Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14356/1635
Title: Organ Dysfunctions among Deaths in Critically Ill Patients
Authors: Maharjan, Leison
Shah, Aarzoo
Bajracharya, Udaya
Shrestha, Gambhir
Citation: MaharjanL., ShahA., BajracharyaU., & ShresthaG. (2018). Organ Dysfunctions among Deaths in Critically Ill Patients. Journal of Nepal Health Research Council, 15(3), 222-227. https://doi.org/10.33314/jnhrc.v15i3.912
Issue Date: 2017
Publisher: Nepal Health Research Council
Article Type: Original Article
Keywords: Intensive care unit
Multiple organ dysfunction syndrome
Organ dysfunction
Organ failure
Series/Report no.: Sep-Dec, 2017;912
Abstract: Abstract Background: Multiple organ failure is recognized as the final pathway preceding majority of deaths in intensive care unit. This study aims to find out the prevalence of organ dysfunctions/ failures in patients at the time of their demise irrespective of the underlying diseases in a tertiary care hospital. Methods: This study was done in medical intensive care unit of Blue Cross Hospital. Medical records of all deceased patients in two years period were thoroughly reviewed retrospectively. Status of six organ systems was categorized into five sub-groups: No organ dysfunction, Mild organ dysfunction, Acute organ failure, Acute-on-chronic organ failure, and Chronic organ failure. The proportion of organ dysfunction involved was analyzed along with other variables. Results: Among 204 deaths, majority 165 (80.9%) had Multiple Organ Dysfunction Syndrome. Circulatory system was most affected system with “acute organ failure†134 (65.5%) followed by acute respiratory failure 128 (62.7%), and acute neurologic failure 114 (55.8%). Neurologic system was most affected with “mild organ dysfunction†47 (23%) followed by Respiratory system and Renal system. Of the patients who had chronic organ failures at the time of admission, 72 (81.8%) developed “acute-on-chronic failuresâ€. Conclusions: Multiple Organ Dysfunction Syndrome was present in the majority of deaths in critically ill patients. Most common acutely failed organ was the circulatory system. Keywords: Intensive care unit; multiple organ dysfunction syndrome; organ dysfunction; organ failure.
Description: Original Article
URI: http://103.69.126.140:8080/handle/20.500.14356/1635
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 15 No. 3 Issue 37 Sep-Dec 2017

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