Evidence map›Paper›PMID 41876898›Full record

ArticleActa neurochirurgica2026

Mortality and its predictors among neurosurgical patients admitted to the surgical ICU in a resource-limited setting: experience from Ethiopia.

Absera Gebriel Yohannes, Molla Asnake Kebede, Amira Shamil, Kidus Geabriel Yohannes, Dejen Tekiea Gebrewahd, Turi Abateka Abadiga, Abera Kuma, Selemon Gebrezgabiher Asgedom

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Article in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Absera Gebriel YohannesDepartment of Anesthesiology, School of Medicine, College of Medicine and Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Molla Asnake KebedeDepartment of Medicine, College of Medicine and Health Science, Mizan Tepi University, Mizan Aman, Ethiopia.
Amira ShamilDepartment of Anesthesiology, School of Medicine, College of Medicine and Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Kidus Geabriel YohannesDepartment of Pediatrics, College of Medicine and Health Science, Mizan Tepi University, Mizan Aman, Ethiopia.
Dejen Tekiea GebrewahdDepartment of Neurosurgery, Ayder Comprehensive Specialized Hospital(ACSH), Mekelle University, Mekelle, Ethiopia.
Turi Abateka AbadigaDepartment of Pharmacy, Mizan Tepi University Teaching Hospital, Mizan Aman, Ethiopia.
Abera KumaDepartment of Neurology, College of Medicine and Health Science, Hawassa University, Hawassa, Ethiopia.
Selemon Gebrezgabiher AsgedomSchool of Medicine, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. solexgzr@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurosurgical patients frequently require intensive postoperative care. However, data on the factors influencing their outcomes in low-resource environments are limited. This study aimed to identify the predictors of mortality among neurosurgical patients admitted to the Surgical Intensive Care Unit at the Tikur Anbessa Specialized Hospital, Ethiopia.

methodsA retrospective cohort study was conducted between January 1, 2024, and January 1, 2025. All neurosurgical patients admitted to the surgical Intensive Care during the study period were reviewed. Patient outcomes were categorized as death during Intensive Care Unit stay or discharge or transfer with clinical improvement. Multivariate logistic regression analysis was performed using SPSS version 27, and variables with p < 0.05 were considered statistically significant.

resultsA total of 140 neurosurgical patients were included, with an overall ICU mortality rate of 23% (n = 32). Emergency surgery (AOR = 7.4; 95% CI: 1.26-13.97; p = 0.027), intraoperative blood loss > 1000 mL (AOR = 4.0; 95% CI: 1.96-5.29; p = 0.044), lack of continuous postoperative monitoring (AOR = 3.5; 95% CI: 1.93-13.15; p = 0.044), and ICU complications (AOR = 7.8; 95% CI: 1.92-13.49; p = 0.004) were independently associated with increased mortality.

conclusion23% Of the neurosurgical patients admitted to the SICU died during the ICU stay. Mortality was independently associated with emergency surgery, significant intraoperative blood loss, lack of continuous postoperative monitoring, and the occurrence of ICU-related complications.

Indexed as

Hospital MortalityIntensive Care UnitsNeurosurgical ProceduresPostoperative ComplicationsAdultAgedEthiopiaFemaleHumansMaleMiddle AgedResource-Limited SettingsRetrospective StudiesEthiopiaIntensive care unitMortalityNeurosurgical patientsPredictors

Identifiers

PMID41876898
PMCPMC13017999

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