Admission Time and Outcomes of Patients Admitted to Intensive Care Unit in a Tertiary Level Teaching Hospital

Completed

• Conditions: FOCUS of Study: Time of Admission to ICU and Outcome

• Registration Number: NCT06162481
• Lead Sponsor: Tribhuvan University Teaching Hospital, Institute Of Medicine.

Brief Summary

An intensive care unit (ICU) is a specialized unit within the hospital where patients who need immediate medical attention are admitted both during office hours and off hours.1 Literatures report reduced working efficiency because of long working hours, unavailability of 24/7 intensivist staffing and the absence of the same level of hospital services like laboratory investigations during off hours affecting outcome of the patients. 2-6 High intensity staffing model and shorter workhours can improve the outcome.7 However, these are not always feasible in ICUs of low and middle income countries like Nepal. Any variations in outcome depending upon time of ICU admission may impact the workforce planning, medical insurance, and healthcare policy.

The aim of this study was to compare the outcomes of patients admitted to the ICU during office hours and off hours in terms of ICU mortality, duration of mechanical ventilation and length of stay.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-03-15
• Primary Completion: 2023-08-31
• Study Completion: 2023-08-31
• Status Verified: 2023-11
• Study First Submitted: 2023-11-22
• Study First Submitted QC: 2023-11-30
• Last Update Submitted: 2023-11-30
• Study First Posted: 2023-12-08
• Last Update Posted: 2023-12-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3242

Inclusion Criteria

• age >= 16 years

Exclusion Criteria

• Patient who were discharged on request, left against medical advice, had withdrawal of active life support

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ICU length of stay	Each patient will be followed till death or discharge alive from ICU whichever occurs earlier
In ICU mortality	each patient will be followed till death or discharge from ICU whichever is earlier
days of mechanical ventilation	Each patient will be followed till death or liberation from Mechanical ventilation whichever occurs earlier

Trial Locations

Locations (1)

Tribhuvan University Teaching Hospital; 🇳🇵 Kathmandu, Bagmati, Nepal