Assessment of patterns of admission, outcomes and associated factors of patients admitted in adult intensive care units of Dilla university referral hospital, Dilla, Southern Ethiopia, 2020.
| dc.contributor.advisor | Beyene, Temesgen(MD, Assistant professor) | |
| dc.contributor.advisor | Michael, Mebrat(MSc, EMCCN) | |
| dc.contributor.author | Sefa, Ahmedin | |
| dc.date.accessioned | 2020-11-11T12:14:46Z | |
| dc.date.accessioned | 2023-11-05T09:38:12Z | |
| dc.date.available | 2020-11-11T12:14:46Z | |
| dc.date.available | 2023-11-05T09:38:12Z | |
| dc.date.issued | 2020-06 | |
| dc.description.abstract | Background: Patients are more advantageous from detailed observation, monitoring and treatment than the generally available in the standard ward or department. The most common causes of admission to intensive care unit (ICU) are postoperative treatment, infectious disease, trauma and obstetric complication. Study done in Ethiopia shows that mortality rate in the ICU was found to be high and diseases of cardiovascular origin were the major reason for ICU admission and death. The objective of this study was to assess pattern of admission, outcomes and associated factors of patients admitted in ICU of DURH, Dilla, Southern Ethiopia, from May 4 to 14/ 2020. METHOD: A retrospective study was conducted on 252 adult patients who admitted in ICU from august, 2017 to January 2020. Data was collected by using data extraction tool from their medical records. The study participants’ cards were selected using systematic random sampling method using a list of their medical record numbers. The collected data was checked completeness and consistence. The coded data was checked and entered into EPI data version 4.6. Then the data exported into statistical package for social science (SPSS) version 25 for data analysis. Binary and multivariate logistic regression analysis was conducted to identify factors significantly associated with outcome variables Results: Cardiovascular origin 86(34.1%) and infectious disease 39(15.5%) were the most common causes of admission in the ICU. Mortality rate of adult ICU was 77(30.6%). The main causes of deaths were shock 23(29.9%) followed by acute respiratory distress syndrome (ARDS) 9(11.7%). Age greater than 60 years, peripheral oxygen saturation less than 90%, length of stay less than four days in the ICU, patients with mental status of lethargic and unconsciousness were at high risk of mortality among patients admitted to ICU Conclusion and Recommendation: in this study, the overall mortality was considerably high. This finding gives hint the importance of focusing on early detection of cause and critically follow patients admitted with shock, congested heart failure and acute respiratory distress syndrome (ARDS). Therefore, strengthen action to improve the readiness of health care to respond to these non-communicable diseases. Health professional working in the ICU should follow patients strictly and early referee for critical cases. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/23184 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Patients,adult intensive care units | en_US |
| dc.title | Assessment of patterns of admission, outcomes and associated factors of patients admitted in adult intensive care units of Dilla university referral hospital, Dilla, Southern Ethiopia, 2020. | en_US |
| dc.type | Thesis | en_US |