Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience
Background: At Groote Schuur Hospital (GSH), the Neurosurgical Intensive Care Unit (NsICU) is a 6-bed unit headed by a specialist neurosurgeon with extensive experience in Neuro-Critical Care working in close collaboration with intensivists from the Division of Critical Care. There is currently no d...
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English Eng |
| Published: |
Division of General Surgery
2025
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613343253004288 |
|---|---|
| access_status_str | Open Access |
| author | Rashid, Sakina |
| author2 | Semple, Patrick |
| author_browse | Rashid, Sakina Semple, Patrick |
| author_facet | Semple, Patrick Rashid, Sakina |
| author_sort | Rashid, Sakina |
| collection | Thesis |
| description | Background: At Groote Schuur Hospital (GSH), the Neurosurgical Intensive Care Unit (NsICU) is a 6-bed unit headed by a specialist neurosurgeon with extensive experience in Neuro-Critical Care working in close collaboration with intensivists from the Division of Critical Care. There is currently no detailed analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH. Objectives: To provide a detailed descriptive analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH from 1st January 2020 to 31st December 2021. Methods: A retrospective descriptive analysis of patients who received treatment in the NsICU from 1st January 2020 to 31st December 2021. Results: A total of 685 patients were admitted to the unit over a two-year period with a male preponderance (68.2%). The average age was 42.5 (±17.2) years. The most common neurosurgical diagnoses were traumatic brain injuries (39.6%), brain tumours (22.6%) and aneurysmal subarachnoid haemorrhages (9.9%). Emergency admissions comprised 76.6% of the total and 86.7% of admissions were admitted post operatively. Three hundred and seventytwo patients required mechanical ventilation (54.3%), 132 patients required both an intracranial pressure monitor (ICP) and brain tissue oxygenation monitor (19.3%), 86 had an external ventricular drain placed (12.5%), 50 patients required placement of a tracheostomy (7.3%) and 16 patients had only an ICP monitor placed (2.3%). The average duration of stay was 5.5 (±1.3) days and ICU mortality over 2 years was 11.1%. Conclusion: The NsICU at GSH manages predominantly male trauma patients and a significant number of admitted patients require specialized invasive intracranial monitoring. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/41371 |
| institution | University of Cape Town (South Africa) |
| language | English Eng |
| last_indexed | 2026-06-10T12:34:38.153Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/41371 The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience Rashid, Sakina Semple, Patrick Joubert Ivan Medicine Background: At Groote Schuur Hospital (GSH), the Neurosurgical Intensive Care Unit (NsICU) is a 6-bed unit headed by a specialist neurosurgeon with extensive experience in Neuro-Critical Care working in close collaboration with intensivists from the Division of Critical Care. There is currently no detailed analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH. Objectives: To provide a detailed descriptive analysis of the demographics, diagnosis and management of patients admitted to the NsICU at GSH from 1st January 2020 to 31st December 2021. Methods: A retrospective descriptive analysis of patients who received treatment in the NsICU from 1st January 2020 to 31st December 2021. Results: A total of 685 patients were admitted to the unit over a two-year period with a male preponderance (68.2%). The average age was 42.5 (±17.2) years. The most common neurosurgical diagnoses were traumatic brain injuries (39.6%), brain tumours (22.6%) and aneurysmal subarachnoid haemorrhages (9.9%). Emergency admissions comprised 76.6% of the total and 86.7% of admissions were admitted post operatively. Three hundred and seventytwo patients required mechanical ventilation (54.3%), 132 patients required both an intracranial pressure monitor (ICP) and brain tissue oxygenation monitor (19.3%), 86 had an external ventricular drain placed (12.5%), 50 patients required placement of a tracheostomy (7.3%) and 16 patients had only an ICP monitor placed (2.3%). The average duration of stay was 5.5 (±1.3) days and ICU mortality over 2 years was 11.1%. Conclusion: The NsICU at GSH manages predominantly male trauma patients and a significant number of admitted patients require specialized invasive intracranial monitoring. 2025-04-09T06:48:50Z 2025-04-09T06:48:50Z 2024 2025-03-28T13:34:55Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/41371 en Eng application/pdf Division of General Surgery Faculty of Health Sciences University of Cape Town |
| spellingShingle | Medicine Rashid, Sakina The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience |
| thesis_degree_str | Master's |
| title | The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience |
| title_full | The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience |
| title_fullStr | The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience |
| title_full_unstemmed | The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience |
| title_short | The Groote Schuur Hospital Neurosurgical Intensive Care Unit: A 2 Year Experience |
| title_sort | groote schuur hospital neurosurgical intensive care unit a 2 year experience |
| topic | Medicine |
| url | http://hdl.handle.net/11427/41371 |
| work_keys_str_mv | AT rashidsakina thegrooteschuurhospitalneurosurgicalintensivecareunita2yearexperience AT rashidsakina grooteschuurhospitalneurosurgicalintensivecareunita2yearexperience |