Understanding the Epidemiological Profile, Clinical Management and outcomes of patient with Pulmonary Diseases Admitted to Intensive care unit: Insights from a Provincial Hospital of Nepal

Authors

  • Satish Bijukche Department of Anesthesia and Critical Care, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal.
  • Prashant Bidari Department of Anesthesia and Critical Care, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal.
  • Ishwor Kumar Silwal Department of Anesthesia and Critical Care, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal.
  • Subash Babu Lamichane Department of Anesthesia and Critical Care, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal.
  • Samikshya Adhikari Health Logistic Management Center, Bagmati Province, Hetauda. Nepal.

DOI:

https://doi.org/10.70250/mjpahs240

Keywords:

Clinical outcome, Epidemiological profile, ICU, Mortality, Respiratory disease

Abstract

Introduction: Respiratory diseases are a major cause of ICU admissions worldwide, contributing significantly to morbidity and mortality, particularly in lowresource settings. This study aimed to assess the epidemiological profile, clinical management, and outcomes of patients with pulmonary diseases admitted to a provincial ICU in Nepal.

Methods: A retrospective cross-sectional study was conducted at the ICU of Hetauda Hospital, Nepal. All consecutive patients admitted with respiratory diseases between November 1, 2022, and November 30, 2023, were included. Patients with incomplete records were excluded.

Results: Out of 1039 ICU admissions, 317 (30.5%) had pulmonary diseases. The majority were elderly females. AECOPD was the most common diagnosis. NIV with antibiotics was the most common treatment. Mortality rate was 4.1%. Mechanical ventilation and longer ICU stay were significantly associated with poor outcomes.

Conclusions: Respiratory diseases are a major ICU burden in Nepal. Early intervention and optimized ICU care can improve outcomes. Larger prospective studies are needed.

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Published

2026-07-31

Issue

Vol. 9 No. 1 (2026): JAN - JUN 2026

Section

Original Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.