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Epidemiology of Mortality in Polyvalent Intensive Care Unit at University Hospital of Brazzaville

Open Journal of Emergency Medicine 2018年第4期6卷 112-121页

作者： Marie Elombila Christ Mayick Mpoy Emy Monkessa Gilbert Fabrice Otiobanda Hugues Brieux Ekouele Mbaki Gilles Niengo Outsouta marina aurole nde ngala Department of Anaesthesia and Intensive Care Faculty of Heath Sciences Marien Ngouabi University Brazzaville Republic of Congo Polyvalent Intensive Care Unit University Hospital of Brazzaville Brazzaville Republic of Congo Department of Surgery University Hospital of Brazzaville Brazzaville Republic of Congo

Aim: To describe the epidemiological aspects of the patients who died in polyvalent intensive care unit at University Hospital of Brazzaville. Materials and Methods: This was a retrospective, cross-sectional study carried out in intensive care unit of University Hospital of Brazzaville, during period from January 2013 to December 2014. All patients who died at the unit regardless of age or sex were included. The parameters studied were age, sex, origin, reason for admission, causes of death, time of death, and length of hospitalization. Data were treated in Excel 2010 and Epi info 2007. Results: During the study period, 419 deaths out of 1121 admissions were recorded, representing a mortality rate of 37.4%. The average age was 46.2 ± 19.7 years with extremes ranging from 14 months to 90 years. The sex ratio was 0.9. Most of the deceased patients came from medical emergencies in 37.6% of the cases. Infectious (17.9%) and neurological (17.4%) pathologies were the most likely to cause death followed by cardiovascular pathologies (12.2%). Causes of death were dominated by severe sepsis and septic shock with 93.4% of infectious pathologies and stroke in 80.8% of neurological pathologies. In 42.3% of cases, the death occurred in the 8:00 p.m. to 6:00 a.m. time period. The average length of hospitalization for the deceased patients was 1.4 ± 0.5 days. All parameters studied significantly associated with mortality (p Conclusion: The mortality rate of patients admitted to the polyvalent intensive care unit at University Hospital of Brazzaville was high at 37.4%. Most of these patients were aged 40 years and older, male, with infectious and/or neurological pathologies. All deaths occurred within 48 hours of admission.

关键词： Epidemiology Mortality Intensive Care Unit Brazzaville

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Acute Generalized Peritonitis in Intensive Care Unit at University Hospital of Brazzaville, Republic of Congo: Etiological, Therapeutic Aspects and Issues

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Open Journal of Emergency Medicine 2020年第4期8卷 86-94页

作者： Christ Mayick Mpoy Emy Monkessa Peggy Dahlia Gallou Leyono-Mawandza Marie Elombila Gilles Niengo Outsouta marina aurole Bokoba-nde ngala Giresse Bienvenu Tsouassa Wa Ngono Gilbert Fabrice Otiobanda Polyvalent Intensive Care Unit University Hospital of Brazzaville Brazzaville Republic of Congo Anesthesia and Resuscitation Resident Cheikh Anta Diop University Dakar Senegal Faculty of Heath Sciences Marien N’Gouabi University Brazzaville Republic of Congo Anesthesia and Resuscitation Resident Cadi Ayyad University Marrakech Morocco Department of Visceral Surgery University Hospital of Brazzaville Brazzaville Republic of Congo

Aim: To determine etiological, therapeutic aspects and issues of AGP in intensive care unit (ICU) at University Hospital of Brazzaville (UHB). Materials and Methods: It was a retrospective and descriptive study carried out from January to December 2016 in ICU at UHB. We collected completed medical records of patients admitted and operated for AGP regardless of age or sex. The parameters studied were age, sex, admission’s reasons, etiologies, management, post-operative complications, length of hospital and mortality. Data were treated in Excel 2010 and Epi info 2007. Results: Thirty-one complete medical records were identified (mean age: 40.6 ± 22.0 years). The sex ratio was 2.4. Shock was the most common reason for admission with 67.7% of the cases. The etiologies of AGP were dominated by gastroduodenal perforating ulcer (41.9%) followed by complicated appendicitis (19.4%). The management of all patients was medico-surgical. The bi antibiotic ceftriaxone-metronidazole was administered in 29 patients (93.6%). 18 patients (59.1%) received vasopressor therapy. The complications had occurred among 9 patients i.e. 29% of the cases;parietal suppurations represented 44.5% of the complications. The average length of hospitalization was 5.2 ± 4.6 days. The overall mortality was 41.9%. Conclusion: In our study

关键词： Acute Generalized Peritonitis Brazzaville Etiologies Intensive Care Unit Issues

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