
The observed mortality in this review was higher than the one in most reports. It was significantly high in patients who stayed for 48 hours and in those who required mechanical ventilatory support.
重症监护病房（ICU）是一个特殊的单元，收治需要高级呼吸或血液动力学支持的重症患者。在埃塞俄比亚，关于外科重症监护病房患者的报道很少。本研究旨在评估在圣保罗医院千年医学学院（SPHMMC）重症监护病房收治的成年外科患者的入院模式和治疗结果。
对圣保罗医院千年医学学院重症监护病房收治的所有成年外科患者的两年回顾性病历进行回顾。
外科患者占 411 例成人重症监护病房住院患者的 91（22.1%）。其中，82 名（男：女=1.5：1）患者进行了分析。年龄从 16 岁到 82 岁，平均年龄为 43 岁（SD +/-18.2）。急症入院占 70（85.4%）例。主要入院诊断前三位是穿孔性内脏穿孔引起的弥漫性腹膜炎（25，30.5%）、肠梗阻（21，25.6%）和创伤（13，15.9%）。急性呼吸衰竭（38，46.3%）和感染性休克（23，28.0%）是重症监护病房入院的主要指征。大多数患者（62，75.6%）接受了机械通气支持。重症监护病房的平均住院时间为 7.3 天（SD+/-5.2）。33 名（40.2%）患者死亡。在住院 48 小时的患者（OR=5.6；95%CI 1.60-19.69；p=0.007）和接受机械通气支持的患者（OR=5.3；95%CI 1.41-19.98；p=0.013）中，死亡率更高。
本研究观察到的死亡率高于大多数报道。在住院 48 小时以上和需要机械通气支持的患者中，死亡率显著升高。
