AFIA ARSHED DODHY
Aim: To audit the pattern of patients who were admitted in ICU of Lahore General Hospital with objective of modifying current practices, if required, preceding to better quality care and patient outcome. Study design: Retrospective clinical audit. Place & duration of study: Surgical ICU, Lahore General Hospital, November 2019 to November 2020. Methodology: All patients who were admitted form 1st November 2019 to 17 November 2020 in Surgical ICU Unit phase 3 were included in the study. The data was collected through ICU Price Registry and analysed through electronic medical record. Results: Study patterns reveal that mortality was highest in patients with gastrointestinal surgery/disease with 37.7%. The second most mortality was seen in patients with trauma having 20% mortality percentage. Average age of patient is 33 years with maximum patients in younger age group of 19 to 39 years. Majority of patients were admitted with gastrointestinal surgery with 18.9% followed by caesarean section, trauma and genitourinary surgery. Overall outcome at discharge shows mortality percentage was 21.5%.
Conclusion: Sepsis remains the main cause of mortality in surgical ICU of Lahore General Hospital and the quality care and outcome can be improved by early recognition, appropriate use of antibiotics and early surgical intervention following standard protocols. Keywords: Critical Care Unit, mortality, outcome, sepsis