A study of various factors responsible for worse outcome in the patients admitted to ICU of tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 4
Abstract
Introduction: The ICU is characterized as the hospital in to a hospital. The intensive care hospitalized patients with reversible illnesses that can be improved with detail follow up and complication treatments. Aims and Objectives: To Study of Various Factors responsible for Worse Outcome in the Patients admitted to ICU of tertiary health care center. Materials and Methods: This was a prospective observational cross sectional study was undertaken ICU tertiary care centre and hospital. The study period was of 2 years. (Nov.2013-Nov. 2015)All patients admitted to ICU of tertiary care centre during period of 2 years More than 500 patients Univariate analysis was carried out of chi-square for categorical variables Odd ratio is calculated to determine association between cause and risk factor. Year is divided into three seasons. Winter from November to February.Summer from March to June and rainy season from July to October. Patients classified low socioeconomic group on basis of BPL card. Result: In our study we have found that The of Majority of the Patients admitted to ICU were due to Myocardial infarction , Heart failure Poisoning, Snake bite, Stroke, Hepatic encephalopathy, Meningitis, Dengue hemorrhagic fever, Pneumonia, Sepsis, COPD acute exacerbation and major co-morbid conditions were Hypertension, Diabetics, Smoking and Alcoholism. Hypertensive patients have 5 times more risk for myocardial infarction, Diabetes patients have 7.4 times more risk of myocardial infarction, and Smoker patients have 7.4 times more risk for myocardial infarction. Alcoholic patients have 2.159 times more risk for myocardial infarction, hypertensive patient have 3.3 times more risk for Heart Failure so diabetes patients have 1.7 times more risk for Heart Failure smoker patients have 1.2 times more risk for heart failure. So alcoholic patients have 1.3 times more risk for heart failure, hypertensive patients have 5.1 times more risk for stroke. Diabetes patients have 2.9 times more risk for stroke, alcoholic patients have 11.7 times more risk for hepatic encephalopathy, and smoker patients have 2.6 times more risk for COPD. Conclusion: From our study we found that the Co-morbid conditions like Hypertension, Diabetics, Smoking and Alcoholism were responsible worst outcome in ICU patients
Authors and Affiliations
Suraj R Dhoot, Chandrakant Raibhoge, Padmakar Girhepunje
Keywords
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