Clinical profile, pattern of disease, duration of stay and outcome of patients admitted in RICU at tertiary care centre of Rohilkhand Region Bareilly.
Abstract
Introduction: Respiratory intensive care unit(RICU) is an area within hospital which is well equipped and under control of specialised team of doctors, nurses and paramedical staff for providing all possible health facilities to the patient. It is also a specialised place for the monitoring and treatment of patients with acute respiratory failure due to primary respiratory cause and of patient with acute or chronic respiratory failure.
Aim: The aim of this study was to determine the clinical profile, pattern of disease, duration of stay and outcome of patients admitted in RICU at tertiary care centre of Rohilkhand Medical College and Hospital (RMCH), Bareilly.
Methodology: For the practical approach the study was conducted on 144 patients of the RICU. The analysis included patients who were hospitalised in the RICU of Deptt. of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly from May 2014 until May 2015. Results: There were 144 admission during the study period. 102 were male and 42 were female. 46% were referred from the Emergency department (ED) and 40% of patients came from other ICU and hospitals. The most common complaints of patients was breathlessness in 86.1% and cough 68.02%. Most patients had admission in the ICU because of Respiratory Disorders and were ≥ 50 yrs. Average ICU stay was 4.5 days. About 48% of patients showed response to Oxygen inhalational therapy, but 23% patients were put on mechanical ventilator. > 60% patients were discharged from RICU, 16% died and 15% patient discharged and referred to higher centres.
Conclusion: Respiratory problems are the major reason for an RICU admission. Most common indication for admission was Type II respiratory failure and most common cause was acute exacerbation (AE) of COPD. > 70% of patients were improved and discharged.
References
2. Moreno.R, Agthe.D. ICU discharge decision-making: are we able to decrease post-ICU mortality. Intensive Care Med. (1999;10(25):1035–1036).
3. Curran.J, Grounds.R.M. Ward versus intensive care management of high-risk surgical patients. Br. J. Surg. (1998;85:956– 961).
4. Zamzam.M.A, El Aziz.A.A.A, Elhefnaw.M.Y, Shaheen.N.A. Study of characteristics and outcome of patients on mechanical ventilaton in the intensive care unit of EL-Mahalla Chest Hospital. Egy.J.Chest diseases and Tuberculosis. (2015;64:693- 701).
5. Ghoneim.A.H.A, Hussein.R, El-Ghamry .R, Mahmoud .L.Y. Patterns of admitted cases to Respiratory Intensive care unit at Zagazig University Hospitals. Egypt. Egy.J.Chest diseases and Tuberculosis. (2013;62: 661-668)
6. Maniou.M. Measurement of patients’ admissions to an intensive care unit of Crete. Health Science Journal. (2012; 6(3): 469-478)
7. Finkielman.J.D, Morales.J, Peters.S.G, et al. Mortality rate and length of stay of patients admitted to the intensive care unit in July. Crit. Care Med. (2004; 32(5):1161–1165)
8. Ugun.I, Metintas.M, Moral.H, Alatas.F, Yildirim.H, Erginel.S. Predictors of hospital outcome and intubation in COPD patients admitted to the respiratory ICU for acute hypercapnic respiratory failure. Respiratory Medicine. (2005;100:66-74)
9. Bolaji.B.O, Kolawole.I.K, The Intensive Care Unit of the University Teaching Hospital, Ilorin, Nigeria: a ten year review (1991–2001), S. Afr. J. Anesth. Analg. (2005; 146–150).
10. Weissman .C. Analyzing Intensive care unit lengh of stays data: problems and possible solutions. Crit. Care Med. (1997; 25(9):1594-1600).
11. Sprung CL, Geber D, Eidelman LA, Baras M, Pizov R, Nimrod A, et al. Evaluation of triage for intensive care admission. Crit Care Med. (1999; 27(2):1073-1079).
