Nwachukwu Cyril Emeka, Nwachukwu Julius, Okpala Boniface Chukwuneme, Nwachukwu Chiugo Anastasia, Oranusi Ifeatu Ogochukwu, Ufoaroh Chinyelu Uchenna, Okpala Augusta Nkiruka, Ofojebe Chukwuemeka Jude, Umeononihu Osita Samuel, Nwajiaku Louis Anayo
Department of Anaesthesia, Nnamdi Azikiwe University, Nnewi campus, Nigeria.
Department of Anaesthesia, Nnamdi Azikiwe University Teaching Hospital Nnewi, Nnewi campus, Nigeria.
SAGE Open Med. 2023 Feb 12;11:20503121231153104. doi: 10.1177/20503121231153104. eCollection 2023.
Various patients needing organ or systemic support and close monitoring are routinely managed in the intensive care unit. This includes patients that emanate from various sources, like the trauma unit, emergency department, inpatient wards, and post-anesthesia care unit. Admissions into the intensive care unit due to medical conditions have not been analyzed in our environment to determine the common indications and the outcome. We aimed to determine the pattern of medical admissions and outcomes in the intensive care unit.
A retrospective study of all patients admitted to the intensive care unit of Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State, Nigeria, from January 1, 2014 to December 31, 2020, with medical diagnosis was conducted. Data were retrieved from the intensive care unit admission and discharge registers and analyzed using the Statistical Package for Social Sciences (SPSS) Version 20 (IBM Corp., Chicago, Illinois, USA).
Eighty-nine medical patients were admitted, which accounted for 7.63% of the total intensive care unit admissions of 1167 patients during the period, with a preponderance of males (57.3%). The most common medical condition for intensive care unit admission (31.5%) was a cerebrovascular accident. The mean length of stay was found to be 5.13 ± 3.42 days. Mortality following medical intensive care unit admission was 56.18%, which contributed to about 11.4% of the total ICU mortality.
When compared to all other reasons for admission to a general intensive care unit, medical conditions account for a small percentage. The most frequent illness was a cerebrovascular accident.
各类需要器官或全身支持以及密切监测的患者通常在重症监护病房接受治疗。这包括来自各种来源的患者，如创伤科、急诊科、住院病房和麻醉后护理单元。在我们所处的环境中，尚未对因医疗状况而入住重症监护病房的情况进行分析，以确定常见适应症和治疗结果。我们旨在确定重症监护病房内科收治患者的模式及治疗结果。
对2014年1月1日至2020年12月31日期间入住尼日利亚阿南布拉州纽维市纳姆迪·阿齐克韦大学教学医院重症监护病房且有医学诊断的所有患者进行回顾性研究。数据从重症监护病房的入院和出院登记册中获取，并使用社会科学统计软件包（SPSS）第20版（美国伊利诺伊州芝加哥市IBM公司）进行分析。
共收治89例内科患者，占该期间重症监护病房1167例总入院人数的7.63%，男性居多（57.3%）。入住重症监护病房最常见的内科疾病（31.5%）是脑血管意外。平均住院时间为5.13±3.42天。内科患者入住重症监护病房后的死亡率为56.18%，约占重症监护病房总死亡率的11.4%。
与入住综合重症监护病房的所有其他原因相比，内科疾病所占比例较小。最常见的疾病是脑血管意外。
