prevalence and associated factors of unplanned postoperative admissions to SICU among postoperative adult surgical intensive care unit patients atTikur Anbesa SpecializedTeaching Hospital
| dc.contributor.advisor | Alferid, Fetiya(MD, Consultant Anesthesiologist) | |
| dc.contributor.advisor | Shimeles, Rediet(MD, Consultant Anesthesiologist) | |
| dc.contributor.author | Getachew, Adane | |
| dc.date.accessioned | 2020-03-19T19:20:07Z | |
| dc.date.accessioned | 2023-11-05T09:40:09Z | |
| dc.date.available | 2020-03-19T19:20:07Z | |
| dc.date.available | 2023-11-05T09:40:09Z | |
| dc.date.issued | 2019-11 | |
| dc.description.abstract | Introduction: Postoperative admission to the intensive care unit (ICU) is commonly planned and regarded as an important component to a safe and effective pathway for prevention, early recognition and timely management of life-threatening complications occurring in the immediate postop period.(1) Frequently, post-operative intensive care Unplanned ICU Admission(UIA) is required in an unplanned manner due to complications related to anesthesia or surgery or underlying illnesses unmasked during procedures.(9) Unplanned ICU admission (UIA) is associated with a negative outcome like increased medical costs, length of hospital stay and mortality(2) and has been shown to be an important safety measure of anesthesia and surgical care.(3) There are currently no data available on Unplanned Intensive Care Admissions in Ethiopia. I undertook this prospective review of postoperative admissions to the Intensive Care Unit of the Tikur Anbesa Specialized Teaching Hospital to know the prevalence and associated factors of unplanned intensive care admissions. Materials and Methods: This prospective cross-sectional study was conducted in the intensive care unit of Tikur Anbesa Specialized Hospital from April to October 2019. A special form was designed and filled for those patients who admitted unplanned to the intensive care within 48 hours of surgical procedures. All patients admitted to the SICU within 48 hours after operation were included. Ward admissions to the ICU (after 48 hours postoperative admission surgery), ICU admissions directly from the emergency department and Patients who were already admitted to the intensive care unit before surgery were excluded. Objective: The aim of this study is to identify the prevalence and associated factors of unplanned postoperative intensive care unit admissions. Results: From April 1 to October 31, 2019, a total of 110 patients were admitted to the surgical ICU after surgery; Of these, 87 patients (79.1%) were of the planned ICU admission group, and 23 patients (20.9%) were of the unplanned ICU admission group. The main reason for ICU admission were due to cardiovascular disturbance 6(26.1%) and for monitoring after resuscitations 6 (26.1%) followed by for respiratory events 4(17.4%). With adjusted multivariate analysis revealed that anesthesia given by anesthesiology residents (p=0.015, AOR=2.222, 95%confidence interval 1.472-20.556) and surgical time of more than four hours (p =0.024, AOR 2.145, 95% CI 0.177-25.992) were independent predictor factors. Conclusion: This study shows an association of longer surgical time and anesthesiology residents with unplanned ICU admission after surgery. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/21189 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Prevalence, Unplanned admission, intensive care unit, Perioperative care. | en_US |
| dc.title | prevalence and associated factors of unplanned postoperative admissions to SICU among postoperative adult surgical intensive care unit patients atTikur Anbesa SpecializedTeaching Hospital | en_US |
| dc.type | Thesis | en_US |