{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:34:30Z","timestamp":1740159270658,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Critical Care Research and Practice"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Critical care in Uganda is a neglected speciality and deemed costly with limited funding\/prioritization. We studied admission X-ray and MEWS as mortality predictors of ICU patients requiring mechanical ventilation.<jats:italic>Materials and Methods<\/jats:italic>. We did a cross-sectional study in Mulago Hospital ICU and 87 patients for mechanical ventilation were recruited with mortality as the outcome of interest. Chest X-ray results were the main independent variable and MEWS was also gotten for all patients.<jats:italic>Results<\/jats:italic>. We recruited 87 patients; most were males (60.92%), aged between 16 and 45 years (59.77%), and most admissions for mechanical ventilation were from the Trauma Unit (30.77%). Forty-one (47.13%) of the 87 patients died and of these 34 (53.13%) had an abnormal CXR with an insignificant IRR = 1.75 (0.90\u20133.38) (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.062<\/mml:mn><\/mml:math>). Patients with MEWS \u2265 5 (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mrow><mml:mi>p<\/mml:mi><\/mml:mrow><\/mml:math>values = 0.018) and\/or having an abnormal superior mediastinum (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mrow><mml:mi>p<\/mml:mi><\/mml:mrow><\/mml:math>values = 0.013) showed a positive association with mortality while having a MEWS<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mrow><mml:mo>\u2265<\/mml:mo><\/mml:mrow><\/mml:math>5 had an incidence risk ratio = 3.29 (1.00\u201312.02) (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.018<\/mml:mn><\/mml:math>). MEWS was a good predictor of mortality (predictive value = 0.6739).<jats:italic>Conclusion<\/jats:italic>. Trauma (31%) caused most ICU admissions, having an abnormal admission chest X-rays positively associated with mortality and a high MEWS was also a good predictor of mortality.<\/jats:p>","DOI":"10.1155\/2016\/7134854","type":"journal-article","created":{"date-parts":[[2016,9,19]],"date-time":"2016-09-19T21:01:24Z","timestamp":1474318884000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Abnormal Admission Chest X-Ray and MEWS as ICU Outcome Predictors in a Sub-Saharan Tertiary Hospital: A Prospective Observational Study"],"prefix":"10.1155","volume":"2016","author":[{"given":"Hannington","family":"Ssemmanda","sequence":"first","affiliation":[{"name":"Directorate of Surgery Surgical Services, Mulago National Referral Hospital, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1638-7321","authenticated-orcid":true,"given":"Tonny Stone","family":"Luggya","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Makerere University College of Health Sciences, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Lubulwa","sequence":"additional","affiliation":[{"name":"Directorate of Surgery Surgical Services, Mulago National Referral Hospital, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeridah","family":"Muyinda","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mulago National Referral Hospital, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Kwitonda","sequence":"additional","affiliation":[{"name":"Department of Radiology, Mulago National Referral Hospital, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Humphrey","family":"Wanzira","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Ministry of Health Uganda, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Ejoku","sequence":"additional","affiliation":[{"name":"Directorate of Surgery Surgical Services, Mulago National Referral Hospital, Kampala, Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-5-475"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(10)60446-1"},{"year":"1998","key":"3"},{"year":"1991","key":"5"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-199705000-00015"},{"issue":"1","key":"9","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/S0033-8389(22)00664-9","volume":"34","year":"1996","journal-title":"Radiologic Clinics of North 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