Research Article

Potentially Preventable Deaths by Intensive Care Medicine in Mongolian Hospitals

Table 1

Demographic and clinical data of hospitalized adults dying in and outside of the ICU.

ParameterICU deathsNon-ICU deathsp value

N450167
Level of hospital (/%)0.04
 Level II163 (36.2)76 (45.5)
 Level III287 (63.8)91 (54.5)
Intensivist available (/%)407 (90.4)135 (80.8)0.002
Age (years)52 (42–63)53 (41–67)0.53
Male gender (/%)289 (64.2)98 (58.7)0.22
Comorbid conditions (/%)0.04
 None130 (28.9)35 (21)
 Arterial hypertension115 (25.6)45 (26.9)
 Liver cirrhosis67 (14.9)25 (15)
 Congestive heart failure 44 (9.8)18 (10.8)
 Diabetes mellitus29 (6.4)11 (6.6)
 Chronic renal insufficiency27 (6)7 (4.2)
 Cancer19 (4.2)20 (12)
 Chronic respiratory insufficiency17 (3.8)6 (3.6)
Diagnostic category (/%)<0.001
 Neurological142 (31.6)52 (31.1)
 Medical130 (28.9)44 (26.3)
 Trauma92 (20.4)25 (15)
 Surgical (nontrauma)38 (8.4)12 (7.2)
 Infection33 (7.3)12 (7.2)
 Miscellaneous15 (3.3)22 (13.2)
Hospital length of stay (days)2 (1–6)3 (1–8)<0.001
Treatment costs
 Tugrik (thousands)235 (88–321)230 (80–279)0.4
 US dollars (exchange rate December 15)117 (44–161)115 (40–140)0.4
Predicted risk of death by diagnostic category0.29 (0.23–0.3)0.28 (0.21–0.3)0.03
Cause of death (/%)0.007
 Multiple organ failure225 (50.1)67 (40.1)
 Coma105 (23.3)53 (31.7)
 Shock99 (22)31 (18.6)
 Respiratory failure20 (4.5)16 (9.6)
Autopsy performed (/%)221 (49.1)60 (35.9)0.003

ICU, intensive care unit; significant difference between hospitalized adults dying in and outside of the ICU.
Data are given as median values with interquartile range, if not otherwise indicated.