Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 245
  • Home
  • Print this page
  • Email this page
ORIGINAL RESEARCH REPORT
Year : 2018  |  Volume : 15  |  Issue : 3  |  Page : 132-135

A review of neurosurgical admissions in a Nigerian Intensive Care Unit


1 Department of Anaesthesia, University College Hospital, University of Ibadan, Ibadan, Nigeria
2 Department of Anaesthesia, University College Hospital, Ibadan, Nigeria

Correspondence Address:
Dr. Alaba Olusola Ogunsiji
Department of Anaesthesia, University College Hospital, Ibadan
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcls.jcls_14_18

Rights and Permissions

Context: Neurosurgical patients following surgery or trauma are often monitored in an intensive care setting for a period of time. Studies with a comprehensive and predictive model of factors contributing to Intensive Care Unit (ICU) outcome following neurosurgical admissions are few in our environment. Aims: The aim of the study was to document the pattern of neurosurgical ICU admissions and predictors of outcome in our center for improved resource allocation and overall reduction in a poor outcome. Settings and Design: A retrospective study was conducted on adult patients admitted to ICU in 2015 with neurosurgical diagnosis. Subjects and Methods: Patient demographics, admission characteristics, details of neurosurgical diagnosis, ICU interventions, and outcome were obtained from the ICU record. Statistical Analysis Used: Data were analyzed with SPSS version 20. Results: Of 286 patients admitted in the study year, 95 (33.2%) followed neurosurgical indications. Twelve patients below 16 years were excluded leaving 83 adults in the review. Admissions following traumatic brain injury and intracranial tumor surgery each accounted for 35%. Although poorer outcome was observed in the traumatic brain injury, traumatic myelopathy, and clot evacuation groups, the difference was not statistically significant (P 0.34). Forty-two (50.6%) and 28 (34%) patients had ventilatory and vasopressor therapy, respectively. Only Modified Early Warning Score (MEWS) on admission predicted poor outcome (P = 0.04, β =1.63). Conclusions: Traumatic brain injury and intracranial tumor surgery were the main neurosurgical indications for ICU admission. A higher MEWS and lower Glasgow Coma Score on admission were observed among nonsurvivors, but only MEWS on admission predicted poor outcome.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed134    
    Printed11    
    Emailed0    
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal