Characteristic and Outcomes of Mechanically Ventilated Patients at Adult ICU of Selected Public Hospitals in Addis Ababa, Ethiopia, 2021.
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Date
2021-05
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Addis Abeba University
Abstract
Abstract
Introduction: Mechanical ventilation is the primary method of supporting organ function inpatients treated in intensive care units. The information on the characteristics and outcomes ofpatients requiring mechanical ventilation is critical for the understanding of reasons formortality. However, there is a scarce of literature in developing countries, including Ethiopia.
Objective: The objective of this study is to assess the characteristics and outcomes ofmechanically ventilated adult ICU patients in selected public hospitals, Addis Ababa, Ethiopia,from 2019 to 2020.
Method: An institutional-based quantitative cross-sectional study design was employed. AllAdult patients who were mechanically ventilated in adult ICU for at least 24 hours were includedand the collected data was evaluated with Statistical Package for the Social Sciences version 25software.
Result: Of 181 mechanically ventilated patients, 98(54.4%) were male. The main reason forventilation was respiratory failure. Volume-controlled ventilation was the preferred initialventilation mode followed by pressure-controlled ventilation. The main weaning techniqueemployed for the survived patients was CPAP followed by a T-tube trial. The mean duration ofstay in the ventilator was 7.09± 6.06, and the length of stay in ICU was 10.04 ± 10.242 days. Themortality rate in mechanically ventilated patients was 41.7%. The mortality rate was higher inpatients with cardiac diseases. Inotropic use, sedation use, and length of stay on mechanicalventilator independently associated with mortality.
Conclusion and recommendation: The mortality rate of mechanically ventilated patients in theselected public hospitals was high. It is better to use a Customized severity score while admittingpatients to ICU and implement different quality improvement projects
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Keywords
Mechanical Ventilation, Characteristics, Outcome