Assessment of patient admission outcome at Sulaimani's Intensive Care Unit General Teaching Hospital in 2013: A retrospective study


Farida A. Kadir1 & Pary M. Azize2

1 Sulaimani Polytechnic University, Midwifery Department, Sulaimani, Kurdistan Region, Iraq,
2 Sulaimani Polytechnic University, Nursing Department, Sulaimani, Kurdistan Region, Iraq,




Abstract
Measuring how many people died each year and why they died along with the
assessment of the diseases and the injuries that affected the population, is important for
the effectiveness of the country's health (WHO, 2005). This study has been done in order
to assess the frequency of the patient's characteristics, reasons and outcome of admission
patients in the Sulaimani's Intensive care Unit that determine the type of diseases for
hospitalized patients. Information was obtained from the patients’ medical records
including (age, gender, occupation, patient's outcome, residency and disease type). The
records of 655 hospitalized patients with medical diseases were analyzed from January
2013 to December 2013. Males represented 52.5% and females 47.5% of them. The most
affected age groups were 61-70 followed by 71-80. Out of the total, 60.9% of those
discharged from hospital were alive, while, 39.1% of them were deceased. Respiratory
diseases were the most common cause of admission (22.0%), followed by cerebral
disease (20.3 %.), blood disease (13.9%) and heart diseases (13.1%); these were having
the highest frequency among hospitalized patients. In Sulaimani, cerebral diseases,
respiratory diseases, renal and heart diseases were the more prevalent leading causes of
death
 

Key Words: Hospital admissions, retrospective studymodel, Intensive Care Unit, cerebral disease, heart disease 



References
1. Agnoli C, Krogh V, Grioni S, Sieri S, Palli D, Masala G, et al. A priori- defined dietary patterns
are associated with reduced risk of stroke in a large Italian cohort. The Journal of Nutrition. 2011; 141(8),
1552-1558.
2. Alamoudi OS, Attar SM, Ghabrah TM, . Al-Qassimi MA , Pattern of Common Diseases in
Hospitalized Patients at an University Hospital in Saudi Arabia . A Study of 5594
Patients . Medical Scienece journal , 2006 ; 1 (2) : 76--80 .
3. Al- Shammri S, Shahid Z, Ghali A, Mehndiratta M M, Swaminathan T R, Chadha G. Risk
factors, subtypes and outcome of ischaemic stroke in Kuwait—a hospital based study. Medical
Principles and Practice 2003; 12: 218–223.
4. Al-Shimmery E K, Amein S H, Al-Tawil N G. Prevalence of silent stroke in Kurdistan, Iraq.
Neurosciences journal, 2010; 15 (3): 167-71.
5. Audebert H J, Schultes k., Tietz V, Heuschmann P U. Long-Term Effects of Specialized Stroke
Care With Telemedicine Support in Community Hospitals on Behalf of the Telemedical Project for
Integrative Stroke Care. American heart association journal, 2009; 40: 902-908.
6. Benamer H T S, Grosset D. Stroke in Arab countries: A systematic literature review,
Neurological Sciences Journal, 2009 ; 284(1–2): 18–23.
7. El Sayed MM, Adeuja AO, El-Nahrawy E, Olaish MA. Characteristics of stroke in Hofuf, Saudi
Arabia . PubMed journal, 1999; 19 (1( : 27–31.

8. Feigin V L, Lawes C MM , Bennett D A, Anderson C S. Stroke epidemiology : a review of
population-based studies of incidence, prevalence, and case-fatality in the late 20th century. The
Lancet Neurology, 2003; 2(1): 43-53.
9. Francesco U.S. Mattace-Raso, Tischa J.M. van der Cammen, Albert Hofman, Nicole M.
Rotterdam Study. circulation, 2006; 113: 657-663.
10. Garfield R., Leu C S. A multivariate method for estimating mortality rates among children under
5 years from health and social indicators in Iraq. International journal of epidemiology. 2000; 29 (3):
510-515.
11. Hagopian A, Flaxman A D, Takaro T K , Sahar A , Al Shatari E, Becker S. et al. Mortality
Associated with the 2003–2011 War and Occupation: Findings from a National Cluster Sample
Survey by the University Collaborative Iraq Mortality Study. journal.pmed., 2013 ; 10.(1371):
10011533
12. Horton R. Global Burden of Disease (GBD) Study 2010: understanding disease, injury, and risk.
The Lancet, 2013; 380 (9859): 2053-2054.
13. Jemal A, Bray F , Melissa M. Ferlay J, Ward E, Forman D. Global cancer statistics.
A Cancer Journal for Clinicians, 2011; 61 (2 ): 69-90.
14. Jones D L, Adams R J, Brown T M , Carnethon M, Dai S. Heart Disease and Stroke Statistics-
2010 Update, A Report From the American Heart Association. Circulation journal , 2010 ; 121(7):
e46-e215
15. Liu L, Johnson H, Cousens S, Perin J, Scott S , Lawn J, et al. Global, regional, and national causes
of child mortality: an updated systematic analysis for 2010 with time trends since 2000. The Lancet,
2012; 379(9832): 2151–2161.
16. Lozano R. , Naghavi M., Foreman K., Lim S, Shibuya K., Aboyans V et al . Global and regional
mortality from 235 causes of death for 20 age groups in 1990 and 2010 : a systematic analysis for the
Global Burden of Disease Study 2010. The Lancet, 2012; 380 (9859): 2095 -2128.
17. Menken M, Munsat T L, Toole J F. The global burden of disease study: implications for neurology.
The Journal of the American Medical Association, 2000; 57(3): 418–420.
18. Miller-Keane, O'Toole M T. 2005. Miller-Keane Encyclopedia and Dictionary of
Medicine, Nursing, and Allied Health, Seventh Edition. Elsevier.
19. Mitchell R and Popham F. Effect of exposure to natural environment on health inequalities: an
observational population study. The Lancet, 2008; 372(9650): 1655–1660.
20. Rashid J A, AlKhalidi M J , Majeed B A , Saleh K H. Causes of death among hospitalized children
under 5 years of age in Sulaymani Pediatrics Teaching Hospital. Iraqi Journal of Medical Sciences,
2009; 7 (1): 11-20.
21. Roberts L, Lafta R. Garfield R . Khudhairi J, Burnham G. Mortality before and after the 2003
invasion of Iraq: cluster sample survey. The L a nc et , 2 00 4; 364(9448): 1857–1864.

22. Sacco R L. and Dong C. Declining Stroke Incidence and Improving Survival in US. Medical
Association. 2014; 312(3): 237-238.
23. Rodica E. Beiser A S, Seshadri S, Kelly-Hayes M, Kase C S, Wolf P A. Gender Differences
Stroke Incidence and Post stroke Disability in the Framingham Heart Study. American stroke association
journal 2009; 40: 1032-1037
24. Siegel R., Naishadham D., Jemal A. Cancer statistics. A Cancer Journal for Clinicians,
2013 ; 63( 1): 11- 30.
25. World Health Organization, 2005; Ecosystems and human well-being: health synthesis a report of the
Millennium Ecosystem Assessment. Geneva.
26. .World Health Organization, 2009. Mortality and burden of disease attributable to selected major risks, Geneva. WHO