All Title Author
Keywords Abstract

Publish in OALib Journal
ISSN: 2333-9721
APC: Only $99


Characteristics of Adult Intensive Care Unit Patients at a University Hospital

DOI: 10.4236/oalib.1109891, PP. 1-15

Subject Areas: Nutrition, Nursing

Keywords: Intensive Care Unit (ICU), ICU Patients, Characteristics, Outcome

Full-Text   Cite this paper   Add to My Lib


Intensive Care Unit (ICU) is an advanced service available in hospitals for potentially recoverable patients who have acute life-threatening single or multiple organ system failure due to disease or injury. The aim of this study is to explore the characteristics of adult ICU patients at a university Hospital in Bangladesh. A descriptive study design was carried out to conduct this study. Data were collected from 112 conveniently selected ICU patients, by observing their medical documents and interviewing patients’ attendants. The findings of this study showed that the mean age of the recruited ICU patients was 55.82 ± 19.185 years. Most of the participants were male 63.4%, Muslims 89.3%, and married 84.8%. The most common co-morbidities were DM 49.1%, HTN 47.3% and CKD 33.0%. Among the ICU patient, 50.9% was unconscious and 60.7% of patients were in mechanical ventilation. The health related characteristics such as systolic blood pressure, diastolic blood pressure, serum electrolytes, arterial blood gas analysis, etc were at the normal limit and the most common ICU related complication was septicemia 15.2%, and aspiration pneumonia 18.8%. The average length of stay in ICU was 7.73 ± 8.782 days. The outcome characteristics of ICU patients were death at 49.1% and live was 50.9%. ICU is an important component of tertiary care hospital that admits patients with severe and life-threatening conditions. This study findings show that the elderly population with DM, HTN and CKD are frequently admitted in the ICU and have been suffering from multiple ICU related complications and challenges.

Cite this paper

Siddika, N. , Anowar, M. N. , Islam, M. S. and Mallick, D. R. (2023). Characteristics of Adult Intensive Care Unit Patients at a University Hospital. Open Access Library Journal, 10, e9891. doi:


[1]  World Federation of Societies of Intensive and Critical Care Medicine (2016) Promoting the Highest Standards of Intensive and Critical Care Medicine for All Humankind, without Discrimination.
[2]  Aygencel, G. and Turkoglu, M. (2011) Characteristics, Outcomes and Costs of Prolonged Stay ICU Patients: Yogun bakimda uzun yatan hastalarin ozellikleri, sonuclari ve maliyetleri. Dahili ve Cerrahi Bilimler Yogun Bakim Dergisi. Journal of Medical and Surgical Intensive Care Medicine, 1, 53-59.
[3]  Garland, A., Olafson, K., Ramsey, C.D., Yogendran, M. and Fransoo, R. (2013) Epidemiology of Critically Ill Patients in Intensive Care Units: A Population-Based Observational Study. Critical Care, 17, Article No. R212.
[4]  Bauchmuller, K. and Faulds, M.C. (2015) Care of the Critically Ill Patient. Surgery, 33, 65-71.
[5]  Marshall, J.C., Bosco, L., Adhikari, N.K., Connolly, B., Diaz, J.V., Dorman, T., Fowler, R.A., Meyfroidt, G., Nakagawa, S., Pelosi, P. and Vincent, J.L. (2017) What Is an Intensive Care Unit? A report of the Task Force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care, 37, 270-276.
[6]  Dünser, M.W., Towey, R.M., Amito, J. and Mer, M. (2017) Intensive Care Medicine in Rural Sub-Saharan Africa. Anaesthesia, 72, 181-189.
[7]  Karim, M.Z., Hansen, E.L., Ahmad, B.U. and Lahiry, S. (2009) A Retrospective Study of Illness and Admission Pattern of Emergency Patients Utilizing a Corporate Hospital in Dhaka, Bangladesh: 2006-2008. The Orion, 32, 1-7.
[8]  Becker, S., Müller, J., de Heer, G., Braune, S., Fuhrmann, V. and Kluge, S. (2015) Clinical Characteristics and Outcome of Very Elderly Patients ≥90 Years in Intensive Care: A Retrospective Observational Study. Annals of Intensive Care, 5, Article No. 53.
[9]  Hossain, M.D. and Al Maruf, A. (2013) An Analysis of 1255 ICU Patients at a Tertiary Military Hospital. Bangladesh Critical Care Journal, 1, 40-44.
[10]  Bagshaw, S.M., Webb, S.A., Delaney, A., George, C., Pilcher, D., Hart, G.K. and Bellomo, R. (2009) Very Old Patients Admitted to Intensive Care in Australia and New Zealand: A Multi-Centre Cohort Analysis. Critical Care, 13, Article No. R45.
[11]  Nielsson, M.S., Christiansen, C.F., Johansen, M.B., Rasmussen, B.S., Tønnesen, E. and Nørgaard, M. (2014) Mortality in Elderly ICU Patients: A Cohort Study. Acta Anaesthesiologica Scandinavica, 58, 19-26.
[12]  Wunsch, H., Linde-Zwirble, W.T., Harrison, D.A., Barnato, A.E., Rowan, K.M. and Angus, D.C. (2009) Use of Intensive Care Services during Terminal Hospitalizations in England and the United States. American Journal of Respiratory and Critical Care Medicine, 180, 875-880.
[13]  Larsson, E., Zettersten, E., Jäderling, G., Ohlsson, A. and Bell, M. (2015) The Influence of Gender on ICU Admittance. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 23, Article No. 108.
[14]  Banck, M., Walther, S., Karlström, G., Nolin, T., Sjöberg, F. and Samuelsson, C. (2014) There Are More Male Than Female Patients within Intensive Care. But It Is Still Unclear Whether There Are Gender Inequalities in Swedish Intensive Care or Not. Lakartidningen, 111, 388-390.
[15]  Valentin, A., Jordan, B., Lang, T., Hiesmayr, M. and Metnitz, P.G. (2003) Gender-Related Differences in Intensive Care: A Multiple-Center Cohort Study of Therapeutic Interventions and Outcome in Critically Ill Patients. Critical Care Medicine, 31, 1901-1907.
[16]  Ali, S.M., Memon, M.I., Pasha, T.M., Gilani, S.M., Rabbi, F., Nasim, S. and Waqar, S.H. (2017) Patterns of Admission in Intensive Care Unit of Tertiary Care Hospital. Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University, 13, 281-284.
[17]  van Walraven, C. (2013) Trends in 1-Year Survival of People Admitted to Hospital in Ontario, 1994-2009. CMAJ, 185, E755-E762.
[18]  Reardon, P.M., Fernando, S.M., Van Katwyk, S., Thavorn, K., Kobewka, D., Tanuseputro, P., Rosenberg, E., Wan, C., Vanderspank-Wright, B., Kubelik, D. and Devlin, R.A. (2018) Characteristics, Outcomes, and Cost Patterns of High-Cost Patients in the Intensive Care Unit. Critical Care Research and Practice, 2018, Article ID: 5452683.
[19]  Putignano, D., Di Maio, F.F., Orlando, V., De Nicola, A. and Menditto, E. (2014) Cost Analysis of an Intensive Care Unit. Journal of Pharmacy and Pharmacology, 2, 501-507.
[20]  Kress, J.P., Gehlbach, B., Lacy, M., Pliskin, N., Pohlman, A.S. and Hall, J.B. (2003) The Long-Term Psychological Effects of Daily Sedative Interruption on Critically Ill Patients. American Journal of Respiratory and Critical Care Medicine, 168, 1457-1461.
[21]  Jeitziner, M.M., Hantikainen, V., Conca, A. and Hamers, J.P. (2011) Long-Term Consequences of an Intensive Care Unit Stay in Older Critically Ill Patients: Design of a Longitudinal Study. BMC Geriatrics, 11, Article No. 52.
[22]  James, N.J., Hussain, R., Moonie, A., Richardson, D. and Waring, W.S. (2012) Patterns of Admissions in an Acute Medical Unit: Priorities for Service Development and Education. Acute Medicine Journal, 11, 57-124.
[23]  Kwizera, A., Dünser, M. and Nakibuuka, J. (2012) National Intensive Care Unit Bed Capacity and ICU Patient Characteristics in a Low Income Country. BMC Research Notes, 5, Article No. 475.
[24]  Al-Dorzi, H.M., Tamim, H.M., Mundekkadan, S., Sohail, M.R. and Arabi, Y.M. (2014) Characteristics, Management and Outcomes of Critically Ill Patients Who Are 80 Years and Older: A Retrospective Comparative Cohort Study. BMC Anesthesiology, 14, Article No. 126.
[25]  UNICEF (2009) Bangladesh Bureau of Statistics. Bangladesh Drinking Water Quality Survey.
[26]  Faruq, M.O., Mahmud, M.R., Begum, T., Ahsan, A.A., Fatema, K., Ahmed, F. and Karim, M.R. (2013) A Comparison of Severity Systems APACHE II and SAPS II in Critically Ill Patients. Bangladesh Critical Care Journal, 1, 27-32.
[27]  Nath, J.D. and Sharifi, M.H. (2016) Status of Ocular Complications in Type 2 Diabetes and Relationship between Other Comorbidities. Chattagram Maa-O-Shishu Hospital Medical College Journal, 15, 35-39.
[28]  Mitra, A.R. and Janjua, I. (2010) Diabetes in South Asians: Etiology and the Complexities of Care. UBC Medical Journal, 2, 20-23.
[29]  Fatema, K., Faruq, M.O., Ahsan, A.A. and Ahmed, F. (2014) Patterns of AKI Patients Requiring Sustained Low Efficiency Dialysis (SLED) Admitted in an ICU of Bangladesh. Bangladesh Critical Care Journal, 2, 68-70.
[30]  Islam, A.M. and Majumder, A.A. (2012) Hypertension in Bangladesh: A Review. Indian Heart Journal, 64, 319-323.


comments powered by Disqus

Contact Us