Cross Sectional Study On Mortality And Associated Factors In The Adult Icu Of Myungsung Christian Medical Center A Private Hospital In Addis Ababa Ethiopia

Background: Intensive Care Unit (ICU) is a special department of a tertiary hospital for patients rnwith the most severe and life-threatening conditions. Critical care is a major challenge in rndeveloping countries where health needs often outstrip available resources. In these countries rnmost of the critical health care facilities are still in their primordial stages of development. The rnmortality rate of patients admitted to the ICU is higher in Ethiopia than developed countries. rnThere are no published data on mortality in ICU of private hospitals in Ethiopia. rnObjectives: The objective of this study was to identify mortality and its associated factors in rnMyungsung Christian Medical Center, a private hospital in Addis Ababa Ethiopia. rnMethods: A cross sectional study of adult patients admitted to the ICU at MCMC from January rn2018 to December 2019 was conducted. There were a total of 743 patients in the study period. 47 rnpatients were excluded due to incomplete outcome data and unavailable charts. 37 (10% of rnsample size) patients were used for the pilot study to prepare structured checklist. 366 final rnsample size was selected by simple random sampling. Data collectors were trained about the rnstudy. Data entry was done using EpiData software and exported to SPSS for data cleaning and rnstatistical data analysis. Summary statistics, descriptive and analytic statistical procedures were rnperformed. Ethical clearance was obtained from the Emergency Medicine and Critical Care rndepartment. A formal permission letter was taken to Myungsung Christian Medical Center and rnpermission was granted. rnResults: Out of 366 patients 220 (60.1%) were males and 144 (39.3%) were between the age of rn36 – 60 years with a mean age of 50±19.18 years. Sepsis (24.3%), Stroke (16.1%) and Trauma rn(14.5%) were the leading causes of admission. 39% had Cancer, 34% had Hypertension and rn21.9% had more than one chronic illness. 46.7% of the patients required mechanical ventilator and 22.1% required vasopressors. From the 366 patients, 231 (63.1%) were transferred to ward, rn105(28.6%) died, and 16(4.3%) were referred to another hospital. In bivariate logistic regression rnage of the patients (>60 years) (COR: 3.54 95% CI: 1.87, 6.68; P< 0.001), those with medical rnillness (COR: 2.21 95% CI: 1.35, 3.63 P=0.002), shock (COR: 4.61 95% CI: 2.63, 8.08; rnP

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