Pattern and outcome of admitted cases to Pulmonary Intensive Care Unit in a tertiary care centre of Punjab
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 4
Abstract
Background: Early appropriate referral of patients to an ICU can significantly reduce mortality in critically ill patients. At the same time improper selection of patients for ICU often limits bed availability in ICU. Aim: To study pattern and outcome of patients admitted to pulmonary ICU. Material and methods: The present study was conducted in the department of pulmonary medicine, Guru Gobind Singh Medical College and hospital, Faridkot, Punjab and included assessment of patients admitted to medical and pulmonary ICU because of various respiratory diseases.A total of 100 patients with various respiratory diseases were included in the present study.The present study was conducted in the department of pulmonary medicine, Guru Gobind Singh Medical College and hospital, Faridkot, Punjab and included assessment of patients admitted to medical and pulmonary ICU because of various respiratory diseases.A total of 100 patients with various respiratory diseases were included in the present study.Results:COPD was the most prevalent respiratory disease in the present study found in 29 (29%) patients, followed by Bronchial asthma(19%), Pneumonia(17%), Pneumothorax(12%), Pulmonary TB (10%), Bronchiectasis(6%), Chronic Empyema(5%) and ILD(2%). In 26% patients, invasive ventilation was given while in remaining 74% patients, non-invasive ventilation was given. Death occurred in 25% patients while the 54% patients were discharged in satisfactory condition and 21% were discharged on request . Nosocomial infection present in 15% patients. Staphylococcus aureus was the most common nosocomial organism isolated in 5% followed by H. Influenzae in 3% and Streptococcus pneumonia in 3% of patients.76% of the patients had Comorbidities and type 2 DM was the most common comorbidity present in 19% of the cases . Shortest mean duration of ICU stay was for patients with ILD(4.5) followed by Pneumothorax(4.75), Bronchial Asthma(4.84), COPD(4.9), Bronchiectasis(5.5), Chronic empyema(5.6), Pneumonia(6.17) and Pulmonary TB(10). Mortality rate for Pulmonary TB was70% followed by ILD(50%), Chronic Empyema(40%), Bronchiectasis(33.33%), Pneumothorax(25%), Pneumonia(23.53%), COPD(13.79%) and Bronchial asthma(10.53%). Mortality in patients given invasive ventilation was more 19/26 (73.07%) than with non invasive ventilation 6/74 (8.11%). Conclusion: Owing to least mortality and shorter duration of ICU stay, patients with bronchial asthma and COPD should be preferred for pulmonary ICU followed by pneumothorax and pneumonia, which must be preferred over bronchiectasis, chronic empyema and ILD. Pulmonary TB must be given least preference. This message should be directed to all hospitals, primary care, private clinics physicians for respiratory critical cases referral to Pulmonary ICU, as this improves the outcome of patients and limits the economics of their management.
Authors and Affiliations
Saurav Gupta, GC Ahir, SK Bansal
Keywords
Related Articles
- EP ID EP544726
- DOI -
- Views 112
- Downloads 0
Recent Advancements in Immediate Loading and Single Piece Implants in Full Mouth Rehabilitation
Dental implants are one of the most commonly procedures employed these days for prosthetic rehabilitation of missing teeth. Most of the implant surface modifications showed good osseointegration results. Regarding biomol...
MODE OF FAILURE OF AMALGAM RESTORATIONS BONDED WITH RESIN ADHESIVE AND LIGHT CURE GLASS IONOMER LINER/BASE – A SEM STUDY
Objective: The objective of this study was to evaluate using Scanning Electron Microscope, the mode of failure of simulated bonded amalgam restorations in class V cavities, using a resin adhesive, Prime &BondTM 2.0, and...
Effect of Low Level Laser Therapy on Orthodontic Tooth Movement: A Review
Orthodontic treatment utilizes the movement of the developing teeth to accomplish its objectives that are mostly useful and esthetics. These developments result in periodontal tissue remolding, especially alveolar bone....
REHABILITATION OF A PATIENT WITH EDENTULOUS MAXILLA AND HYPEREXAGGERATED GAG RESPONSE USING IMPLANT SUPPORTED FIXED CERAMO-METAL PROSTHESIS – A CASE REPORT
Patients with edentulous maxilla opposing the mandibular natural teeth is a common occurrence in dentistry. The major disadvantages of conventional complete denture in such situation are accelerated bone resorption, freq...
AN APPROACH TO EVALUATE THE ORAL PEDIATRIC BIOPSIES- A RETROSPECTIVE STUDY
Aim and Objectives: The aim of the study was to evaluate retrospectively, the pediatric oral biopsies received in last 1years from the institute. To evaluate the total number of pediatric oral biopsies obtained below th...