Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  28 (2024)
Volume  27 (2023)
Volume  26 (2022)
Volume  25 (2021)
Volume  24 (2020)
Volume  23 (2019)
Volume  22 (2018)
Volume  21 (2017)
Volume  20 (2016)
Volume  19 (2015)
Volume  18 (2014)
Volume  17 (2013)
Volume  16 (2012)
Volume  15 (2011)
Volume  14 (2010)
Volume  13 (2009)
Volume  12 (2008)
Volume  11 (2007)
Volume  10 (2006)
Volume  9 (2005)
Volume  8 (2004)
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: 01-12-2015

Copyright Statement:  Copyright © 2017; The Author(s).


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
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.