alexa Predictors Of Outcome In Surgical ICU Patients
ISSN: 2161-1076

Surgery: Current Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

2nd International Conference on Surgery and Anesthesia
September 16-18, 2013 Hampton Inn Tropicana, Las Vegas, NV, USA

Sana Nasim
ScientificTracks Abstracts: Surgery Curr Res
DOI: 10.4172/2161-1076.S1.012
Abstract
Objective: Our purpose is to evaluate and assess the morbidity and mortality of the surgical ICU patients and identify predictors and parameters that affect their outcome (i.e. mortality). Evaluate the predictive ability of APACHE II score for prognostication in our patient population. Methods: All adult patients admitted in surgical ICU (General Surgery) were included in the study. Retrospective review of files from January 2009 to Dec 2011 was maintained by Department of Health Information and Management, retrieved by ICD-9 coding. Data was entered and analyzed on SPSS 19. Results: A total of 157 patients were reviewed. 74% of the study population were male (n=116) and 26% (n=41) were female. The most common mode of admission was through emergency (57% n=91) and highest number of patients were in ASA IV category 30% (n=47). 26% (n=40) of them were trauma cases, out of them 18% were penetrating and rest were blunt (8%, n=13). 91(57%) of them underwent emergency surgery. Mean hospital course of 15?10 days. Overall morbidity was 63%. Surgical morbidity was seen in 20% of the patients, while non-surgical morbidity was observed in 54% of our patient population. Acinetobacter 17% (n=27) was the most common nosocomial infection followed by Pseudomonas 14% (n=22). Our in-hospital mortality was 43% (n=68) with an ICU mortality of 35% (n=55). Mean APACHE score of the patients in ICU was 23. Multi-variate analysis showed male gender, APACHE score, presence of sepsis and acute renal failure as an independent predictor of mortality in surgical ICU patients. Conclusion: Mortality is significantly higher as compared to an international institution, with a slightly higher morbidity rates. Few significant, independent risk factors of poor outcome were identified. An attempt to provide objective probability and prognostic score estimates for critically ill hospitalized patients treated in ICUs. Prospective Studies in larger, more heterogeneous ICU patient populations are needed to confirm our observation.
Biography
Sana Nasim has completed her Residency in General Surgery from The Aga Khan University Hospital, a tertiary care hospital in Karachi, Pakistan in 2012. She is presently working as an Instructor in General Surgery. She has interest in Surgical Oncology and Trauma. She has been actively publishing articles during her training period and medical school. She has successfully completed her local board exam and MRCS (Glasgow) in 2012 and 2010 respectively.
image PDF   |   image HTML
 

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

bio[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version