Prevalence and Seven-day Observation of Critically Ill Patients in Cipto Mangunkusumo Hospital, Jakarta: A Preliminary Study

Current medical record system in Cipto Mangunkusumo Hospital (RSCM) does not allow up-to-date identification for patients with critical condition. As an effort on improving the rapid response of the medical team, this study aims to determine the number of critically ill patients and the incidence of emergency activation (code blue) during the study period. A longitudinal study was conducted for all inpatients that were critically ill in RSCM ward from 19th to 26th April 2013. Via consecutive sampling, critically ill patients were selected based on the code blue criteria. Selected patients were then observed for seven days to determine the incidence of cardiopulmonary arrest and their 24-hour survival. Out of 428 patients who were treated in the hospital ward on 19th April 2013, 13 patients (3%) were in critical condition. Primary diagnoses of the critically ill patients varied from infections, auto-immune to malignancies. Four deaths occurred with three emergency activations; 1 central and 2 regional. Three percent of all the inpatients treated in the hospital ward were critically ill. Thirty percent of those patient experienced cardiac arrests. All four arrests resulted in deaths, including two do not resuscitate patients. Data obtained from this study are preliminary and has identified existing problems that requires further studies for confirmation. This study also illuminate the importance of integrated-electrical medical record system. Keywords : prevalence, critically ill, inpatients, Cipto Mangunkusumo Hospital