Survival And Predictor Of Mortality Among Patientes Admitted To Adult Intensive Care Unit Of Jimma University Medical Center, Jimma, Ethiopia, 2023

Abstract

Background: An intensive care unit (ICU) is an organized system involving a multidisciplinary and interprofessional specialty for the provision of care to critically ill, an enhanced capacity for monitoring, and multiple modalities of physiologic organ support to sustain life during a period of life-threatening organ system insufficiency. Globally critical illness causes up to 45 million deaths every year. This study was designed to investigate the pattern of disease and predictor (risk factor) for mortality that have potential to be modified in patients admitted to Jimma university medical center intensive care unit. Objective: The objective of the study was to assess survival and predictor of mortality among patients admitted to the intensive care unit of Jimma university medical center. Methods: A retrospective cross-sectional study of all adult patients admitted to intensive care unit of Jimma university medical center from April 2022 to April 2023. Kobo collect was used to create the data template format. Data was entered and analyzed by using Statistical Package for the Social Sciences (SPSS) version 27. Result: Of the 208 patients in total, 113 (54.3%) were men. The mean age of those admitted to the intensive care unit was determined to be 36.8, with a standard deviation of ±16.7. and majority ,43 percent of the patients were found to be in the age range of 21 to 40 (91). The overall mortality rate of ICU in this study was 46.6%. In multivariate logistic regression, GCS less than 8 (AOR=2.56, CI,1.044-6.301, P=0.04), patients who had MAP of less than 65 mmHg (AOR=4.25 CI,2.73-12.13), P=.0001), Patients who stayed for longer than 14 days (AOR =4.2, CI, 2.21-12.61, P=0.0001), patients that develop a certain complication at ICU (AOR=5.28 CI,2.21-12.61, P=0.000) were statistically significant with ICU death.

Conclusion: The mortality rate of ICU in this study was high compared to national standard. Greater than 14 days of stay, complications in the ICU, and GCS < 8 were associated with a relatively high death rate in patients admitted to ICU of JUMC.