Better ICU Management by Analysis of Clinical Profile and Outcomes of Neuro-Critical Patients in Neurocritical Care Unit

Abstract

Background: Nowadays, it has been suggested that the care of neurocritically ill patients in the Neurocritical Care Unit can outcome, hospitalization time and ICU stay. Therefore, the aim of this study was to evaluate the clinical condition and outcomes of these patients in our setting. Methods: We conducted a cross-sectional study in patients in the neurocritical care unit (NCCU) of Loghman Hakim hospital. The medical findings and outcome (discharge/death) were gathered in the data collection form. We used SPSS version 18 for statistical analysis with significant level < 0.05. Results: A total of 432 patients, including 237 (56.2%) male and 185 (43.8%) female (P = 0.01) were enrolled. There was statistically no significant difference in the mean age between them (41.87 ± 18.52, 45.15 ± 16.26 respectively, P = 0.05). The most common admission diagnosis of patients was neuro-oncology (65.5%). The prolong length of stay (LOS) in NCCU (≥ 10) was found in 56 (13.5%). The highest rate of it was due to the neuro-oncology disease. There are statistically significant differences among the diagnosis groups in terms of age, LOS, and Charlson Comorbidity index (P = 0.002, P < 0.001, respectively). The mortality rate of patients was 11.6%, which neuro-oncology had the most frequency. Conclusions: The outcome of neuro-critical ill patients and length of stay in ICU can improve using special care and facilities in the neurocritical care unit. According to our results, most of our patients had neuro-oncology disease, which makes it necessary to expand the treatment interventions and various specialties in care of NCCU.