Correlation Between Mortality Risk Factor and Death Rate of Icu Patient in H. Adam Malik Hospital in 2021

Authors : Alegra Rifani Masharto; Bastian Lubis; Sinta Irina

Volume/Issue : Volume 7 - 2022, Issue 6 - June

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The Intensive Care Unit (ICU) is a special unit for treating life-threatening patients, follow-up, and life support are maintained. Patients taken care of in the emergency department ICU (EDICU) had a higher death rate of 75.4% than in the general ICU of 20.4% (P < 0.001). ICU mortality had no significant difference (P= 0.54) between women (24.4%) and men (21.1%). However, women have a 30 day mortality rate that is higher than men (44.9% vs. 30.5%; P= 0.02). The mortality rates of patients in the ICU have been reported to vary in the literature study, between 20.5% and 43%, with the most common cause of death are sepsis, cardiac and pulmonary arrest, pneumonia, and arrhythmias. Methods: This research is analytical in nature with retrospective research methods with secondary data sources obtained from ICU medical records at the HAM Hospital for the period January 2021 - September 2021 Results:In the relationship between gender and the mortality of patients in the ICU from 100 patients studied, 13 female patients and 22 male patients died less than 48 hours, and patients who died in more than 48 hours consisted of 29 women and 36 males (p: 0.470). The relationship between causal diagnosis and mortality rate from 100 patients in the ICU was found that metabolic causes were the most common diagnosis, namely 12 people who died more than equal to 48 hours and 11 people who died less than 48 hours. Diagnosis of neurological causes was in second place, namely 17 people who died more than 48 hours and 6 people who died less than 48 hours. Tthe lowest causal diagnosis was hematologic origin with a total of 1 person who died more than equal to 48 hours (p: 0.426). Conclusion:Based on the results, there are no variables that have a significant effect because all variables have a p-value of more than alpha (0.05). However, if we look at the p-value, the order of variables that are close to significant are APACHE scores, anemia, platelets, SOFA scores, delay in ICU admission, blood glucose levels, body mass index, and finally age


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