Prospective Analysis of Post-Operative Admissions in the Intensive Care Unit of a Tertiary Care Hospital
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Date
2020-03
Journal Title
Journal ISSN
Volume Title
Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: The Intensive Care Unit (ICU) is a special unitprimarily concerned with the care of patients with acute,recoverable, life- threatening, critical illness and injuries, whichrequire constant close monitoring and support. ICU servicesare expensive and limited resources require stratification ofpatients. The present prospective study was undertaken toevaluate the post-operative admissions in the intensive careunit of a tertiary care hospital.Materials and Methods: Present study was conducted toevaluate all the post-operative admission in the Intensive CareUnit for a period of one year (Nov 2013 and Nov 2014). Allpost-operative patients were divided into three groups: Group 1– Informed Admissions, Group 2 – Uninformed Admissions,Group 3 – Post surgical Admissions. At the time of admissionto ICU, the following data were noted: demographic data, initialdiagnosis, vital parameters, pre-operative and peri-operativevariables were collected from patient’s case sheet andanaesthesia case sheet. Additionally, various hemodyanamicsvariables, duration of stay at ICU and outcome of the patientswere noted. All the statistical analysis was performed usingSPSS version 20. A p value of <0.05 was consideredsignificant.Results: The present study is a prospective evaluation studyconducted on 341 patients who were admitted in the ICU of atertiary care hospital from the operating room. On the basis ofgender distribution more males were admitted in the ICU(61.6% in compare to 38.4% females) among the total ICUadmissions within a year. For hemoglobin percentage inplanned admissions and in unplanned admission was notsignificant with P-value of<0.001. The average duration ofanaesthesia is more in planned admissions of total postoperative ICU admissions. This was not significant with P-valueof< 0.001. In planned admission to ICU, males are 47.2%,females 29.0%, in unplanned admissions male are 14.4%,female 8.8 % and in emergency condition males are 0.0%,females 0.6%. This was significant with P-value of>0.001. Thepost-operative Oxygen desaturation was not significant with Pvalue of <0.001. The post-operative admissions were notsignificant with P-value of <0.001. The total post-operative ICUadmissions were able to sustain head for more than 5 sec. Thiswas not significant with P-value of <0.001. The post-operativeICU admissions had hypotension was not significant with Pvalue of <0.001. In post-operative ICU admissions, tachycardiain was not significant with P-value of <0.001. Maximum numberof hospital stay was 2-4 days of total post-operative ICUadmissions. And minimum days for ICU stay was > 7 days Thiswas significant with P-value of >0.001.Conclusion: It was observed that the unplanned admission toICU rates in thiscentre was 0.40%. The predominant reasonsfor unplanned post-operative admissions to ICU were intraoperative complications. Nearly 50% of admissions were purelyfor monitoring and observation. Early recognition ofcomplications, timely intervention and timely intensive care andmonitoring are essential to improve outcomes.
Description
Keywords
Post-Surgical Admissions, Intensive Care Unit, Post-Operative
Citation
Bansal Bharat Kumar, Deval Narendra Singh, Bedi Vikram. Prospective Analysis of Post-Operative Admissions in the Intensive Care Unit of a Tertiary Care Hospital. International Journal of Medical Research Professionals. 2020 Mar; 6(2): 103-107