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Year : 2016  |  Volume : 6  |  Issue : 3  |  Page : 103-108

The epidemiology and outcome of critical illness in Mongolia: A multicenter, prospective, observational cohort study

1 Department of Intensive Care, Intermed Hospital, Ulaanbaatar, Mongolia
2 Division of Emergency Medicine and Anesthesia, n National University of Medical Sciences, Ulaanbaatar, Mongolia
3 Department of Critical Care, University College of London Hospital, London NW1 2BU, United Kingdom

Correspondence Address:
Naranpurev Mendsaikhan
Department of Intensive Care, Intermed Hospital, Chinggis Avenue 41, Duureg 15, Ulaanbaatar 17040
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2229-5151.190657

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Context: The epidemiology and outcome of critical illness in Mongolia remain undefined. Aim: The aim of this study was to evaluate the epidemiology and outcome of critical illness in Mongolia. Settings and Design: This is a multicenter, prospective, observational cohort study including 19 Mongolian centers. Materials and Methods: Demographic, clinical, and outcome data of patients >15 years admitted to the Intensive Care Units (ICUs) were collected during a 6-month period. Statistical Analysis: Descriptive methods, Mann–Whitney-U test, Fisher's exact or Chi-square test, and logistic regression analyses were used for statistical analysis. Results: Two thousand and thirty-two patients (53.6% male) with a median age of 49 years (36–62 years) were included. The most frequent ICU admission diagnoses were stroke (17.4%), liver failure (9.2%), heart failure (9%), infection (8.3%), severe trauma (7.5%), traumatic brain injury (7.1%), acute abdomen (7%), pre-eclampsia/eclampsia (5.8%), renal failure (3.9%), and postoperative care following elective and emergency surgeries (3.2%). ICU mortality was 23.5% in the study population and 26.6% when maternal cases were excluded. The five ICU admission diagnoses with the highest ICU mortality were lung tuberculosis (51.9%), traumatic brain injury (42.1%), liver failure (33.7%), stroke (31.9%), and infection (30.8%). The five ICU admission diagnoses causing most death cases were stroke (n = 113), liver failure (n = 63), traumatic brain injury (n = 61), infection (n = 52), and acute abdomen (n = 38). Conclusion: Critical illness in Mongolia affects younger patients compared to high-income countries. ICU admission diagnoses are similar with a particularly high incidence of stroke and liver failure. ICU mortality is approximately 25% with most deaths caused by stroke, liver failure, and traumatic brain injury.

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