TREATMENT OUTCOME AND ASSOCIATED FACTORS AMONG PATIENTS ADMITTED TO CENTRAL INTENSIVE CARE UNIT AT HIWOT FANA SPECILIZED UNIVERSITY HOSPITAL, HARARI REGIONAL STATE, EASTERN ETHIOPIA

Abstract

The intensive care unit is a health care delivery service for patients who are critically ill and with potentially recoverable diseases. The overall death of critically ill patients cared for in resource-limited intensive care units are frequently high. On the other hand, little is known about the causes of admission and mortality of those critical illness in resource-poor settings sub-Saharan Africa, like Ethiopia. Moreover, no available evidence regarding this high mortality among patients admitted to Central Intensive Care Unit in Hiwot Fana Specialized University Hospital Objective: This aim of this study was to assess treatment outcome and associated factors among patients admitted to Central Intensive Care Unit of Hiwot Fana Specialized University Hospital, Eastern Ethiopia, from January 1, 2016 to December 30, 2019.Data was collected from January 1-Feb 15, 2020 Methods: Four-year Cross-sectional study was conducted from January 1, 2016 to December 30, 2019. The sample of 330 completed medical records of patients admitted to the central intensive care unit of Hiwot Fana Specialized University Hospital were reviewed and included in the analysis stage. The collected data were analyzed using statistical Software, SPSS version 24. Descriptive measures for categorical data were presented as frequency, tables, graphs, bars, and proportions. The continuous data was presented as mean and standard deviations. RESULTS: A total of 330 patients included in the study, most of the patients were male(62.4%), Nearly quarters (24.2%) of patients were youths in the age group of 15-24 years and their mean age (±SD) was 30.04(±18.31) years, most common diagnosis at admission were due to trauma including severe traumatic brain injury (20%), followed by neurological disease (18.2%).137 patient were supported with mechanical ventilation. The over all mortality was 50.9%. The mean length of stay (±SD) of the patients in CICU was 7.18±7.93 days. The range was from 1-99 days CONCULUSION: This study demonstrate the CICU of HFSUH had high mortality rate with half of the died (50.9%).this roughly indicate the quality of care is poor. Most of the deaths were during the first five days of admission and this shows most these patients are critical and stabilization should be started at the source of the patients including at EOPD and local hospital. Mechanical Ventilation usage showed improved survival so improving the set up of the CICU both with infrastructure , material( mechanical ventilation) and trained staff might helps to improve the treatment outcome to CICU of HFSUH