Browsing by Author "BIRHANU MULETA BAYECHA"

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    ADMISSION OUTCOMES AND ASSOCIATED FACTORS OF ADULTS ADMITTED TO INTENSIVE CARE UNITS OF SELECTED GOVERNMENTAL HOSPITALS IN SIDAMA REGION, ETHIOPIA, 2023
    (hawassa universty, 2023-11) BIRHANU MULETA BAYECHA
    Background: Intensive care ismultidisciplinary and inter-professional specialty dedicated to the total management of patients with acute life-threatening conditions. Patientsadmitted to the intensive care unit need frequent assessments of their vital signs, invasive hemodynamic monitoring, intravenous drugs and fluid management, ventilatory assistance, and dietary support. The overall goal is to increase the patient chance of survival.In resource-limited settings, mortality is still higher due to various reasons. Objective:To assess admissionoutcomes, andassociated factors of adults admitted to intensive care units of selected governmental hospitals in theSidama region, Ethiopia, 2023. Materials and methods: After obtaining ethical clearance,a cross-sectional study was conducted on 401adult patients admitted to ICUfromMarch 2020 to February 2023. Patient‘s chart was selected by systematic randomsampling; needed information was retrieved by a pretested data abstraction tool and analyzed with SPSS version 26.Furthermore,to support this study ICU director and/or chief nurse were surveyed regarding ICU characteristics.A binary and multivariable logistic regression was conducted to see if variables were associated with outcomes. Results: The emergency department was a common source of admission (65.4%) to the ICUs. Cardiovascular diseases107(27.4%) were common causes of ICU admission.The mortality rate was 39.5%.Patients who were within the 56-65(AOR=3.6, CI,1.130-11.408), and >65 (AOR=4.3,CI,1.125-16.625) age category, mechanically ventilated(AOR=4.3, CI,2.117-8.837), high serum creatinine (AOR=2.4, CI,1.186-4.668), lowsodium(AOR=2.6, CI,1.344-5.188), lowpotassium (AOR=2.1, CI, 1.038-4.097),anemicat admission (AOR= 3.6, CI,1.908-6.636), and supported with a vasopressor (AOR= 6.2, CI, 3.212-12.131)were at higher risk of mortality whereasthose treated in general hospitals (AOR=0.5, CI,0.239 0.950)were at lower risk of mortality. Conclusion and Recommendation: The overall mortality observed in this study was high. ICU to hospital bed ratio should be improved and clinicians should give due attention to patients who had these associated factors of mortality at admission.Overall there is a need to strengthen action to improve critical care services in the region.