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Scholars Journal of Applied Medical Sciences | Volume-10 | Issue-04
Analysis of Mortality in Neuro ICU Admitted Between 2017-2021 in EMCH, Savar, and Dhaka, Bangladesh
Dr. Abu Tahir Moh’d Sahidullah Monsur, Dr. A.K.M Bazlul Karim, Dr. Dibakar Chaudhury, Dr. Md. Arif Hasan, Dr. MD Rezwan Radid, Dr. Adnan Moasir Hasnine
Published: April 22, 2022 | 146 98
DOI: 10.36347/sjams.2022.v10i04.023
Pages: 571-574
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Abstract
Background: Mortality in the intensive care unit (ICU) has been associated to an array of risk factors. Identification of risk factors potentially contributes to predict and reduce mortality rates in the ICU. Objective: To evaluate the mortality in Neuro ICU admitted in Enam Medical College & Hospital (EMCH), Savar, and Dhaka, Bangladesh. Method: This was a cross-sectional study in clinical and surgical Neuro intensive care units of the Enam Medical College & Hospital, Bangladesh. ICU patients admitted between 2017 to 2021 were considered for the study. Data were collected using a structured questionnaire containing all the variables of interest. Data was processed and analyzed with the help of computer program SPSS for windows version 25. Results: This study shows majority (51.2%) were age group >50 years. Majority were male (65.6%) and 34.4% were female. Morbidity pattern of neurological patients were traumatic brain injury (52.5%), RTA with poly trauma (33.8%), haemorrhagic stroke (26.9%), ischemic stroke (26.9%), aspiration pneumonia (13.8%), poly trauma due to assault (12.5%), intracerebral haemorrhage (10.6%), MCA territory infract (10%), capsule ganglionic haemorrhage with pan ventricular extension (8.13%). Conclusion: It concluded that preventable morbidities (Traumatic brain injury, RTA, hemorrhagic stroke, ischemic stroke, aspiration pneumonia, poly trauma, intracerebral hemorrhage, MCA territory infract and haemorrhagic pan ventricular extension) accounted for fatality among neurological patients in the ICU. Mortality was higher among those that required significant intensive interventions, improved public awareness.