Clinical Profile and Outcome of Pulmonary Disease in patients admitted in Respiratory Intensive Care Unit- a cross sectional study

Respiratory intensive care unit is an area within hospital which is well equipped and under control of specialised team of doctors, nurses and paramedical staff for providing all possible health facilities to the patient.

It is also a specialized place for the monitoring and treatment of patients with acute respiratory failure due to any cause and of patient with acute or chronic respiratory failure. Thus, these patients are a heterogeneous

group with severe illnesses, with or without multiple system dysfunction / failure and multiple coexisting medical problems1.

 It is well accepted that early and appropriate referral of patients to an intensive care unit can significantly reduce early and possible late mortality in critically ill patients. At the same time improper selection of patients for intensive care unit, who block ICU beds often limits bed availability in ICUs and may adversely affect the dynamics of the hospital1.

The common diseases with which a patients is admitted in RICU are:

1.     Acute Exacerbation of COPD

2.     Pneumonia:

Hospital acquired pneumonia is the second most common nosocomial infection in intensive care unit. HAP is the most common cause of mortality which ranges from 30 to 70%. Incidence of HAP is higher in ICU acquired respiratory infection4

3. BRONCHECTIASIS

4. PNEUMOTHORAX

5.     BRONCHIAL ASTHMA(AE)

Critically ill patients are responsible for 10–20% of global hospital costs and the ability to identify critically ill patients who will not survive until hospital discharge may allow identification of high risk patients 2

Patients inside respiratory Intensive Care Unit  A Clinician has to consider many inter-related factors in making a prognosis regarding outcome in critically ill patients, including age, severity and irreversibility of the acute illness, physiological reserve, associated co morbidity and response to therapy.

This study will be conducted to find out the clinical profile, intervention given and final outcome of patients admitted in our respiratory icu which may help us to form a management guideline for better treatment of patients.