PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 64, No. 4, AUGUST 2018

SHORT-TERM OUTCOMES IN PATIENTS UNDERGOING MECHANICAL VENTILATION IN A TERTIARY CARE CENTRE IN SIALKOT

Fatima Ayub, Irfan Zafar Haider*, Saira Saeed**, Badar Murtaza***, Muhammad Tariq

Abstract

Objectives: To determine the short-term mortality rate of patients on mechanical ventilation in a tertiary care center in Sialkot, Pakistan.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: This study was conducted jointly by the departments of Anesthesiology, Surgery and Gynecology & Obstetrics at Combined Military Hospital Sialkot Cantonment, from Jul 2013 to Jun 2015. 
Material and Methods: A total of 112 patients placed on mechanical ventilation were included in this study. The patients’ age, gender, disease on admission, duration of ventilation, indication for ventilation, outcomes and complications were noted. SPSS 21 was used for data analysis.
Results: Fifty-eight (51.78%) patients expired while 54 (48.21%) were weaned off successfully. In the former   group of expired patients, the major factors contributing towards the mortality were multi-organ failure (37.9%), VAP/ventilator-associated pneumonia (32.7%), coagulopathy (29.3%) and sepsis (27.5%). However, in the survivor patients group5 patient (9.25%) developed VAP, 3 (5.55%) developed pneumothorax while 3 others (5.55%) developed a fever of unknown etiology.
Conclusion: The short-term mortality rate of patients who receive mechanical ventilation in an intensive care unit (ICU) in Sialkot, Pakistan is significantly higher than that of developed countries.

Keywords : Critical Care, Developing countries, Pneumonia, Respiratory distress syndrome, Ventilator-associated pneumonia.



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