Outcome of a semi-closed mixed intensive care unit in a medical college: A prospective observational study

Authors

  • Niraj Kumar Keyal Department of General Practice & Emergency Medicine - Critical Care Medicine Unit, National Medical College and Teaching Hospital, Birgunj, Nepal
  • Jeetendra Kumar Mishra Department of Cardiology, National Medical College and Teaching Hospital, Birgunj, Nepal
  • Rupesh Mahato Department of Anesthesia, National Medical College and Teaching Hospital, Birgunj, Nepal
  • Gaurav Gupta Department of Orthopedics, National Medical College and Teaching Hospital, Birgunj, Nepal
  • Ujjawal Shah Kanu Department of General Practice & Emergency Medicine - Critical Care Medicine Unit, National Medical College and Teaching Hospital, Birgunj, Nepal
  • Suchitra Gupta Department of General Practice & Emergency Medicine - Critical Care Medicine Unit, National Medical College and Teaching Hospital, Birgunj, Nepal
  • Sachit Sharma Department of Critical Care Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jnsccm.v3i1.73501

Keywords:

developing country, intensive care unit, mortality

Abstract

Background and aims: The patients with the most severe illnesses are admitted in intensive care unit (ICU). This study was conducted to explore the outcome of patients admitted to the intensivist led semi-closed mixed ICU of a medical college in Nepal.

Methods: Five hundred and forty-two patients with age 18 years or above, admitted to the level three ICU of National Medical College over one year period was included in the study. The outcome of the patient was defined as discharge to ward, death, leave against medical advice, or do not resuscitate.

Results: Out of 542 patients admitted in the ICU during the study period, 444 (82%) patients were discharged to the ward, 63 (12%) died, 24 (4%) left against medical advice and 11 (2%) gave do not resuscitate orders. Mortality in intubated and trauma patients was 25.0% and 4.7% respectively.

Conclusion: This study shows favourable results in terms of patient outcome in an intensivist led semi-closed mixed ICU of a medical college in Nepal.

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Published

2025-01-06

How to Cite

Keyal, N. K., Mishra, J. K., Mahato, R., Gupta, G., Kanu, U. S., Gupta, S., & Sharma, S. (2025). Outcome of a semi-closed mixed intensive care unit in a medical college: A prospective observational study. Journal of Nepalese Society of Critical Care Medicine, 3(1), 11–16. https://doi.org/10.3126/jnsccm.v3i1.73501

Issue

Vol. 3 No. 1 (2025)

Section

Original Articles

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