Causes and Length of hospitalization of Patients and Cost and Mortality Rate in an Intensive Care Unit Download PDF

Introduction: To determine causes for hospitalization and mortality is the most important indicator in evaluating the abilities of the medical intensive care unit of the hospital. This information can be used to organize health status and reduce the mortality rate. Method: In this study, data of 1973 patients who had been hospitalized in Imam Khomeini hospital in intensive care units were collected through hospital information system and patient’s records held in the archives were analyzed using SPSS software. Results: Of 1973 patients, 1193 patients (60.5%) were male and 780 (39.5%) were female. The mean (SD) age of the patients was 55.27 ± 23.67 years, (53. 99 ± 24.18) for males and (57. 23 ± 22.74) for females. The highest frequency for normal discharge outcome in the studied patients was obtained in 1391 patients (70.5%) and mortality outcome in 533 patients (27%) had the next highest frequency, and only 49 patients (2.5%) were discharged from the intensive care unit with personal satisfaction. Mean ± SD length of hospitalization in the intensive care unit of the patients was 11. 36 ± 21.24 days; the maximum length of stay was 228 days and the minimum length of stay was less than one day. Conclusion: The respiratory insufficiency (failure) is the most common cause of death in hospitalized patients in more than 48 hours in the intensive care unit. In the present study, the mortality rate was reported 27%. Also, of those who died, 60.5% were male and 39.5% were female.