000			03165nam a22003137a 4500
001			CUHAS/MMED/6000168/T/15
003			CUHAS/MMED/6000168/T/15
005			20240419092334.0
008			210819b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_bFax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_bwww.bugando.ac.tz
035			_aCUHAS/MMED/6000168/T/15
040			_cddc
041			_aEnglish
100			_aLiundi, Fausta. J _922442 _d[Female] _eCUHAS/MMED/6000168/T/15
245			_aIndications for Admission and Predictors of Outcome for Surgical Patients Admitted to the Intensive Care Unit at Bugando Medical Centre
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences [CUHAS - Bugando] : _c2019
300			_a65 Pages
300			_aIncludes Index
520			_aAbstract: Background: Surgical patients have been reported to be a major cause of hospitalization and intensive care utilization worldwide, they also consume a significant amount of the health care budget. There is a paucity of published data on intensive care utilization and outcomes of patients admitted to ICU from our environment. This study aimed to describe the common indications and predictors of outcome of surgical patients admitted to ICU. Methods: This was a descriptive prospective cross sectional study involving surgical patients admitted to the ICU from August 2017 to May 2018. Univariate and multiple logistic regressions was used to identify independent factors associated with mortality. Results: A total of 199 surgical patient representing 55.7% of all ICU admission were studied. Median age of patients was 32 years and majority of the patients were males 62%. Majority of patients, 138 (69.4%) were admitted for observation or close monitoring following surgery whereas 61 (30.7%) were admitted for mechanical ventilator. The specialty of general surgery had the highest number of patients admitted to the ICU (33.7%). The median length of stay (LOS) in ICU was 18 days. High ASA class, emergency surgery, high APACHE score, high temperature and presence of postoperative complications were the main predictors of prolonged LOS (p <0.001). The overall ICU mortality was 39% and it was significantly associated with advanced age (>65 years), delayed ICU admission (>72 hours), admission systolic BP < 90 mmHg, SPO2 < 90 need for ventilator support, high admission modified APACHE II score. Conclusion: Postoperative observation/close monitoring following surgery and mechanical ventilator remains the most common indications for ICU admission in our setting. postoperative general surgical patients were observed to be the highest surgical specialty utilizing the ICU bed spaces calls for strengthening surgical care in this region to reduce the burden of surgical diseases on critical care services.
654			_xSurgery
700			_a Mahalu, William _919950
700			_aKotecha, Vihar _922438
942			_2ddc _cMP
999			_c18244 _d18244