Evaluation of outcome and performance of ICU COVID-19 in Imam Reza Hospital, Tabriz, Iran

Abstract

Considering that the COVID-19 has spread all over the world, many health systems have two challenges: they must not only cope with the increase of COVID-19 patients, but also improve the quality of care for critical people. The performance and outcomes of intensive care units (ICUs) play a role in determining the overall success of the health system's response to infection. The purpose of this study is to investigate the outcome and performance of the special wards of Imam Reza Hospital (AS) in Tabriz. Methods and Materials: In this retrospective study, in the period from January 2021 to December 2022, the number of hospitalized patients, patients in ICU, the number of patients admitted to ICU and the average APACHE score of patients at the beginning of admission to ICU, the number of successful CPR and death Patients and discharged patients as well as the mortality rate were predicted through a questionnaire that collected the information of all the ICUs of the Imam Reza (AS) Tabri Hospital for this purpose. Data were analyzed using SPSS software (ver22). Results: In this study, a total of 3188 patients with covid disease were admitted in the covid ICU departments of Imam Reza Hospital (AS) in the same period of time, of which 2342 were in 2021 and 846 were in 2022. The average number of hospitalized patients per month in Imam Reza Medical Education Center during the study period was 132.08. The average APACHE score of patients upon arrival to the ICUs of the center is, on average, 6.31 points higher than the average of the global report (P < 0.0001). Also, the ratio of deaths that occurred to the prediction of the center's covid ICUs, on average, is about 1.08 lower than the reported global ratio (P = 0.001). Conclusion: The results of this study show that the hospital has significant management. The number of COVID-19 cases, with the majority of patients being admitted with higher severity of illness, results in good to excellent patient management. While the ICU in Imam Reza Hospital is generally in line with global trends in mortality rates, the shorter length of stay and higher APACHE scores warrant further research to investigate the factors behind these changes. These findings add to the growing body of knowledge in ICU management of COVID-19 and can serve as a foundation to aid research and healthcare plans in the region.