FOCUS of Study: Time of Admission to ICU and Outcome
Conditions
Brief summary
An intensive care unit (ICU) is a specialized unit within the hospital where patients who need immediate medical attention are admitted both during office hours and off hours.1 Literatures report reduced working efficiency because of long working hours, unavailability of 24/7 intensivist staffing and the absence of the same level of hospital services like laboratory investigations during off hours affecting outcome of the patients. 2-6 High intensity staffing model and shorter workhours can improve the outcome.7 However, these are not always feasible in ICUs of low and middle income countries like Nepal. Any variations in outcome depending upon time of ICU admission may impact the workforce planning, medical insurance, and healthcare policy. The aim of this study was to compare the outcomes of patients admitted to the ICU during office hours and off hours in terms of ICU mortality, duration of mechanical ventilation and length of stay.
Interventions
None listed
Sponsors
Tribhuvan University Teaching Hospital, Institute Of Medicine.
Study design
Observational model
OTHER
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Inclusion criteria
\- age \>= 16 years
Exclusion criteria
* Patient who were discharged on request, left against medical advice, had withdrawal of active life support
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ICU length of stay | Each patient will be followed till death or discharge alive from ICU whichever occurs earlier |
| days of mechanical ventilation | Each patient will be followed till death or liberation from Mechanical ventilation whichever occurs earlier |
| In ICU mortality | each patient will be followed till death or discharge from ICU whichever is earlier |
Countries
Nepal
Outcome results
None listed