Comparatively tested potential risk factors across survivors and non-survivors critically patients

Basim Nawaf Alshwaheen 1, *, Mo'ath Musa Falah Rabab'ah 2, Suhaib Adel Mahmoud Albarbbarawi 1, Tariq Saber Mohammad Alkhrissat 1 and Amro Nayif Ghaleb Al-Rawashdeh 1

1 Internal Medicine, Royal Medical Services, Amman, Jordan.
2 Nephrologist, Royal Medical Services, Amman, Jordan.
 
Research Article
World Journal of Biology Pharmacy and Health Sciences, 2024, 18(01), 123–135.
Article DOI: 10.30574/wjbphs.2024.18.1.0173

 

Publication history: 
Received on 01 April 2024; revised on 10 April 2024; accepted on 11 April 2024
 
Abstract: 
Background: The risk factors associated with mortality in critically ill patients have been the subject of numerous studies. However, a considerable amount of variation is evident when one considers the dispersion of patients, the geographical spread, and the classification of healthcare establishments.
Aim: The purpose of this study was to compare potential risk factors between Survivors and Non-Survivors, including demographics, anthropometrics, kidney and liver indices, complete blood counts, and biochemical assays. Patients whose condition is critical.
Methods: An ICU retrospective investigation was conducted in Jordan, where critically ill patients with surgical and medical conditions were examined. Using the Electronic Medical Record System (Hakeem), the study analysed data and classified patients into two cohorts according to their survival status. Demographic information, clinical characteristics, insulin administration rate, blood glucose levels, dosing schedules for vasopressors, and the burden of comorbidities were all included in the data. The research was granted approval by the Institutional Review Board committee of the Royal Medical Services, Jordan.
Results: The research examined the male-to-female ratios among COVID-19 patients and classified them into six distinct age groups. A significant proportion of critical patients, ranging in age from 50 to 60, exhibited elevated corrected sodium levels and a diminished normontraemia status. Higher albumin levels and mean arterial pressures were associated with survivors, whereas a greater proportion of non-survivors were underweight and had a low BMI. A normal temperature was observed in the majority of critically ill patients, whereas non-survivors exhibited elevated fractional blood glucose levels and estimated creatinine clearances. The research emphasises the significance of treatment outcomes and patient demographics.
Conclusion: SI may be a more accurate prognostic indicator than non-septic patients due to the effect of norepinephrine, a vasopressor, on heart rate and systolic blood pressure, which may account for the difference in SI values between the two groups.
 
Keywords: 
Comparatively tested; Potential risk factors; Survivors; Non-survivors; Critically ill patients
 
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