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The Admission Criteria for Intensive Care Unit and the Outcome in Wad-Medani Emergency Hospital, Gezira state, Sudan (2018)

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dc.contributor.author Ahmed, Reem Hamza Musa
dc.date.accessioned 2019-01-20T08:33:10Z
dc.date.available 2019-01-20T08:33:10Z
dc.date.issued 2018-11-06
dc.identifier.uri http://repo.uofg.edu.sd/handle/123456789/3309
dc.description A Dissertation Submitted to University of Gezira in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Sciences,In Anaesthesia& Intensive Care Department of Anaesthesia,Faculty of Applied Medical Sciences,2018 en_US
dc.description.abstract Appropriate utilization of Intensive Care Unit resources is an important issue as the nation struggles to contain health care expenditure, although the types and variety of Intensive Care Units may differ from hospital to hospital, all Intensive Care Units have the responsibility to provide services and personnel that insure optimal care to critically ill patients. This work examined the admission process to Intensive Care Unit, which currently lacks well defined admission criteria, that takes an important step towards addressing this issue. A major challenge that has impeded the progress of developing Intensive Care Unit admission standards is that the impact of Intensive Care Unit admission on patient outcomes has not been well quantified. The study aimed at assessing the admission criteria & evaluation of systems in the Intensive Care Unit of Emergency Hospital and their prognostic value and outcome, to identify the most common causes of admission, to determine the scores & relation with the prognosis, types of scores that used, and the outcome of patients admitted to the Intensive Care Unit. The prospective cross sectional study was conducted at the intensive care unit of Wadmedani Emergency Hospital, one hundred fifty patients was included in this study. The results revealed the largest percentage from patients co- morbidities were hypertensive, also the largest percentage that diagnosed in patients with respiratory system diseases is pulmonary embolism, central nervous system diseases is cerebral hemorrhage, gastrointestinal tract diseases is emergency laparotomy, and it confirmed that 76% of patients had poor prognosis & outcome. The study concluded that, the major causes of admission to the Intensive Care Unit due to respiratory system support & fluids therapy, unfortunately there is no any scoring systems that applied in this hospital, therefore there is a bad prognosis and outcome. Absent of application of standard format and scoring systems in the Intensive Care Unit is un accepted. Thus application of these systems is highly recommended to get good prognosis and outcome. en_US
dc.description.sponsorship Sami Adam Koko Main supervisor Hassan Ali Musa Co-supervisor en_US
dc.language.iso en en_US
dc.publisher University of Gezira en_US
dc.subject Care in ICU en_US
dc.subject pulmonary embolism en_US
dc.subject central nervous-diseases en_US
dc.subject cerebral hemorrhage en_US
dc.subject gastrointestinal tract-diseases en_US
dc.subject Care Unit en_US
dc.title The Admission Criteria for Intensive Care Unit and the Outcome in Wad-Medani Emergency Hospital, Gezira state, Sudan (2018) en_US
dc.type Thesis en_US

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