Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 9 ( 2017 ) > List of Articles

BRIEF COMMUNICATION

An appraisal of mortality in Intensive Care Unit of a Level III military hospital of Bangladesh

Md Alam, Mainul Haque, Mozibul Haque

Keywords : Bangladesh, Intensive Care Unit, Level III military hospital, mortality rate

Citation Information : Alam M, Haque M, Haque M. An appraisal of mortality in Intensive Care Unit of a Level III military hospital of Bangladesh. Indian J Crit Care Med 2017; 21 (9):594-598.

DOI: 10.4103/ijccm.IJCCM_250_17

License: CC BY-ND 3.0

Published Online: 00-09-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Mortalities in Intensive Care Units (ICUs) are high and widely variable. The unpredictability of death rates is attributable to age, sex, nature and severity of illness, comorbidity, well-timed medical attention, quality of the attending staffs, iatrogenic events, total management facilities, and overall grade of the ICU in general. Materials and Methods: A total of seventy patients who died in the ICU of a Level III Combined Military Hospital within a period of 2 years were studied in retrospect to review the mortality pattern. Results: Overall mortality rate was 3.58%, among which 81.43% were male and 18.57% were female. The mortality rate in geriatric patients was 12.26% and 2.84% in the age group of 12–60 years and 2.56% in below 12 years. The major causes of death were ischemic heart disease (20%), cerebrovascular disease (14.28%), and chronic obstructive pulmonary disease (10%). Highest incidence of death occurred during 1–3 days of ICU stay (34.28%) and the lowest was at 4 days to 1 week (4.28%). Conclusion: Ischemic heart disease (IHD) is remaining as the most important cause of mortality in our community although many countries have succeeded in reducing the IHD mortality by a combination of lifestyle modification and improving the health-care delivery systems.


PDF Share
  1. Fee E, Garofalo ME. Florence nightingale and the Crimean War. Am J Public Health 2010;100:591.
  2. Bostridge M. Florence Nightingale: The Lady with the Lamp. BBC - History - British History in depth; 2011. Available from: http://www.bbc.co.uk/history/british/victorians/nightingale_shtml. [Last accessed on 2017 May 26].
  3. Macdonald-Watson JA. Evidence: The foundation of nursing practice. Care 2016;30:4. Available from: https://www.clpna.com/wp-content/uploads/magazines/care_magazine_Spring_pdf. [Last accessed on 2017 May 26].
  4. Rosengart MR, Pinsky MR. Origins of the critically Ill: The impetus for critical care medicine. In: Scales DC, Rubenfeld GD, editors. The Organization of Critical Care. New York: Springer; 2014. p. 9-24.
  5. Vincent JL. Critical care – Where have we been and where are we going? Crit Care 2013;17 Suppl 1:S2.
  6. Kelly FE, Fong K, Hirsch N, Nolan JP. Intensive care medicine is 60 years old: The history and future of the Intensive Care Unit. Clin Med (Lond) 2014;14:376-9.
  7. Woods SC, Ramsay DS. Homeostasis: Beyond Curt Richter. Appetite 2007;49:388-98.
  8. Jain A, Palta S, Saroa R, Palta A, Sama S, Gombar S, et al. Sequential organ failure assessment scoring and prediction of patient's outcome in Intensive Care Unit of a tertiary care hospital. J Anaesthesiol Clin Pharmacol 2016;32:364-8.
  9. de Vos ML, van der Veer SN, Graafmans WC, de Keizer NF, Jager KJ, Westert GP, et al. Implementing quality indicators in Intensive Care Units: Exploring barriers to and facilitators of behaviour change. Implement Sci 2010;5:52.
  10. Gombar S, Ahuja V, Jafra A. A retrospective analysis of obstetric patient's outcome in Intensive Care Unit of a tertiary care center. J Anaesthesiol Clin Pharmacol 2014;30:502-7.
  11. Dubois RW, Rogers WH, Moxley JH 3rd, Draper D, Brook RH. Hospital inpatient mortality. Is it a predictor of quality? N Engl J Med 1987;317:1674-80.
  12. Lilienfeld DE. Celebration: William Farr (1807-1883) - An appreciation on the 200th Anniversary of his birth. Int J Epidemiol 2007;36:985-7.
  13. Ryan DW. Providing intensive care. BMJ 1996;312:654.
  14. Stevens R. In Sickness and in Wealth: American Hospitals in the Twentieth Century. New York: Basic Books; 1989.
  15. Faruque LI, Huda Q, Banik D, Rahman AK. Variation of adult admission and co-morbidity to general Intensive Care Unit of BSMMU: Impact on outcome. Univ Heart J 2008;4:28-31.
  16. Resche-Rigon M, Azoulay E, Chevret S. Evaluating mortality in Intensive Care Units: Contribution of competing risks analyses. Crit Care 2006;10:R5.
  17. Knaus WA, Wagner DP, Zimmerman JE, Draper EA. Variations in mortality and length of stay in Intensive Care Units. Ann Intern Med 1993;118:753-61.
  18. McCarthy D, Mueller K. The New York City Health and Hospitals Corporation: Transforming A Public Safety Net Delivery System to Achieve Higher Performance. Commission on a High Performance Health System. The Commonwealth Fund; 2008. Available from: http://www.commonwealthfund.org/~/media/files/publications/fund-report/2008/oct/the-new-york-city-health-and-hospitals-corporation-transforming-a-public-safety-net-delivery-system/mccarthy_nychlthospitalscorpcasestudy_1154-pdf.pdf. [Last accessed on 2017 Sep 01].
  19. Berenson RA. Intensive Care Units (ICUs): Clinical Outcomes, Costs and Decision-Making. Washington, DC: U.S. Congress of the United States, Office of Technology Assessment; 1984.
  20. Mia MA, Rabbani MG, Hossain MR. Mortality pattern in hospitalised patients: A one-year study at Combined Military Hospital Dhaka. BAFMJ 2008;41:11-5.
  21. Eng PC, Chng HH, Feng PH. Mortality patterns in a medical Intensive Care Unit. Singapore Med J 1992;33:24-6.
  22. Rahman MS, Farooque AM. Mortality pattern of paediatric patients in a military hospital - A study of 59 cases. BAFMJ 1993;17:43-8.
  23. Burns JP, Sellers DE, Meyer EC, Lewis-Newby M, Truog RD. Epidemiology of Death in the Pediatric Intensive Care Unit at Five U.S. Teaching Hospitals. Crit Care Med 2014;42:2101-8.
  24. Hirte L, Nolte E, Mossialos E, McKee M. The changing regional pattern of ischaemic heart disease mortality in Southern Europe: Still healthy but uneven progress. J Epidemiol Community Health 2008;62:e4.
  25. Umegaki T, Ikai H, Imanaka Y. The impact of acute organ dysfunction on patients' mortality with severe sepsis. J Anaesthesiol Clin Pharmacol 2011;27:180-4.
  26. Gilbert EH, Lowenstein SR, Koziol-McLain J, Barta DC, Steiner J. Chart reviews in emergency medicine research: Where are the methods? Ann Emerg Med 1996;27:305-8.
  27. Kaji AH, Schriger D, Green S. Looking through the retrospectoscope: Reducing bias in emergency medicine chart review studies. Ann Emerg Med 2014;64:292-8.
  28. Sauerland S, Lefering R, Neugebauer EA. Retrospective clinical studies in surgery: Potentials and pitfalls. J Hand Surg Br 2002;27:117-21.
  29. Worster A, Bledsoe RD, Cleve P, Fernandes CM, Upadhye S, Eva K, et al. Reassessing the methods of medical record review studies in emergency medicine research. Ann Emerg Med 2005;45:448-51.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.