Three Months Analysis of an Emergency Intensive Care Unit

Abstract

INTRODUCTION: The aim of this study was to determine the demographic characteristics of the patients followed in the Emergency Intensive Care Unit (EICU) of Kanuni Sultan Süleyman Training and Research Hospital. 

METHODS: Demographic characteristics such as age, gender and non-invasive mechanical ventilation / invasive mechanical ventilation (NIMV / IMV) requirements, mortality and morbidity rates between 24 November 2018-1March 2019 were examined retrospectively.EICU; is a 5-bed service and managed by an emergency doctor and 2 intensive care nurses for 24 hours.EICU works physically as a level 1 but functionally level 3. It is the first intensive care unit in Istanbul which is in the emergency department and managed by emergency specialists.

RESULTS: A total of 68 patients were included in the study. Of the patients 58.8% (n = 40) were male, 41.2% (n=28) were female and 17.6% (n=12) were foreign nationals.According to the diagnosis of EICU admission, 25.0% (n=17) pneumonia, 17.6% (n=12) cerebrovascular diseases (CVH), 13.2% (n=9) acute renal failure (ARF), 11.8% (n=8) trauma 10.3% (n=7) multiple organ failure syndrome,7.4% (n=5) malignancy, 5.9% (n=4) gastrointestinal bleeding, while 2.9% (n=2) were listed as other reasons.41.2% (n=28) of the patients were followed as intubated,58.8% (n=40) were followed as extubated.The mean day of stay of patients in intensive care unit was 5.9 days.

DISCUSSION AND CONCLUSION: This three-month intensive care experience showed that the rate of complications and mortality was similar to the literature and the quality of patient management was similar to the third level intensive care services.EICU’s can be considered as a solution where intensive care is needed.

Keywords

• Emergency Intensive Care Unit,Emergency Medicine,Ministry of Health,Emergency Medical Services,Mortality

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