General ICU Audit 2013

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General ICU Audit 2013

  1. 1. Trauma ICU Audit-2013
  2. 2. 2013 • Total no. of patients admitted to TC2 - 698
  3. 3. Breakup of Admissions 12% 88% 0% Orthopedic Surgery others
  4. 4. Comparison with previous years 0 100 200 300 400 500 600 700 2011 2012 2013 538 634 698 admissions admissions
  5. 5. Fall in absolute mortality over the years 22.67 20.34 17.7 0 5 10 15 20 25 2011 2012 2013 mortality % of admissions mortality % of admissions
  6. 6. Causes of mortality 47% 51% 2% Septic shock Hemorrhagic shock others
  7. 7. Icu Admissions : Sex Ratio 86% 14% Sex Ratio Male Female
  8. 8. Adult : Peadiatric ratio 92% 8% Sex Ratio ADULT PEDIATRICS
  9. 9. Shifted From Ward; 16% OT; 56% ED; 28% Ward OT ED
  10. 10. Indications of Admissions 30% 16% 54% Indications monitoring shock ventilation
  11. 11. ICU Stay • Total no. of patients : 698 • Mean length of ICU stay : 7.7 days • Mean ventilator days : 5.02 days • Mean urinary catheter days : 6.9 days • Mean central line days : 4.64 days
  12. 12. Comparision with last year 5.93 6.29 6.5 6.56 7.7 5.02 4.64 6.9 0 1 2 3 4 5 6 7 8 9 ICU Stay Ventilator days CVP days Foleys days 2012 2013
  13. 13. Infection - CLABSI 1 2 2 0 2 3 2 3 3 2 0 0 1 1 1 0 4 0 3 2 2 1 0 1 0 1 1 1 0 2 0 0 3 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 2011 2012 2013
  14. 14. Infection-CAUTI 2 4 2 5 6 3 3 4 4 1 1 2 4 0 1 0 2 0 3 0 1 2 0 1 0 1 0 0 2 0 1 0 00 1 2 3 4 5 6 7 2011 2012 2013
  15. 15. Infection-VAP 0 2 5 2 4 4 2 2 3 1 2 1 2 0 1 2 0 0 1 2 2 1 1 1 3 3 4 4 3 4 5 5 4 0 1 2 3 4 5 6 2011 2012 2013
  16. 16. Procedures • Fiberoptic bronchoscopy - 42 • Percutaneous Tracheostomy - 15 • Central line placement - 125 • Arterial Line Placement - 118 • Ultrasound usage - 383 • Intrabdominal pressure measurement - 07 • Hemodialysis - 15 patients Total sessions-62
  17. 17. Innovation • Weekly morbidity and mortality meet in multidisciplinary model • Weekly radio conference meet • Weekly Infection control meet • Care bundle checklist for every patient made compulsory filled by nurse observing doctor’s functioning • Started ICU registry
  18. 18. Future Directions • Plan to have a real time monitoring for checking hand hygiene compliance in collaboration with Hospital infection control • Working on protocolised approach in ICU management • Working on antibiotic protocol for the hospital along with infection control
  19. 19. Severity Index at Admission 0 2 4 6 8 10 12 14 16 18 20 Apache2 SAPS SOFA 7.12 18.11 6.56 severity of illness
  20. 20. VAP Rate/1000 Ventilator Days 8.5 0 0 3.7 8.9 7.3 10.5 19 17.7 12 8.7 12.2 16.7 10.5 17.8 17.2 25 17.8 0 5 10 15 20 25 30 Jul Aug Sep Oct Nov Dec 2012 2011 2013
  21. 21. CLABSI Rate/1000 CVC Days 0 14.6 0 11.4 7.6 7.9 0 13.4 14 11.6 16 15.3 4.1 0 7.9 0 0 11.7 0 2 4 6 8 10 12 14 16 18 Jul Aug Sep Oct Nov Dec 2012 2011 2013
  22. 22. CAUTI Rate/1000 Catheter Days 0 5.8 0 8.2 0 2.7 16.4 20.7 8.7 9.1 14.3 12.2 0 5.5 0 3 0 00 5 10 15 20 25 Jul Aug Sep Oct Nov Dec 2012 2011 2013

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