Assessment Of Patterns Of Admission Outcomes And Associated Factors Of Patients Admitted In Adult Intensive Care Units Of Dilla University Referral Hospital Dilla Southern Ethiopia 2020.

Background: Patients are more advantageous from detailed observation, monitoring andrntreatment than the generally available in the standard ward or department. The most commonrncauses of admission to intensive care unit (ICU) are postoperative treatment, infectious disease,rntrauma and obstetric complication. Study done in Ethiopia shows that mortality rate in the ICUrnwas found to be high and diseases of cardiovascular origin were the major reason for ICUrnadmission and death. The objective of this study was to assess pattern of admission, outcomesrnand associated factors of patients admitted in ICU of DURH, Dilla, Southern Ethiopia, from Mayrn4 to 14/ 2020. rnMETHOD: A retrospective study was conducted on 252 adult patients who admitted in ICUrnfrom august, 2017 to January 2020. Data was collected by using data extraction tool from theirrnmedical records. The study participants’ cards were selected using systematic random samplingrnmethod using a list of their medical record numbers. The collected data was checkedrncompleteness and consistence. The coded data was checked and entered into EPI data version 4.6.rnThen the data exported into statistical package for social science (SPSS) version 25 for datarnanalysis. Binary and multivariate logistic regression analysis was conducted to identify factorsrnsignificantly associated with outcome variables rnResults: Cardiovascular origin 86(34.1%) and infectious disease 39(15.5%) were the mostrncommon causes of admission in the ICU. Mortality rate of adult ICU was 77(30.6%). The mainrncauses of deaths were shock 23(29.9%) followed by acute respiratory distress syndrome (ARDS)rn9(11.7%). Age greater than 60 years, peripheral oxygen saturation less than 90%, length of stayrnless than four days in the ICU, patients with mental status of lethargic and unconsciousness werernat high risk of mortality among patients admitted to ICUrnConclusion and Recommendation: in this study, the overall mortality was considerably high.rnThis finding gives hint the importance of focusing on early detection of cause and criticallyrnfollow patients admitted with shock, congested heart failure and acute respiratory distressrnsyndrome (ARDS). Therefore, strengthen action to improve the readiness of health care to respond to these non-communicable diseases. Health professional working in the ICU should follow patients strictly and early referee for critical cases.

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