Causes of Admission And Clinical Outcomes Among Adult ICU Admitted Patients at Wollega University Referral Hospital

Background: Intensive care unit is a part of the hospital where critically ill patients who require advanced airway, respiratory, and hemodynamic unstable were usually admitted for continues monitoring and better outcome than if the patients were admitted to other wards of the hospital.Evaluation causes admission , causes of death and the outcomes of medical interventions will help to assess the efficacy of treatment, making it possible totake better decisions, to further improve quality of care, to standardize conduct, and to ensureeffective management of the high-level resources needed to deliver intensive care servicesthereby optimizing resource utilization. Objective: The objective of this study is to assess the causes of admission and clinical outcomes of patients admitted to Wollega University Referral Hospital adult intensive care unit from September 2017 to September 2019. Methodology: Retrospective review of ICU admitted patient's log books and clinical charts at Wollega University Referral Hospital adult Intensive Care Unitfrom September 2017 to September 2019. Result: A total of 496 of the patient charts were reviewed; 271 (54.6%) of the patients were males and 133(45.4%) were females, a male: female ratio of 1.2:1. The median age at admission was 34 years with interquartile of 25-34 years and Standard deviation of 16.2. Meningitis (10.7%), Bronchial Asthma (9.7%), CHF (8.5%), Stroke(8.1%)andEclampsia (7.3%) were the five commonest causes for ICU admission. The median length of ICU staywas two days and mortality rate of 29.0%. Conclusions: The mortality at the Adult intensive care unit was high (29.0%). Meningitis and Bronchial asthma were main causes for ICU admission while Multi organ failure, brain death and respiratory failure were the main causes of death.