Retrospective review of disease patterns and outcomes of patients admitted in Medical Intensive Care Unit (MICU) of Government Medical College and Hospital, Srinagar (Uttarakhand)

The intensive care unit (ICU) is a health care delivery service for patients who are critical with potentially recoverable diseases. They can benefit from more detailed observation, monitoring, and treatment than is generally available in the standard lying-in ward or department. It becomes important to audit admissions and their outcome with the aim of modifying practices if necessary following thorough introspection, leading to better patient outcomes.

To assess disease patterns and outcomes of admissions into the MICU of Government Medical College and Hospital, Srinagar (Uttarakhand).

A one-year retrospective study from January 2014 to December 2014 reviewed the admissions into the MICU of Government Medical College and Hospital, Srinagar. ICU records of all admissions, referred, discharges, and deaths were utilized for the purpose of this study. Statistical analysis was done using the Statistical Package for Scientific Solutions (SPSS) version 22.0.

A total of 1109 patients (633 males and 476 females) were admitted into the MICU. Maximum Number of Patients (41.8%) admitted was in the age group of ≥ 60 years. The overall mortality rate was 9.7%.

The leading cause of admissions in MICU was found to be cardiovascular, respiratory and neurological conditions. An effective ICU goes a long way in reducing mortality and morbidity and greatly facilitates the care of critically ill patients giving desirable outcome. Statistical significant relationship was found among different age groups and length of stay in MICU with outcome following admission in MICU.