TITLE

Intensive Care Treatment for Neurosurgically Ill Patients in Sanglah Hospital-Bali

AUTHOR(S)
Mahadewa, Tjokorda G. B.
PUB. DATE
September 2011
SOURCE
Journal of US-China Medical Science;Sep2011, Vol. 8 Issue 9, p564
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: To date it is not known whether a neurointensivist (beside the general intensivist) is required for neurosurgical patient's treatment. The purpose of this study was to evaluate the pattern of intensive care treatment for neurosurgically ill patients in Sanglah Hospital by the general intensivist. Subjects and methods: This was a retrospective study based on 1318 neurosurgical patients, 904 males and 414 females with both head and neck trauma and nontrauma, in Sanglah General Hospital, Bali between 2004-2008. The demographics of the patients, sex, age, diagnosis, treatment, ventilated or not, length of stay in ICU, and outcome were recorded. Results: Trauma was diagnosed in 908 patients and nontrauma in 412. Neurosurgical operative procedures were conducted in 1109 patients and conservative procedures in 211 patients, 930 patients used a ventilator in the ICU and 1011 patients were treated for less than 7 days in the ICU. The mean ventilator usage was 7.75�3.57 patients per month. The mean ICU treatment less than 7 days was 8.43�3.15 patients per month, 975 lived (73.98%) and were discharged from ICU, 343 (36.02%) patients died. Conclusion: The high mortality rate, high use of ventilators, and prolonged stay in ICU create a need for a trained specialist to manage all aspects of the ICU stay of neurologically ill patients. This study suggests that a neurointensivist is necessary to co-manage treatment for neurosurgically ill patients, including head and neck trauma and non trauma cases.
ACCESSION #
73460808

 

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