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Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

Differences in critical care practice between an industrialized and a developing country.

Martin W Dünser¹, Otgon Bataar, Ganbat Tsenddorj

¹Department of Anesthesiology and Critical Care Medicine, Innsbruck Medical University, Innsbruck, Austria. martin.duenser@i-med.ac.at

Wiener Klinische Wochenschrift

|December 17, 2008

Summary

Critical care in Mongolia shows higher mortality than in Austria due to differences in patient profiles and fewer interventions. Improving Mongolian intensive care units (ICUs) requires addressing system and staff issues.

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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

Critical Care Medicine
International Health
Comparative Healthcare Systems

Background:

Limited data exist on intensive care unit (ICU) patient populations and critical care practices in developing nations.
This study addresses this gap by comparing ICUs in Mongolia and Austria.

Purpose of the Study:

To evaluate differences in patient characteristics, intensive care unit (ICU) practices, and patient outcomes between a Mongolian tertiary university hospital ICU and an Austrian secondary hospital ICU.
To identify factors contributing to disparities in critical care delivery and outcomes.

Main Methods:

Prospective study comparing two ICUs: a Mongolian ICU (MonICU) and an Austrian ICU (AutICU).
Data collected included demographics, chronic health status, clinical parameters, disease and therapeutic severity scores, and outcomes for all admitted patients over 4.5 months.
Statistical analysis employed standard tests and multiple regression analysis.

Main Results:

MonICU admitted 203 patients; AutICU admitted 257 patients.
MonICU patients had fewer chronic diseases but higher rates of tuberculosis and prior lack of medical examination.
MonICU patients experienced more unplanned admissions, greater disease severity, fewer therapeutic interventions, and significantly higher overall mortality (19.7% vs. 6.2%).

Conclusions:

Significant variations exist in patient profiles and intensive care unit (ICU) practices between the Mongolian and Austrian ICUs.
Higher mortality in MonICU, especially in multi-organ dysfunction cases, highlights critical care disparities.
Improving Mongolian intensive care necessitates addressing systemic, staff-related issues, enhancing physician acceptance, and upgrading staff training.