Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
Patients at Intensive care unit (I.C.U) admitted from different hospital departments (Medical, surgical and obstetrics), with different presentations to the I.C.U., some of these cases need sophisticated management and some of them need just monitoring and supportive therapy.
OBJECTIVE:
To evaluate the cases in the I.C.U regarding the gender, age and smoking status, and to assess their clinical status and to predict their prognosis and outcome.
PATIENTS AND METHODS:
A cross-sectional study of 50 case from I.C.U of Baghdad Teaching Hospital. The period of patients' admission from first of January 2013 to 31 of December 2013. Patients 18 year of age and above (adults) were included in the study.
RESULTS:
From 50 case involved in the study, there was 29 (58%) male and 21 (42%) female, among 29 males there was 14 case (48.3%) survived and 15 case (51.7%) Died, while female 11 case (52.4%) survived and 10 cases (47.6%) died. The survival rate lower among smokers; male (25%), while non-smoker male was 64.7%, however the survival rate was higher (100%) for those with hypoxemia without respiratory failure, but patients (especially male cases) who received mechanical ventilation showed very low survival rate (37.5%) compared to those on oxygen therapy with survival rate (72.2%).
CONCLUSION:
Smoker patients showed lower survival than non- smokers. Patients who received mechanical ventilation showed very low survival rate in comparison with those on oxygen mask therapy.