RESUMEN
Objective: To predict the mortality by the mean Acute Physiology and Chronic Health Evaluation [APACHE] IV score of all the patients admitted in a Surgical Intensive Care Unit [ICU] and comparing the score of the survivors and non-survivors
Study Design: Descriptive study
Place and Duration of Study: Surgical Intensive Care Unit, Mayo Hospital, Lahore, from June 2013 to November 2014
Methodology: All adult patients admitted in the Surgical ICU were included in this study. The demographics and other data of the patients were recorded. The APACHE IV scores of all patients were calculated at the time of admission. The scores of the survivors and the non-survivors were compared for prediction of survival and mortality
Results: The age of these patients ranged from 13 to 70 [mean 38.39] years with 86 [55.48%] males and 69 [44.52%] females. The mean APACHE IV score of these patients was 34.96 +/- 14.93 ranging from 11 to 63 years. Eighty-three [53.55%] patients survived and 72 [46.45%] died. With respect to gender, 41 [47.67%] males out of 86 and 31 [44.92%] females out of 69 did not survive. The mortality increased with an increase in APACHE IV score and all the patients with score more than 39 did not survive
Conclusion: The predicted mortality can be assessed by APACHE IV score, so it is good for application among the surgical ICU patients
RESUMEN
In this cross-sectional study, the frequency of hepatitis B and C among volunteer blood donors in blood banks of Sandeman Provincial and Lady Duffren Hospitals, Quetta, Pakistan was estimated. 1474 blood donors were selected by convenient sampling. After obtaining informed consent, brief history and examination were done. They were tested for HBsAg and anti-HCV antibodies in laboratory. The collected data analyzed by SPSS 12.0 and results shown in frequencies and percentages. Out of 1474 blood donors, 1284 [87.1%] were males and 190 [12.9%] were females. The mean age was 25 [range: 16-49] years. 71 [4.8%] were positive for HBsAg [63 males and 8 females], 26 [1.8%] for anti-HCV [21 males and 5 females] and 4 [0.27%] were positive for both [3 males and 1 female]. Most of them belonged to ages 21-40 years. The frequency of hepatitis B is same as that of other part of the country contrary to the belief that Balochistan is a high prevalent region for hepatitis B as compare to the rest of the country, while the frequency of hepatitis C is less than expected. Health education and vaccination for hepatitis B should be encouraged and more vigilant efforts should be done