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An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh
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 facili...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613612/ https://www.ncbi.nlm.nih.gov/pubmed/28970660 http://dx.doi.org/10.4103/ijccm.IJCCM_250_17 |
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author | Alam, Md Rabiul Haque, Mainul Haque, Mozibul |
author_facet | Alam, Md Rabiul Haque, Mainul Haque, Mozibul |
author_sort | Alam, Md Rabiul |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5613612 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56136122017-10-02 An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh Alam, Md Rabiul Haque, Mainul Haque, Mozibul Indian J Crit Care Med Brief Communication 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. Medknow Publications & Media Pvt Ltd 2017-09 /pmc/articles/PMC5613612/ /pubmed/28970660 http://dx.doi.org/10.4103/ijccm.IJCCM_250_17 Text en Copyright: © 2017 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Brief Communication Alam, Md Rabiul Haque, Mainul Haque, Mozibul An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh |
title | An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh |
title_full | An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh |
title_fullStr | An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh |
title_full_unstemmed | An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh |
title_short | An Appraisal of Mortality in Intensive Care Unit of a Level III Military Hospital of Bangladesh |
title_sort | appraisal of mortality in intensive care unit of a level iii military hospital of bangladesh |
topic | Brief Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613612/ https://www.ncbi.nlm.nih.gov/pubmed/28970660 http://dx.doi.org/10.4103/ijccm.IJCCM_250_17 |
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