Epidemiologic and Demographic Aspects and Causes of Hospitalization and Mortality in Patients Admitted to Intensive Care Units of Alzahra Hospital, Isfahan, Iran, during 2011-2015

Document Type : Original Article (s)

Authors

1 Professor, Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

3 General Practitioner, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Previous studies showed that mortality rate in intensive care units is high but etiology of this problem has not been studied completely. So, this study aimed to determine epidemiologic and demographic aspects and causes of hospitalization and mortality in patients admitted to intensive care units.Methods: In a cross-sectional study, 400 patients hospitalized during 2011-2015 in intensive care units of Alzahra hospital, Isfahan, Iran, were studied. Demographic data, clinical findings, mortality, and causes of hospitalization were extracted from hospital records and role of the factors on the mortality were investigated.Findings: Of 400 hospitalized patients in intensive care units during 2011-2014, 138 (34.5%) died, 44 (31.9%) of them in the first day, 55 (39.9%) during 1st-6th days, 28 (20.3%) during 7th-12th days, and 11 (8.0%) during 13th-24th days after hospitalization in intensive care units. Among factors that related to mortality, vital signs at the entrance to intensive care unit, underlying disease, time of hospitalization in intensive care unit, and some of laboratory findings had significant effect on mortality.Conclusion: Mortality rate in intensive care units of Alzahra hospital is high. Therefore, special care facilities considering patient characteristics and causes of mortality in this sector should be provided.

Keywords

References

  1. Abbasi S, Mahjobipoor H, Kashefi P, Massumi G, Aghadavoudi O, Farajzadegan Z, et al. The effect of lidocaine on reducing the tracheal mucosal damage following tracheal intubation. J Res Med Sci 2013; 18(9): 733-8.
  2. Aghadavoudi O, Kamran M, Masoudifar M. Comparison of two modes of ventilation after fast-track cardiac surgery: Adaptive support ventilation versus synchronized intermittent mandatory ventilation. Pak J Med Sci 2012; 28(2): 303-8.
  3. Eizadi-Mood N, Aghadavoudi O, Najarzadegan MR, Fard MM. Prevalence of delirium in opium users after coronary artery bypass graft surgery. Int J Prev Med 2014; 5(7): 900-6.
  4. Aghadavoudi O, Abbasi S, Kashefi P, Golparvar M, Habibzade M, Kazemi S. Evaluation of intravenous neostigmine infusion on tolerance of enteral nutrition in Intensive Care Unit patients. J Res Med Sci 2013; 18(9): 750-4.
  5. Berry AM, Davidson PM. Beyond comfort: oral hygiene as a critical nursing activity in the intensive care unit. Intensive Crit Care Nurs 2006; 22(6): 318-28.
  6. Saeidi M, Aghadavoudi O, Sadeghi MM, Mansouri M. The efficacy of preventive parasternal single injection of bupivacaine on intubation time, blood gas parameters, narcotic requirement, and pain relief after open heart surgery: A randomized clinical trial study. J Res Med Sci 2011; 16(4): 477-83.
  7. DeKeyser GF, Fink NF, Raanan O, Asher M, Bruttin M, Nun MB, et al. ICU nurses' oral-care practices and the current best evidence. J Nurs Scholarsh 2009; 41(2): 132-8.
  8. Browne JA, Evans D, Christmas LA, Rodriguez M. Pursuing excellence: development of an oral hygiene protocol for mechanically ventilated patients. Crit Care Nurs Q 2011; 34(1): 25-30.
  9. Adib-Hajbaghery M, Ansari A. Comparing nurses opinion and practice about mouth care for patients under mechanical ventilation. Zahedan J Res Med Sci 2012; 13(10): 19.
  10. Adib-Hajbaghery M, Ansari A, Azizi-Fini E. Oral care in ICU patients: a review of research evidence. Feyz 2011; 15(3): 280-93. [In Persian].
  11. Ranjbar H. Knowledge and attitude of ICUs nurses [MSc Thesis]. Urmia, Iran: Urmia University of Medical Sciences; 2009. [In Persian].
  12. Mohammadi H, Haghighi M. Survey relationship of mortality rate of hospitalized patients in ICU with different degrees of APACHE II. J Guilan Univ Med Sci 2006; 15(59): 85-90. [In Persian].
  13. Zohoor A, Pilevarzadeh M. Study of speed of offering services in emergency department at Kerman Bahonar Hospital in 2000. Razi J Med Sci 2003; 10(35): 413-20. [In Persian].
  14. Luyt CE, Combes A, Aegerter P, Guidet B, Trouillet JL, Gibert C, et al. Mortality among patients admitted to intensive care units during weekday day shifts compared with "off" hours. Crit Care Med 2007; 35(1): 3-11.
  15. Feizi E, Eydi M, Ansari M. Mortality rate and effective factors of patients in intensive care unit. J Ardabil Univ Med Sci 2008; 8(4): 420-3. [In Persian].
Journal of Isfahan Medical School
Volume 35, Issue 428 - Serial Number 428
March and April 2017
Pages 476-481

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History

  • Receive Date: 31 January 2017
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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