scholarly journals A Review of Comparison of Complications of Vaginal Hysterectomy with and without Concomitant Surgery for SUI: A 5 Years’ Experience at a Tertiary Care Hospital of Pakistan

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Raheela Mohsin Rizvi ◽  
Munnazza Akhtar ◽  
Nadeem Faiyaz Zuberi
Keyword(s):  
Vaginal Hysterectomy ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
International Classification Of Diseases ◽  
Medical Intervention ◽  
Uterovaginal Prolapse ◽  
Care Hospital ◽  
Cross Sectional ◽  
Efficient Treatment ◽  
Concomitant Surgery

Objective. The study was performed to review the complications of surgery for POP with or without surgery for SUI. This included the need for second procedure two years after the primary surgery.Study Design. We conducted a retrospective cross-sectional comparative study at the Aga Khan University, Karachi, Pakistan. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) was used to identify women who underwent vaginal hysterectomy with anterior/posterior repair alone and those with concomitant tension-free vaginal tape surgery for urodynamic stress incontinence.Results. The 28 cases of VH/repair combined with TVT were compared for complications with 430 cases of VH with repair alone. The basic characteristics like age, BMI, and degree of prolapse showed no statistical difference among two groups. The main comorbidities in both groups were hypertension, diabetes, and bronchial asthma. We observed no significant differences in intraoperative and postoperative complications except for cuff abscess, need for medical intervention, and readmission following discharge from hospital, which were higher in cases with vaginal hysterectomy with concomitant TVT.Conclusions. Vaginal hysterectomy is an efficient treatment for uterovaginal prolapse with a swift recovery, short length of hospital stay, and rare serious complications. The addition of surgery for USI does not appear to increase the morbidity.

scholarly journals A study on length of stay and its predictors among dengue patients in a tertiary care institute in Lucknow

2019 ◽  
Vol 6 (11) ◽  
pp. 4870
Author(s):  
Sandhya Mishra ◽  
Deepak Chopra ◽  
Nidhi Jauhari ◽  
Ausaf Ahmad
Keyword(s):  
Occupational Exposure ◽  
Length Of Stay ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Case Fatality ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Age Group ◽  
Cross Sectional ◽  
Early Arrival

Background: Dengue virus infection is a growing health problem and is prevalent throughout India. Research focusing on length of hospital stay and its predictors is scarce from India. This is important considering the burden of the disease during epidemics and impact on hospital admissions. Hence the study was conducted with the objectives to find out the factors influencing the length of stay in hospital of dengue patients.Methods: A cross sectional retrospective observational study conducted at a tertiary care hospital from August 2016 to October 2016. Data was retrieved from case sheets at Medical Record Department of 350 lab confirmed adult dengue patients admitted in the hospital.Results: The majority of patients admitted were of economically productive age group of 18-45 years and males indicating the occupational exposure to the vector of dengue. The study found that majority had length of stay of less than a week and as age increases the length of stay also increases (statistically significant). The nil case fatality and lesser number of mean days of symptoms before admission possibly indicate that early arrival of patients to hospital can lead to very low fatality rates. Further research required to find out the other predictors of length of stay.Conclusions: The study concludes that the dengue affects the economically productive age group and more males thereby indicating occupational exposure to the vector. The age of the patient can be used as an indicator to the length of stay in the hospital.

scholarly journals Risk Factors and Outcomes of Bacteremia Caused by Carbapenem Resistant Enterobacterales Compared to Carbapenem Susceptible Enterobacterales

2021 ◽  
Author(s):  
Fasih Ali Ahmed ◽  
Omair Ahmed ◽  
Sameer Ahmad Khan ◽  
Naveera Khan ◽  
Sara Ahmed ◽  
...  
Keyword(s):  
Risk Factors ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Severity Of Illness ◽  
Central Line ◽  
Common Source ◽  
Care Hospital ◽  
Cross Sectional ◽  
Carbapenem Resistant ◽  
Tract Infections

Abstract BackgroundDue to shrinking therapeutic options, infections due to Carbapenem-resistant Enterobacterales (CRE) are an urgent threat in healthcare systems. We compared the risk factors and outcomes of bacteremia secondary to CRE with bacteremia secondary to carbapenem susceptible Enterobacterales (CSE).MethodsWe conducted a retrospective cross-sectional study on patients admitted to a tertiary care hospital in Karachi, Pakistan between 2013 and 2016. Patients with CRE bacteremia were matched to those with CSE bacteremia while excluding those with polymicrobial cultures.ResultsA total of 131 patients were enrolled (65 CRE and 66 CSE) with the mean age of 51.8 years and 57.1 years in CRE and CSE groups respectively. Compared with CSE, CRE bacteremia was more likely to occur in patients with Diabetes Mellitus or those with a tracheostomy (P = 0.002 and 0.014, respectively). The most common source of CRE bacteremia was central line associated (24.6% of all cases) as opposed to urinary tract infections in those with CSE bacteremia (62.1% of all cases). Fewer patients with CRE bacteremia received appropriate antibiotics (72.3% vs. 81.8%). Mortality was significantly higher in the CRE group (41.5% vs. 12.1%, P = 0.001) even when adjusted for the severity of illness using the PITT-bacteremia score. Increased mortality was also associated with central venous catheterization in both groups. The median length of hospital stay was longer in patients with CRE (8 vs. 6 days, P = 0.021)ConclusionCRE bacteremia was associated with central lines and led to significantly higher mortality and length of stay.

scholarly journals A Comparative Study: Knowledge and Practices amongst Post-Operative Patients Regarding Hospital Acquired Infections (HAI) between Private and Public Tertiary Care Setup in Pakistan

2020 ◽  
Vol 5 (2) ◽  
pp. 71-78
Author(s):  
Asna Shahab ◽  
◽  
Tahir Sultan Shamsi ◽  
Erum Afaq ◽  
Omer Mustafa ◽  
...  
Keyword(s):  
Private Hospital ◽  
Safety Concern ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Cross Sectional ◽  
Public And Private ◽  
Hospital Acquired Infections ◽  
Private And Public ◽  
Hospital Acquired

Abstract: Background: Hospital Acquired Infection (HAI) is a major global safety concern for the health system as it increases mortality, morbidity, and length of hospital stay and contributes to the economic burden. These infections are prevalent in hospitals of developing countries such as Pakistan, due to limited resources, unsafe infection control practices and under reporting. However, post-operative patients are more prone to these infections due to immunocompromised state, antibiotic resistance, and most importantly lack of awareness regarding HAIs and their respective preventive measures. Therefore, the objective of this study was to highlight some of the serious but avoidable aspects of this largely ignored but important issue of HAIs in public and private tertiary care hospitals by assessing and comparing the need of knowledge and awareness in post-operative patients to minimize risks which in turn will decrease incidence, morbidity and mortality. Materials and Methods: A descriptive cross sectional study was conducted among post-operative patients of Liaquat National Hospital and Civil Hospital (private and public tertiary care hospital, respectively), over a period of 1 year (July 2017-2018) in Karachi. Individual interviews following verbal consent were taken using a pre-coded questionnaire, which was divided into 3 sections to analyze the social and demographic, knowledge and practices of the patients. We excluded patients with impaired comprehension, less than 15 years of age and those who were reluctant to participate. Data was analyzed using SPSS v.22.0. Pearson’s chi-square was used as the primary statistical test. Results: Three-fifty post-operative patients from each, public and private hospital were enrolled. The mean age was found to be 38.41 ± 16.57 years and 40.3% of patients were uneducated. Knowledge regarding the modes of spread, types and risk factors for hospital acquired infections was significantly associated with patients admitted in private hospital, female gender and a higher education level.

Assessing frailty index and correlation with crp and serum albumin and clinical outcome in terms of length of hospital stay

2021 ◽  
Vol 8 (1) ◽  
pp. 15-21
Author(s):  
Shilpa Avarebeel ◽  
Akash Durgakar ◽  
Pratibha Pereira ◽  
Tandure Varsha ◽  
Mahesh Poojari ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Elderly Patients ◽  
Serum Albumin ◽  
Hospital Stay ◽  
Frailty Index ◽  
Tertiary Care ◽  
Age Groups ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Cross Sectional

Frailty is defined as “a clinically recognizable state of increased vulnerability, resulting from aging associated decline in reserve and function across multiple A Hospital based descriptive cross-sectional study in tertiary care hospital. Atotal of 294 patients admitted in the Medicine/Geriatric Ward, were included in stressors is compromised”. It is a robust and powerful risk factor for disability. With this background, study was conducted at a tertiary centre with objectives to assess the frailty in elderly patients and to assess the correlation of frailty with Serum Albumin and CRP physiologic systems, such that the ability to cope with every day or acute and evaluate the clinical outcome in terms of length of hospital stay. The study. Demographic details and details of known comorbidities were recorded. Cognition score of all patients were assessed using mini mental scale examination. Investigations like Serum Albumin and CRP were done. The data was analyzed using statistical software.Our results show that in hospitalized patients frailty is seen in both gender. The presence of co-morbidities worsens the frailty. 30 second chair test is very good indicator for frailty and risk of fall and we observed reduced duration in the Pre-Frail group. The cognition score decreased along with the increase in age groups. When compared with the Frailty index, it was more in the Pre-Frail group. The duration of hospital stay was more in Frail group. The mean serum albumin level is important marker to identify early frailty.Assessment of frailty in elderly patients is necessary and identifying Pre-Frailgroup is very important. 30 second chair stand test and serum albumin are very important early markers in the assessment of frailty. Cognitive function is also very important to identify early frailty. Our study shows that the length of hospital stay is more in the Frail group. Frailty is important aspect of elderly. It should be included in routine clinical assessment of all elderly patients.

scholarly journals Prevalence of Congenital Malformations among Babies Delivered at a Tertiary Care Hospital

2020 ◽  
Vol 58 (225) ◽  
Author(s):  
Sabina Shrestha ◽  
Anup Shrestha
Keyword(s):  
Congenital Malformation ◽  
Congenital Malformations ◽  
Tertiary Care ◽  
International Classification Of Diseases ◽  
Care Hospital ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Genitourinary System ◽  
Live Births ◽  
Common System

Introduction: Congenital malformations have emerged as a major cause of stillbirths and neonatalmortality. It is a common cause of morbidity and mortality not only in the newborn but also in childhoodand beyond. The objective of this study was to find the prevalence of congenital malformation at birth. Methods: The descriptive cross-sectional study was conducted among 2456 live births in KathmanduMedical College and Teaching Hospital from April 2017 to March 2018 after obtaining ethicalapproval from the institutional review committee (Ref no. 08052017). A convenient sampling methodwas applied. All the live-born babies delivered in this hospital during the study period were clinicallyexamined for the presence of congenital anomalies. All malformations were classified accordingto the International Classification of Diseases-10 classification. The mothers of the newborns withcongenital malformations were interviewed in a predesigned proforma. Statistical analysis was doneusing statistical package for the social sciences version 20. Results: Out of 2456 examined live births, congenital malformations were observed in 66 cases.The prevalence of congenital malformation was 66 (2.6%) at 95% confidence interval (4.19-1.98) oftotal live births. The genitourinary system was the most common system involved with congenitalmalformations being 16 (24.2%), followed by musculoskeletal system 14 (21.2%), and cardiovascularsystem 12 (18.2%). Conclusions: Congenital malformation plays a major role in the mortality and morbidity of neonatesas well as children. The genitourinary system was the most common system involved.

scholarly journals Hospital Stay of Orthopedic Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Pramod Joshi
Keyword(s):  
Hospital Stay ◽  
Chronic Back Pain ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Provincial Hospital ◽  
Co Morbidity

Introduction: Orthopedic conditions includes a range of condition varying from traumatic injuries, congenital anomalies, chronic back pain, arthritis, rheumatologic conditions, and other. Length of hospital stay is determined by a number of factors such as symptom severity, patient co morbidity and hospital availability. Our study aims to study the length of hospital stay of the patients admitted in a provincial hospital. Methods: A descriptive cross-sectional study was conducted in Seti Provincial Hospital in the month of January among 800 cases. The record of each orthopedic cases admitted in the hospital was retrospectively collected from the medical record section after receiving ethical approval from Institutional Review Committee of Seti Provincial Hospital. Whole sampling technique was used. Data were analyzed by Statistical Package for the Social Sciences version 20. The descriptive statistical analysis was done. Results: The average length of hospital stay was 2.87 days with the maximum length of the stay of 10 days and the minimum stay of zero days (discharged on the same day). Forearm bone fracture was the main reason for admission in the hospital 325 (40.62%). Conclusions: Length of the hospital stay was found to shorter than the previous study done in similar settings.

scholarly journals Knowledge, Attitude and Practice on Prevention of Catheter-associated UTI among Nurses of a Tertiary Care Hospital

2021 ◽  
Vol 17 (1) ◽  
pp. 61-68
Author(s):  
Rashmi K.C. ◽  
Binita Dhakal
Keyword(s):  
Urinary Tract ◽  
Bacterial Infections ◽  
Urinary Catheter ◽  
Tertiary Care ◽  
Negative Attitude ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Tract Infections

Introduction: Urinary tract infection (UTI) is among the common bacterial infections worldwide and approximately 80% are associated with a urinary catheter. Catheter-associated UTI (CAUTI) has been associated with increased mortality, morbidity, length of hospital stay and the best way of CAUTI prevention is to adhere to recommended guidelines on infection control in the use of a urinary catheter. Methods: A cross-sectional analytical study was conducted among the nurses of college of medical sciences. A total of 160 staff nurses were selected using a probability simple random sampling technique. Data was collected using a self-administered questionnaire for knowledge, Likert scale for attitude, and checklist for practice regarding the prevention of CAUTI. The data gathered was analyzed using both descriptive and inferential statistics in SPSS software. Results: Among the total of 160 participants, most of the nurses 59.37% had moderate knowledge and 16.25% had adequate knowledge towards the prevention of CAUTI. The positive attitude of nurses was 41.88% and the majority of nurses 64.38% had a good level of practice. Also, age (p=0.022), professional qualification (p=0.001), designation (p=0.001), current area of practice (p=0.030) and previous information towards CAUTI prevention (p=0.003) among all the socio-demographic variables were statistically significant with the level of knowledge regarding the prevention of CAUTI. Conclusion: Majority of nurses level of knowledge was not satisfactory and had a negative attitude regarding CAUTI prevention. This indicates that the implementation of an educational program is needed to enhance nurses' knowledge regarding catheter management to improve quality care. Keywords: attitude; catheter-associated urinary tract infections; CAUTI; practice; UTI

Outcome of Surgically Treated 79 Patients of Hepatic Hydatidosis: A Single Center Tertiary Care Hospital Experience in Bangladesh

2020 ◽  
Vol 22 (2) ◽  
pp. 118-124
Author(s):  
Md Mamunur Rashid ◽  
Hashim Rabbi ◽  
AHM Tanvir Ahmed ◽  
Osman Goni ◽  
Masuda Joya ◽  
...  
Keyword(s):  
Treatment Strategy ◽  
Perioperative Complications ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Treatment Modalities ◽  
Successful Outcome ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hepatic Hydatidosis ◽  
Proper Patient Selection

Background: Proper patient selection for most appropriate treatment option for hepatic hydatid is crucial to ensure successful treatment outcome. Chemotherapy, newer approaches, like PAIR procedure, (puncture, aspiration, injection and reaspiration) laparoscopy are available. As the indications for these approaches are restricted, surgery remains the key treatment strategy with hope for complete cure. Radical surgical excision coupled with chemotherapy and long-term aggressive chemotherapy for partially resected ensures lowest morbidity and mortality. Methods: This cross sectional observational study of 15-year single-institution experience, intended to further validate different surgical procedures in management of hydatid disease of liver and its outcome. Patients were randomly selected irrespective of their age, sex and mode of presentation. Different preferred surgical treatment modalities, perioperative complications, recurrences, and length of hospital stay were retrospectively analyzed. Result: The study was carried out on 79 Bangladeshi patients diagnosed hepatic hydatidosis, treated surgically from January 2002 to December 2017 in BIRDEM General Hospital. Among them was no anastomotic leakage or mortality in the immediate postoperative period in our series. Conclusion: This study revealed, proper case selection and consideration of risks-benefits, indicationscontraindications for each case of Hydatid cyst of liver, for making a decision for type and timing of surgery is key to successful outcome. Surgery is the mainstay of treatment strategy. Radical surgery is key to effective and successful outcome, ensures better quality of life and prevents recurrence of the disease. Journal of Surgical Sciences (2018) Vol. 22 (2) : 118-124

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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