PURPOSE: Belize, relative young country with a population of approximately 300,000, located on the Caribbean coast of central America. Primary and Secondary health care services are in place, however, patients in need of tertiary care had to be refrred to neighboring countries. In September 2002. the country's first tertiary care facility became operational. The objective of this study is to assess usage and determine the impact of the services provided.
METHODS: this 4-year observational study, using APACHEII to assess the patients.
RESULTS: During the course of the study , we admit 560 patients to General (mixed) Intensive care Unit, 392/560 (70%) of them were Belizeans, 168/560 (30%) were foreigns. The male:Female ratio was 1.75:1. The most common diagnoses correlates with worldwide ICU statistics, those being Trauma, Infectious Disease and CVA. The mortality rate is 5.3% and the average length of stay is 5 days.
CONCLUSION: Since it is opening, there has been a yearly increase in the admissions to the ICU. Patient outcome is comparable with worldwide statistics. The existence of this unit has had a positive medical and economic impact on the provision of health care service in Belize.
CLINICAL IMPLICATIONS: The creation of a Multidisciplinary Critical Care Unit, force us to improved clarity in goals recognitation and team communication across disciplines that effectively disseminates complex patient information, which increase quality and safety.
DISCLOSURE: Jorge Hidalgo, No Financial Disclosure Information; No Product/Research Disclosure Information