The Pattern of Admission, Clinical Characteristics, and Outcomes Among Patients Admitted to the Intensive Care Unit of a Tertiary Hospital in Tanzania: A 5-Year Retrospective Review

• DOI: 10.2147/prom.s441293
• Publication Date: 2023-12-07T09:40:12Z
• Authors: Nadeem Kassam; Philip Adebayo; Iris Matei; Eric Aghan; Samina Somji; Samwel Kadelya; Yasson Abha; Frank Swai; Mangaro Mabusi; Kamran Hameed; Hanifa Mbithe; Alyyah Thawer; Mandela Makakala; Fatma Bakshi; Harrison Chuwa; Masolwa Ng'wanasayi; Casmir Wambura; Robert Mvungi; James Orwa; Munish Sharma; George Udeani; Salim Surani
• Keywords: Medical record

Introduction: Despite the implementation of complex interventions, ICU mortality remains high and more so in developing countries. The demand for critical care Sub-Saharan Africa is than ever before as region experiences a double burden rising rates non-communicable diseases (NCD) background battle combating infectious diseases. Limited studies Tanzania have reported varying factors associated with markedly mortality. Investigating crucial providing insights into effectiveness challenges delivery. Material Methods: A single-center retrospective study that reviewed records all medically admitted patients to Aga Khan Hospital, Dar-es-Salaam, from 1st October 2018 30th April 2023. To define population study, we used descriptive statistics. Patients’ outcomes were categorized based on survival. Binary logistic regression was run (at 95% CI p -value < 0.05) identify determinants Results: Medical 717 reviewed. cohort male (n=472,65.8%) African predominant (n=471,65.7%) median age 58 years (IQR 45.0– 71.0). 17.9% did not survive. highest noted amongst septic shock (29.3%). lowest survival requiring three organ support (n=12,2.1%). Advanced (OR 1.02,CI 1.00– 1.04), having underlying comorbidities 2.50,CI 1.96– 6.60), use inotropic 3.58,CI 1.89– 6.80) mechanical ventilation 9.11,CI 4.72– 18.11) showed association increased risk ICU. Conclusion: indicated much lower rate compared similar conducted other parts Africa. age, multiple Large multi-center are needed highlight true illness Tanzania. Keywords: care, Tanzania, mortality, epidemiological profile