J. Y. Valenzuela1, F. Urci3, L. Niquice3, M. Sidat3, R. G. Valenzuela2, K. McQueen1 1Vanderbilt University Medical Center,Nashville, TN, USA 2Stony Brook University Medical Center,Stony Brook, NY, USA 3Universidade Eduardo Mondlane,Maputo, ., Mozambique
Introduction: An essential component to improve surgical capacity includes access to intensive care for pre and post operative management for the critically ill. Limited data exist regarding intensive care unit capacity, patient volume, case mix, and mortality rates in Mozambique and sub saharan Africa.
Methods: Retrospective review of intensive care unit admissions at tertiary referral hospital in Maputo, Mozambique from January 2016 to December 2016. Most common diagnoses were compiled along with respective mortality rates.
Results: The tertiary referral hospital has a 16 bed unit. In 2016, 1468 patients were evaluated by an intensivist with 965 ICU admissions. Most common medical conditions requiring ICU care were Diabetes/CAD, stroke, pulmonary edema, hypertensive emergency, and malaria. Most common surgical diagnoses admitted to ICU were head trauma/intracranial hemorrhage, polytrauma, GI bleed, and eclampsia. Of the surgical conditions, average mortality rate is 30.1%.
Conclusion: Access to intensive care unit is an essential component of healthcare. Current capacity and demographics is unknown of ICUs in sub saharan Africa. The primary tertiary hospital in Maputo admits a wide range of mixed medical and surgical conditions. We are in the process of calculating APACHE II scores to determine predicted deaths and compare to actual observed deaths. Deaths due to surgical conditions warrant further investigation to determine how best to invest limited resources and to develop protocols to reduce mortality.
