Pattern of disease and determinants of mortality among ICU patients on mechanical ventilator in Sub-Saharan Africa: a multilevel analysis

The global mortality rate of patients with MV is very high, despite a significant variation worldwide. Previous studies conducted in Sub-Saharan Africa among ICU patients focused on the pattern of admission and the incidence of mortality. However, the body of evidence on the clinical outcomes among...

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Published in:Critical care (London, England) England), 2023-01, Vol.27 (1), p.37-37, Article 37
Main Authors: Abate, Semagn Mekonnen, Basu, Bivash, Jemal, Bedru, Ahmed, Siraj, Mantefardo, Bahru, Taye, Tagesse
Format: Article
Language:English
Subjects:
Africa South of the Sahara - epidemiology
Artificial respiration
Care and treatment
Critical care
Evidence-based medicine
Forecasts and trends
Hospital Mortality
Hospital patients
Humans
Intensive care
Intensive Care Units
Medical supplies
Methods
Mortality
Multilevel Analysis
Nosocomial infections
Patient outcomes
Respiration, Artificial - adverse effects
Retrospective Studies
Sociodemographics
Sub-Saharan Africa
Ventilators
Ventilators, Mechanical - adverse effects
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Summary:The global mortality rate of patients with MV is very high, despite a significant variation worldwide. Previous studies conducted in Sub-Saharan Africa among ICU patients focused on the pattern of admission and the incidence of mortality. However, the body of evidence on the clinical outcomes among patients with MV is still uncertain. The objective of this study was to investigate the pattern of disease and determinants of mortality among patients receiving mechanical ventilation in Southern Ethiopia. Six hundred and thirty patients on mechanical ventilation were followed for 28 days, and multilevel analysis was used to account for the clustering effect of ICU care in the region. The incidence of 28-day mortality among patients with MV was 49% (95% CI: 36-58). The multilevel multivariate analysis revealed that being diabetic, having GSC 
ISSN:1364-8535
1466-609X
1364-8535
1366-609X
DOI:10.1186/s13054-023-04316-w