Clinical Outcome And Associated Factors Among Patients Admittedto The Intensive Care Unit Of Jigjiga University Sheik Hassen Yabare Referral Hospital, Somali Region, Ethiopia, 2020

Background: In developing countries, there is an insufficiency of ICU beds and more than 50% of these countries lack any published data on ICU capacity. In low-income countries, most ICUs are located in large referral hospitals in cities. ICU services are apparently limited in low-income countries. Objective: To assess the clinical outcomes and associated factors among patients admitted in the Intensive Care Unit of Jigjiga University Sheik Hassen Yabare Referral Hospital Somali Region, Ethiopia, 2020. Methods: Institutional based retrospective cross-sectional study was conducted based on records of admitted patients from 1 ^st June to 30 ^th June. Data was collected by three trained data collectors. Data was entered, coded and cleaned by using the Epi-data software version 3.0 and analyzed using SPSS version 23. Bivariate logistic regression was done to assess the association between dependent and independent variables. In bivariate logistic regression, variables with a P value of <0.25 was considered as a candidate for multivariate logistic regression at 95% CI. In multivariate logistic regression analysis, the level of statistical significance was declared at P-value less than 0.05. Results: - The highest admitted age group were 20-29 years of age (21.9%).The mortality rate in ICU were found to be 40.0% (95% CI: 33.8, 46.7).More male dies than females 25.7%Vs.14.3%. The death rate is higher in 30-39 age group 9%. Emergency department were admitted the highest admission 68 (32.4%). Highest cases of admission were Immediate post-op 33(15.7%) and ARDS 23 (11.0%). The commonest cause of death was multi-organ failure 70 (83.3%).Moreover, in multivariate logistic regression it was found that the clinical outcomes of patients in the ICU is associated with length of ICU stay (1-5days (AOR= 15.2, 95% CI: 1.2, 184.2), need of Mechanical Ventilation (AOR= 24.10, 95% CI: 8.5, 68.2), inotropes/vasopressors (AOR= 12.1, 95% CI: 3.8, 38.2). Conclusion: - The mortality rate in the intensive care unit was considerable high. Significant association was found between clinical outcomes of ICU patients and need for mechanical ventilator, Deep Vein Thrombosis prophylaxis, analgesics, inotropes/vasopressors and short ICU stay.