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ORIGINAL RESEARCH article

Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1370729
This article is part of the Research Topic Global Perioperative Care in Africa View all 7 articles

Incidence and predictors of mortality among patients admitted to adult intensive care unit at public hospitals in Western Ethiopia: A retrospective cohort study

Provisionally accepted
Fetene Kebede Fetene Kebede 1Getu Mosisa Getu Mosisa 2*Mekdes Tigistu Mekdes Tigistu 3
  • 1 Disease Prevention and Control Department, Jima Arjo District Health office, Oromia, Ethiopia, Arjo, Ethiopia
  • 2 Wollega University, Nekemte, Ethiopia
  • 3 Department of Public Health, Institutes of Health Sciences, Wollega University, Nekemte, Oromia Region, Ethiopia

The final, formatted version of the article will be published soon.

    In resource-constrained countries, the incidence of mortality among patients admitted to adult intensive care units is higher than that in developed countries, which has a physical, economic, and emotional impact on the lives of patients and their families. However, there is limited evidence on factors related to nursing care that can potentially contribute to predicting and reducing mortality rates in Intensive Care Units. Therefore, this study aimed to assess the incidence of mortality and its predictors in patients admitted to an adult intensive care unit.Methods: A retrospective cohort study was conducted among 403 patients admitted to the adult intensive care unit from January 1, 2021, to December 31, 2021. The collected data were entered into Epi Data Manager v4.6.0.6 and exported to SPSS version 24 for analysis. Binary logistic regression was used to identify the predictors of mortality. Variables with a p-value less than 0.25 in bivariable logistic regression were candidates for multivariable logistic regression. In multivariable analysis, a p-value < 0.05 was used to indicate a significant association. Finally, the Adjusted Relative Risk (RR) with 95% CI was calculated.Results: A total of 403 patients were included in the analysis. The cumulative incidence of death was 40.9% (95% CI 36%, 45.9%). Mortality was significantly associated with the need for mechanical ventilation; Adjusted RR=1.45;(95%CI 1.04,1.85), Glasgow coma scale score < 8; Adjusted RR 3.52; (95% CI 2.90, 4.05), presence of comorbidity; Adjusted RR 1.47; (95% CI;1.09, 1.83), length of stay in ICU < 24 hours; RR=1.84 (95%CI: 1.37, 2.04), oxygen saturation level, and FASTHUG treatment received were significantly associated with mortality.The study found a high incidence proportion of death. The need for mechanical ventilation, length of stay, comorbidity, and Glasgow coma scale score were significantly associated with mortality. Therefore, close monitoring and evaluation of patients are essential to improve treatment outcomes.

    Keywords: ICU, Mortality, Incidence, predictors, Western ethiopia

    Received: 15 Jan 2024; Accepted: 04 Nov 2024.

    Copyright: © 2024 Kebede, Mosisa and Tigistu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Getu Mosisa, Wollega University, Nekemte, Ethiopia

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