Background
Methods
Results
Characteristic | Mean | Number | Percentages |
---|---|---|---|
Age (years) | 71.7 ± 6.1 | ||
65–74 years | 167 | 70.5 | |
75–84 years | 58 | 24.5 | |
Over 84 years | 12 | 5 | |
Gender | |||
Male | 167 | 70.5 | |
Female | 70 | 29.5 | |
Residency | |||
Urban | 159 | 67.1 | |
Rural area | 78 | 32.9 | |
Profession | |||
Retired | 48 | 32.6 | |
Housewife | 37 | 25.2 | |
Farmer | 31 | 21.1 | |
Public/Private service | 31 | 21.1 | |
Referral facilities | |||
District hospital | 107 | 45.1 | |
Regional hospital | 39 | 16.4 | |
Dispensary | 3 | 1.3 | |
Teaching hospital | 19 | 8 | |
Private Hospital | 69 | 29.1 |
Clinical characteristics | Mean | Number | Percentage |
---|---|---|---|
Reasons of admission (n = 237) | |||
ACSa | 133 | 56.1 | |
Shock | 78 | 32.9 | |
Thermal burns | 11 | 4.6 | |
ARDSb | 9 | 3.8 | |
Poor condition | 6 | 2.5 | |
Glasgow coma score (n = 214) | 9.6 ± 4.0 | ||
< 8 | 90 | 42.1 | |
8–14 | 78 | 36.4 | |
15 | 46 | 21.5 | |
Blood Pressure (n = 237) | |||
Systolic Pressure | 132.5 ± 36.6 | ||
Diastolic pressure | 78.1 ± 23.5 | ||
Hypertension | 124 | 52.3 | |
Hypotension | 35 | 14.7 | |
Temperature (n = 237) | 111 | 46.8 | |
Hyperthermia | |||
Hypothermia | 9 | 3.8 | |
ASAPS (n = 204) | 7.9 ± 3.5 |
Clinical data | Number | Percentage |
---|---|---|
Admission condition | ||
Medical condition | 183 | 77.2 |
Surgical condition | 54 | 22.8 |
Diseases | ||
Stroke | 65 | 27.4 |
Prostate tumor | 27 | 11.4 |
Sepsis | 26 | 10.9 |
Trauma/Burn | 25 | 10.5 |
Bowel obstruction | 13 | 5.5 |
Heart disease | 18 | 2.5 |
Diabetes Acute metabolic complications | 20 | 8.4 |
Kidney failure | 16 | 6.7 |
Othera | 27 | 11.4 |
Total | 237 | 100 |
Complications | ||
Sepsis | 25 | 10.5 |
Acute Respiratory Distress Syndrome | 38 | 42.7 |
Shock | 15 | 6.3 |
Coma | 19 | 21.3 |
Bed sores | 8 | 3.4 |
Acute pulmonary edema | 5 | 2.1 |
Pulmonary aspiration | 5 | 2.1 |
Pulmonary embolism | 1 | 0.4 |
Otherb | 5 | 2.1 |
Outcomes | ||
Death in ICU | 173 | 73 |
Transfer to other ward | 48 | 20.2 |
Hospital discharge with physician authorization | 10 | 4.2 |
Discharge without physician authorization | 6 | 2.5 |
Total | 237 | 100 |
Characteristics | All patients (N = 237) | Non-survivors (n = 173) | Survivors (n = 64) | p value |
---|---|---|---|---|
Age (Mean; years) | 71.7 ± 6.1 | 71.6 ± 5.9 | 72.1 ± 6.4 | 0.5 |
Age group (%) | ||||
65–74 | 167 (70.4) | 123 (73.6) | 44 (26.3) | 0.7 |
75–84 | 58 (24.5) | 42 (72.4) | 16 (27.6) | 0.9 |
85 above | 12 (5.1) | 8 (66.6) | 4 (33.3) | 0.6 |
Gender | ||||
Male (n = 167) | 167 (70.4) | 127 (76.05) | 40 (23.9) | 0.1 |
Female (n = 70) | 70 (29.6) | 46 (65.7) | 24 (34.3) | |
Reference specialty (%) | ||||
Emergency service | 134 (56.4) | 108 (80.6) | 26 (20.4) | 0.001 |
Medicine | 21 (8.8) | 14 (66.6) | 7(33.8) | 0.4 |
Surgery | 54 (22.8) | 49 (90.7) | 5(9.3) | 0.003 |
Reasons for admission | ||||
ACS | 133 (56.1) | 109 (81.9) | 24 (18) | < 0.001 |
Poor condition | 6 (2.5) | 3 (50) | 3 (50) | 0.3 |
Burn | 11 (4.6) | 7 (63.64) | 4 (36.4) | 0.4 |
ARDS | 9 (3.8) | 7 (77.7) | 2 (22.2) | 1 |
Shock | 78 (32.9) | 47 (60.3) | 31 (39.7) | 0.002 |
Charlson Score (Median) | 4.8 ± 1.8 | 4.6 ± 1.7 | 5.09 ± 2.04 | 0.12 |
≥ 8 | 20 (8.4) | 11 (55) | 9 (45) | 0.03 |
< 8 | 217 (91.6) | 103 (47.4) | 76 (52.6) | 0.4 |
Glasgow coma score (Mean valu) | 9.64 ± 4.01 | 8.9 ± 3.8 | 11.8 ± 3.6 | 0.03 |
< 8 | 42.06 | 69 (88.4) | 9 (11.5) | < 0.001 |
≥ 8 | 57.9 | 58 (68.2) | 76 (31.8) | |
ASAPS score (Mean) | 7.9 ± 3.5 | 8.6 ± 3.5 | 5.8 ± 2.6 | < 0.001 |
ASAPS ≥8 | 150 (87) | 13 | ||
ASAPS < 8 | 109 (63.5) | 36.6 | ||
Diagnosis | ||||
Stroke | 65 (27.4%) | 57 (87.69%) | 8 (12.31%) | 0.001 |
Peritonitis | 22 (9.3%) | 18 (81.82%) | 4 (18.18%) | 0.4 |
AMCDA | 20 (8.4%) | 10 (50%) | 10 (50%) | 0.01 |
SBTB | 19 (8%) | 18 (94.74%) | 1 (5.26%) | 0.02 |
Bowel obstruction | 13 (5.5%) | 7 (53.85%) | 6 (46.15%) | 0.1 |
Burn | 10 (4.2%) | 6 (60%) | 4 (40%) | 0.4 |
Severe infection | 10 (4.2%) | 8 (80%) | 2 (20%) | 0.7 |
Prostatic adenoma | 9 (3.8%) | 5 (55.56) | 4 (44.44) | 0.2 |
Heart disease | 6 (2.5%) | 4 (66.67%) | 2 (33.33%) | 0.6 |
Prostatic cancer | 5 (2.1%) | 1 (20%) | 4 (80%) | 0.01 |
Inguinal hernia | 5 (2.1%) | 3 (60%) | 2 (40%) | 0.6 |
OtherC | 53 (22.4%) | 36 (67.92%) | 17 (32.08%) | 0.1 |
Complications occurred in ICU | ||||
Yes = 89 | 89 (37.5%) | 80 (89.9%) | 9 (10.1%) | < 0.001 |
Non = 148 | 148 (62.5%) | 93 (62.8%) | 55 (37.2%) | |
Mechanical ventilation | 2 (0.8%) | 2 (100%) | 0 | Ki = 0.7 |
Length of stay in ICU (mean) | 5.3 ± 7.4 | 5.2 ± 8 | 5.5 ± 5.1 | 0.8 |
Variables | 65–74 years n = 167 (70.4%) | 75–84 years n = 58 (24.5%) | Over 84 years n = 12 (5.1%) | p value |
---|---|---|---|---|
Age (Mean; years) | 68.3 ± 2.8 | 78.2 ± 2.5 | 86.6 ± 1.6 | < 0.001 |
Gender | ||||
Male (n = 167) | 118 | 40 | 9 | 0.9 |
Female (n = 70) | 49 | 18 | 3 | |
Reasons for admission | ||||
ACS | 92 | 33 | 6 | 0.9 |
Poor condition | 68 | 26 | 5 | 0.6 |
Burn | 7 | 2 | 1 | 0.7 |
ARDS | 13 | 6 | 0 | 0.4 |
Shock | 11 | 4 | 2 | 0.4 |
Charlson Score (Median) | 4.5 | 5.1 | 6.3 | 0.001 |
≥ 8 | 12 | 5 | 3 | 0.1 |
< 8 | 155 | 53 | 9 | |
Glasgow coma score (mean) | 9.7 ± 4.02 | 9.4 ± 4.1 | 8.8 ± 3.5 | 0.6 |
< 8 | 12 | 5 | 3 | 0.1 |
≥ 8 | 155 | 53 | 9 | |
ASAPS score (Mean) | 7.9 ± 3.8 | 8.08 ± 2.9 | 8.1 ± 2.7 | 0.9 |
ASAPS ≥8 | 65 | 25 | 8 | 0.1 |
ASAPS < 8 | 77 | 22 | 4 | 0.4 |
Complications in ICU | 0.01 | |||
Yes = 89 | 65 | 19 | 5 | 0.6 |
Non = 148 | 102 | 39 | 7 | |
Mechanical ventilation | 2 | 0 | 0 | 0.6 |
Length of stay ICU (mean) | 5.3 ± 6.8 | 5.6 ± 9.2 | 2.7 ± 2.2 | 0.4 |
Death | 123 (73.6) | 42 (72.4) | 8 (66.6) | 0.2 |
Diagnosis | Adjusted OR (CI 95%) |
p
|
---|---|---|
Clinical situation | Reference | |
Surgery | 4.2 [2.4–10.3] | 0.003 |
Coma at admission | 2.9 [1.6–5.4] | 0.001 |
Coma in ICU | 5.8 [2.3–14.6] | |
Shock during admission | 2.2 [1.6–4.0] | 0.002 |
ASAPS ≥8 | 4.3 [1.1–8.5] | 0.001 |
Stroke | 3.7 [1.6–8.7] | 0.001 |
Severe brain trauma | 9.6 [1.2–75.1] | 0.02 |
Complications occurred in ICU | 0.001 | |
No | Reference | |
Yes | 5.2 [2.4–11.3] | 0.001 |
Discussion
Conclusion
Acknowledgements
Availability of data and materials
Authors’ information
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GS is a general practitioner,
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ML is a Anesthetist working at in Anesthesia and Intensive Care Unit at Regional Hospital of Koudougou,
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PB is an Assistant in Anesthesiology at the University PhD Joseph Ki-Zerbo.
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AS is an Assistant in Anesthesiology at the University PhD Joseph Ki-Zerbo
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RAFK, PhD, is a professor in Anesthesiology at the University PhD Joseph Ki-Zerbo.