ICU-Managed Patients' Epidemiology, Characteristics, and Outcomes: A Retrospective Single-Center Study

Ahmed Muhammad Bashir; Marian Muse Osman; Hawa Nuradin Mohamed; Ifrah Adan Hilowle; Halima Abdulkadir Ahmed; Abdirahman Abdikadir Osman; Osman Abubakar Fiidow

doi:10.1155/2023/9388449

ICU-Managed Patients' Epidemiology, Characteristics, and Outcomes: A Retrospective Single-Center Study

Anesthesiol Res Pract. 2023 Jan 17:2023:9388449. doi: 10.1155/2023/9388449. eCollection 2023.

Authors

Ahmed Muhammad Bashir¹, Marian Muse Osman², Hawa Nuradin Mohamed¹, Ifrah Adan Hilowle³, Halima Abdulkadir Ahmed⁴, Abdirahman Abdikadir Osman¹, Osman Abubakar Fiidow^{5

6}

Affiliations

¹ Department of Internal Medicine, Mogadishu Somali Turkey Training and Research Hospital, Mogadishu, Somalia.
² Department of Research, National Institute of Health Somalia, Mogadishu, Somalia.
³ Department of Education, Mogadishu Somali Turkey Training and Research Hospital, Mogadishu, Somalia.
⁴ Department of Anesthesia, Mogadishu Somali Turkey Training and Research Hospital, Mogadishu, Somalia.
⁵ School of Public Health and Research, Somali National University, Mogadishu, Somalia.
⁶ Somali Center for Research and Consultancy, Mogadishu, Somalia.

Abstract

Background: Resources are limited, and it is exceedingly difficult to provide intensive care in developing nations. In Somalia, intensive care unit (ICU) care was introduced only a few years ago.

Purpose: In this study, we aimed to determine the epidemiology, characteristics, and outcome of ICU-managed patients in a tertiary hospital in Mogadishu.

Methods: We retrospectively evaluated the files of 1082 patients admitted to our ICU during the year 2021.

Results: The majority (39.7%) of the patients were adults (aged between 20 and 39 years), and 67.8% were male patients. The median ICU length of stay was three days (IQR = 5 days), and nonsurvivors had shorter stays, one day. The mortality rate was 45.1%. The demand for critical care services in low-income countries is high.

Conclusion: The country has a very low ICU bed capacity. Critical care remains a neglected area of health service delivery in this setting, with large numbers of patients with potentially treatable conditions not having access to such services.