INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT
El-Adawy, A., Khafagy, M., El Adawi, N., Bahgat, M., El-Gilany, A. (2022). INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT. EKB Journal Management System, 39(Special issue (Academic)), 52-62. doi: 10.21608/bmfj.2021.62776.1383
Abeer El-Ashry El-Adawy; Mohamed Azmy Khafagy; Noha Mohamed El Adawi; Monir Bahgat; Abdel-Hady El-Gilany. "INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT". EKB Journal Management System, 39, Special issue (Academic), 2022, 52-62. doi: 10.21608/bmfj.2021.62776.1383
El-Adawy, A., Khafagy, M., El Adawi, N., Bahgat, M., El-Gilany, A. (2022). 'INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT', EKB Journal Management System, 39(Special issue (Academic)), pp. 52-62. doi: 10.21608/bmfj.2021.62776.1383
El-Adawy, A., Khafagy, M., El Adawi, N., Bahgat, M., El-Gilany, A. INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT. EKB Journal Management System, 2022; 39(Special issue (Academic)): 52-62. doi: 10.21608/bmfj.2021.62776.1383

INTENSIVE CARE MORBIDITY AND MORTALITY AND THEIR ASSOCIATED FACTORS: A NATIONAL STUDY IN EGYPT

Benha Medical Journal
Article 179, Volume 39, Special issue (Academic), September and October 2022, Pages 52-62    PDF (591.48 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2021.62776.1383
Authors
Abeer El-Ashry El-Adawy* 1; Mohamed Azmy Khafagy2; Noha Mohamed El Adawi3; Monir Bahgat4; Abdel-Hady El-Gilany5
1Ministry Of Health & Population (MOHP). Preventive Sector. Communicable Disease Control Department.
2Department of Public Helth and Preventive Medicine-Faculty of Medicine-Mansoura University- Mansoura- Egypt
3Department of Public Health and Preventive Medicine- Faculty of Medicine- Mansoura University- Mansoura- Egypt
4Department of Internal Medicine-Faculty of Medicine-Mansoura University- Mansoura- Egypt
5Department of Public Health and Preventive Medicine-Faculty of Medicine-Mansoura University- Mansoura- Egypt
Abstract
Background: The patterns of comorbidity upon intensive care unit (ICU) admission and mortality upon discharge are not well-studied in Egypt. Aim: Therefore, this descriptive cross-sectional study aims to describe these patterns and to highlight their associated factors at the national level. Methods: The study enrolled 1132 ICU patients representing the seven Egyptian regions. Comorbidities were assessed by calculating Charlson comorbidity index (CCI) which was classified into low (≤6) and high (>6) CCI based on median value. Discharge data including condition at discharge were reported. Results:
Results revealed male to female percentage of 58.4% and 41.6%, median age of 58 years, rural to urban percentage of 60.3% and 39.7%. Overall mortality was 24% at discharge. The median ICU stay was two days ranging from 0 to 27 days. The most frequent diagnosis was acute myocardial infarction (28.8%). High CCI was 34.9%. Older patients (≥60 years), female patients, and patients with long ICU stay had 7.40-, 1.34-, and 1.91-times higher odds to have high CCI; respectively. Also, older patients (≥60 years), patients from urban areas, patients with short ICU stay, and patients with high CCI had 1.54-, 1.71-, 1.52- and 1.53-times higher odds to die in ICU; respectively. Conclusion: In conclusion, this study revealed a 24% ICU mortality which is related to old age, urban residency, short ICU stay, and high CCI.
Keywords
Intensive Care Unit (ICU); Charlson Comorbidity Index (CCI); Morbidity; Mortality
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