Factors associated with hospital mortality in patients admitted to the intensive care unit in Colombia

Dennis, RJ; Perez, A; Rowan, K; Londono, D; Metcalfe, A; Gomez, C; McPherson, K; (2002) Factors associated with hospital mortality in patients admitted to the intensive care unit in Colombia. Archivos de bronconeumologia, 38 (3). pp. 117-22. ISSN 0300-2896 DOI: https://doi.org/10.1016/S0300-2896(02)75168-5

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OBJECTIVES: To describe the demographic features, reasons for hospital admission and factors associated with hospital mortality in patients admitted to intensive care in Colombia. METHOD: A cohort study of patients admitted to intensive care units (ICUs). Of 89 ICUs identified in Colombia, 20 in ten cities were invited to gather information on 200 consecutive patients admitted to each ICU. RESULTS: Three thousand sixty-six patient cases were available for analysis. The mean age was 53 years and 43% were women (men vs. women, p < 0.001). The most frequent cause of admission was medical (63.9%), acute myocardial infarction patients (7.1%) comprising the largest group. Severity of disease measured as APACHE II and III was a mean 14.0 (SD 6.9) and 48.3 (SD 23.5), respectively. Multivariate analysis, independent of adjustment for severity (APACHE II or III), showed that the factors associated with hospital death were the need for mechanical ventilation, pupillary response, transfer from a medical ward, and management by the ICU team prior to admission (p < 0.01). CONCLUSION: The most common reason for admission to an ICU in Colombia was myocardial infarction. Besides severity of disease, other variables related to medical care in Colombia are associated with hospital mortality, such as invasive ventilation. Although these variables may be artifacts related to disease severity, they are more likely to be related to quality of care.

Item Type: Article
Keywords: intensive care, invasive ventilation, APACHE, mortality, prediction, Society apache-ii, prognostic prediction, case-mix, multicenter, advantages, outcomes, survival, britain, ireland, system, APACHE, Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Colombia, Comparative Study, Data Interpretation, Statistical, English Abstract, Female, Hospital Mortality, Human, Intensive Care Units, standards, Male, Middle Age, Multivariate Analysis, Probability, Prognosis, Quality of Health Care, Questionnaires
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 11900688
Web of Science ID: 174880800004
URI: http://researchonline.lshtm.ac.uk/id/eprint/16827


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