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Observational Study
. 2023 Aug 18;23(1):279.
doi: 10.1186/s12871-023-02230-w.

Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study

Misgan Mulatie Zewudie  1 , Debas Yaregal Melesse  2 , Tesera Dereje Filatie  3 , Mulualem Endeshaw Zeleke  3
Affiliations
Observational Study

Variables associated to intensive care unit (ICU)-mortality among patients admitted to surgical intensive care unit in Ethiopia: a retrospective observational study

Misgan Mulatie Zewudie et al. BMC Anesthesiol. .

Abstract

Background: The present study aimed to assess variables associated to ICU-mortality among patients admitted to surgical intensive care unit in Ethiopia.

Methods: A Hospital-based retrospective follow-up study was conducted on all patients who were admitted to the surgical intensive care unit. Data were extracted from patients' charts with a pretested data extraction tool, entered into Epi-data 4.6.0, and analyzed with STATA- 14. Bivariate and multivariate Cox proportional hazards regression models were fitted.

Results: Of the total study participants (388), 148 (38.1%) patients admitted to the surgical intensive care unit died during the follow-up period with a median survival time of 11 days. Potassium level < 3.5 mmol/L (adjusted hazard ratio ( AHR): 3.46, 95% CI (1.83 6.55), potassium level > 5.0 mmol/L (AHR:2.41, 95% CI (1.29-4.51), hypoxia (AHR:1.66, 95% CI (1.10-2.48), Glasgow Coma Scale (GCS) score < 9 (AHR: 4.06, 95% CI (1.51-10.89), mechanical ventilation (AHR:12, 95%CI (3-45), absence of thromboprophylaxis (AHR:10.8,95% CI (6.04-19.29), absence of enteral feeding (AHR:3.56, 95% CI (2.20-5.78) were variables associated with ICU-mortality among patients admitted to surgical intensive care unit.

Conclusions: The overall ICU-mortality of patients admitted to our surgical intensive care unit was higher compared to patients admitted to similar intensive care unit in developed countries. The variables associated to ICU-mortality among patients admitted to surgical intensive care unit were abnormal serum potassium level, lower GCS score, mechanical support, hypoxia, absence of thromboprophylaxis, and enteral feeding.

Keywords: Incidence; Intensive care unit; Mortality; Predictors; Surgical.

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Conflict of interest statement

The authors declare no competing interests.

The authors declares no conflict of interest in preparing this article.

Figures

Fig. 1
Fig. 1
STROBE diagram shows the study participants who were included and excluded in the study (STROBE: Strengthening the reporting of observational studies in epidemiology)
See this image and copyright information in PMC

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