STUDY OF OUTCOME IN PATIENTS ON MECHANICAL VENTILATOR IN A TERTIARY CARE MEDICAL ICU
John Dany P., Aundhakar Swati C.*, Mandade Arjun, Yadav Subhash, Roy Swetabh, Kinge Amol D.
Background: Critical care medicine is a complex, multidisciplinary specialty, designed to benefit all patients with a variety of critical illnesses. Patients admitted to the ICU need aggressive supportive management as well as detailed investigations to reverse the causal factors. Early initiation of an appropriately effective antimicrobial therapy is essential for a favorable outcome in a patient with sepsis. Materials and methods: It was a Prospective Observational Study conducted among 100 cases above the age of 15 who got intubated in a tertiary care Medical ICU in their course of hospital stay during the course of January 2016 to June 2017. Results: In the present study we found that the mortality rate was 44% among male and 68% among females, Significantly higher proportion of females after 48 hrs of admission with SOFA score above 6 (96%) had expired when compared to females with SOFA score between 0-6 (27%) (p value = <0.001). Conclusions: In the present study, the SOFA score demonstrated fair to good accuracy for predicting in hospital mortality when applied to patients on mechanical ventilators for more than 24 hours.[Full Text Article]