Assessment of criticalpatients from Intensive Care unit in correlation with probability of death

Abstract

Aim of the study. We tried to demonstrate the link between mortality in Anesthezia and Intensive Care Unit I, Targu Mures and evaluation of critical patients using APACHE III score at admission in the Intensive Care Unit, number of days of hospitalization in Intensive Care unit, the number of days of ventilator support needed, infections due invasive manoeuvres and number of days of antibiotic administrative management of patients. Material and methods I made a retrospetiv study based on clinical observation of 102 sheets of patient complaints, random note, hospitalized in Anaesthesia and Intensive Care Unit I Targu Mures between September 2009 and February 2010. Patients from medical and surgical clinics were aged between 4 months and 84 years old, in proportion of 71.56% male and 28.43% female. We compared the mortality of patients with APACHE III score received by the patient at admission in clinic, the number of days of hospitalization in Intensive Care Unit necessary, number of days of ventilator support needed, depending on the location of infection and invasive manoeuvres needed to support functions vital patient and the number of days of antibiotics used in prophylaxis or curative. We demonstrated that there is a quarrel between the patients mortality in the intensive care unit and morbidity associated with their condition at admission, expressed through APACHE III score, and the number of days they needed vital support, the number of days they needed mechanical ventilation, and the localization of infection caused by invasive manoeuvres on the patient Number of days of antibiotic needed is not conclusive because some patients where transferred to other clinics and continued antibiotics, and some patients died during the first days of hospitalization.