Gharibeh Tarek, Abu-Helalah Munir, Alshraideh Hussam, Abu Awwad Manar, Al Bzour Zaid, Abuzayed Majd, Taweel Luma, Al-Fayyadh Zahraa, Wraikat Bushra, Alfaqeeh Yomna, Aburumman Layan
Department of Internal Medicine, Faculty of Medicine, University of Jordan, Amman 11942, Jordan.
Department of Family and Community Medicine, Faculty of Medicine, University of Jordan, Amman 11942, Jordan.
J Clin Med. 2025 Jun 7;14(12):4039. doi: 10.3390/jcm14124039.
: This study aims to investigate ICU mortality rates and to identify predictors of ICU mortality, focusing on clinical and demographic variables, including age, comorbidities, hemoglobin and creatinine values, intubation in the Emergency department, and Glasgow Coma Scale (GCS) and APACHE II scores at presentation in the Emergency department, and how these factors influence patients' clinical outcomes. : This retrospective observational cross-sectional study analyzed patients admitted to the Jordan University Hospital (JUH) ICU from 1 January 2022 to 31 December 2023. A total of 1323 patients were included, with a mean age of 65 ± 17 years, of whom 442 (34%) died during their ICU stay. : A delay of 6 h or more in ICU admission was reported for 77% of the participants. Mortality rates were significantly lower among patients admitted to the ICU through the Emergency department (32%) compared to those transferred from other wards (41%) ( = 0.003). Higher mortality rates were observed among patients on vasopressors and those intubated in the Emergency department, with lower median hemoglobin (Hb) levels, higher APACHE II scores, and pneumonia as the main diagnosis or urosepsis as the secondary diagnosis ( < 0.001). : This study identified predictors of mortality in a medical ICU at a tertiary hospital in Jordan.
本研究旨在调查重症监护病房（ICU）的死亡率，并确定ICU死亡率的预测因素，重点关注临床和人口统计学变量，包括年龄、合并症、血红蛋白和肌酐值、急诊科插管情况、急诊科就诊时的格拉斯哥昏迷量表（GCS）和急性生理与慢性健康状况评分系统II（APACHE II）评分，以及这些因素如何影响患者的临床结局。
这项回顾性观察性横断面研究分析了2022年1月1日至2023年12月31日期间入住约旦大学医院（JUH）ICU的患者。共纳入1323例患者，平均年龄为65±17岁，其中442例（34%）在ICU住院期间死亡。
77%的参与者报告ICU入院延迟6小时或更长时间。通过急诊科入住ICU的患者死亡率（32%）显著低于从其他病房转入的患者（41%）（P = 0.003）。使用血管升压药的患者和在急诊科插管的患者死亡率较高，血红蛋白（Hb）水平中位数较低，APACHE II评分较高，主要诊断为肺炎或次要诊断为泌尿道感染（P < 0.001）。
本研究确定了约旦一家三级医院内科ICU死亡率的预测因素。
