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- Title
Studying current status of intensive care services in Sri Lanka.
- Authors
Fernando, J. L. I. N.; Wickramaratne, C. P.; Dissanayake, R. S. B.; Kolambage, S. H.; Aminda, M. A. U.; Cooray, N. H.; Hamzahamed, K.; Haridas, P. M.; Jayasinghe, J. M. L.; Mowjood, M. S.; Muthukudaarachchi, A. D.; Pathirana, P. C. R.; Peduruarachchi, N. P.; Peiris, K. L. K.; Perera, J. A. P. C.; Puvanaraj, V.; Rathnakumara, K. M. L.; Ratwatte, S. N.; Suresh, R.; Thevathasan, K. N.
- Abstract
Objective: To describe intensive care unit (ICU) facilities in Sri Lanka; to describe the pattern of admissions, case-mix and mortality; compare patient outcome against the various types of ICUs; and determine the adequacy and standards of training received by medical and nursing staff. Materials and Methods: Observational study of multidisciplinary (general) and adult speciality ICUs in government sector hospitals. Results: Hospitals studied had 1 ICU bed per 100 hospital beds. Each bed catered to 70-90 patients over a year. Death rates were comparable in each level of hospital/ICU despite differences in resource allocation. Fifty to 60% of patients had their original problems related to medicine, while only 35% - 45% were surgical. Thirty two percent of medical patients and 15% of surgical patients died. More than 90% of ICUs had a multimonitor for each bed. Seventy seven percent of ICUs had one or more ventilators for each bed. Arterial blood gas (ABG) facilities were available in 83% of ICUs. There were serious inadequacies in the availability of facilities of 24 hour physiotherapy (available only in 36.7%), 24 hour in hospital Ultra Sonography (22.4%), electrolyte analyser in ICU (54.2%), haemodialysis / continuous renal replacement therapy (HD/CRRT) (41.7%), and Echocardiography. Medical Officers' training was anaesthetics dominated as opposed to a multidisciplinary training. There was a severe shortage of critical care trained nurses. Conclusions: Only limited evolution has taken place in intensive care over the past 5 years. The reasons for higher death rates in medical patients should be investigated further. Moving towards a multidisciplinary approach for training and provision of care for ICU patients is recommended.
- Subjects
SRI Lanka; INTENSIVE care units; CRITICAL care medicine; PATIENT satisfaction; DEATH rate
- Publication
International Journal of Critical Illness & Injury Science, 2012, Vol 2, Issue 1, p11
- ISSN
2229-5151
- Publication type
Article
- DOI
10.4103/2229-5151.94884