2019, Number 3
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RIC 2019; 98 (3)
Influence of seasons of the year on morbidity and mortality profiles in an Intensive Care Unit
Elias SR, Elias AK, Lecourtois ML, Fong BYP, Columbié MR
Language: Spanish
References: 19
Page: 344-354
PDF size: 503.31 Kb.
ABSTRACT
Introduction: in the intensive care unit of the General Teaching
Hospital "Dr. Agostinho Neto" the influence of the seasons of the year on
the profile of morbidity and mortality has not been clarified.
Objective: to determine the influence of the variability of season of the year on the
morbidity and mortality profile of the ICU of the General Teaching
Hospital "Dr. Agostinho Neto" during the year 2018.
Method: a retrospective study was made of the total number of admitted patients
(n = 549) and a random sample of 365 patients was selected. The
variables studied were: age, sex, reason for admission, severity index,
stay in the unit, need for mechanical ventilation, discharge status. All
were related to the weather.
Results: the largest number of patients
admitted during the summer (31.8%). There was no significant
relationship between the weather station and the sex variable (p
<0.05), but with age, APACHE II, stay in the unit and need for
mechanical ventilation (p <0.05). In spring and summer the most
common disease was cerebrovascular, while in autumn and winter the
most common was community-acquired severe pneumonia. The variables stay in the unit, patient entry for diseases of a clinical nature
according to the type of clinical patient and mortality were significantly
related to the weather station (p <0.05).
Conclusions: the climatic variability of the Guantanamo context influenced the morbidity profile of
the intensive care unit and measured the prognosis of patients admitted
with critical illness.
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