presented of a retrospective audit of admissions to the Intensive Care Unit
(ICU) of Kamuzu Central Hospital in Lilongwe, Malawi, which is a tertiary
referral facility. The audit was conducted for a period of one year spanning
from January to December, 2012. The objectives of the audit were to: describe
the profile of admissions and treatment outcomes of the admissions and identify
main causes of mortality in ICU of the facility. The admission book and patients’
records were reviewed retrospectively guided by a data extraction form which
was specifically designed for this study. The extracted data included age, sex,
referring unit, diagnosis, treatment outcome and length of stay. The data were
analyzed using STATA version 10.0. A total of 253 patients were admitted to the
ICU over the one year period of study. About a third of the patients (33.6% n =
85) were admitted due to postoperative surgery. There were 154 deaths
representing an overall mortality of 60.9%. Sepsis was the commonest cause of
death and accounted for 39.6%, n = 61 of the deaths. Younger age of less than
40 years and increased patients’ length of stay in the unit were significantly
and positively associated with mortality (P < 0.05). The high mortality rates
among patients admitted to ICU reflects numerous challenges at various levels
of critical care service delivery in the country. There is therefore a need to
strengthen critical care services to improve treatment outcomes for patients
admitted to ICU of the facility.
Cite this paper
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, 583-589. doi: 10.4236/ojn.2014.48061
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