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.
Parameter
ICU deaths
Non-ICU deaths
p value
N
450
167
Level of hospital (/%)
0.04
Level II
163 (36.2)
76 (45.5)
Level III
287 (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
None
130 (28.9)
35 (21)
Arterial hypertension
115 (25.6)
45 (26.9)
Liver cirrhosis
67 (14.9)
25 (15)
Congestive heart failure
44 (9.8)
18 (10.8)
Diabetes mellitus
29 (6.4)
11 (6.6)
Chronic renal insufficiency
27 (6)
7 (4.2)
Cancer
19 (4.2)
20 (12)
Chronic respiratory insufficiency
17 (3.8)
6 (3.6)
Diagnostic category (/%)
<0.001
Neurological
142 (31.6)
52 (31.1)
Medical
130 (28.9)
44 (26.3)
Trauma
92 (20.4)
25 (15)
Surgical (nontrauma)
38 (8.4)
12 (7.2)
Infection
33 (7.3)
12 (7.2)
Miscellaneous
15 (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 category
0.29 (0.23–0.3)
0.28 (0.21–0.3)
0.03
Cause of death (/%)
0.007
Multiple organ failure
225 (50.1)
67 (40.1)
Coma
105 (23.3)
53 (31.7)
Shock
99 (22)
31 (18.6)
Respiratory failure
20 (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.