A study of clinical profile and factors associated with the outcome in patients of dengue fever at tertiary health care centre

2021 ◽  
Vol 11 (2) ◽  
pp. 119-121
Author(s):  
Eknath M Bamane ◽  
Keyword(s):  
Renal Failure ◽  
Dengue Fever ◽  
Clinical Features ◽  
Recurrent Infection ◽  
Age Group ◽  
Care Centre ◽  
Health Care Centre ◽  
Factors Associated ◽  
One Year ◽  
The One

Background: Incidence of dengue fever and dengue hemorrhagic fever increased thirty folds globally over the last few decades Aims and Objectives: To Study Clinical profile and Factors associated with the outcome in patients of dengue fever at tertiary health care centre. Methodology: This was a cross-sectional study carried out in the department of Medicine during the one year period in the suspected patients of Dengue so during the one year period all the suspected patients were screened by Dengue antigenic Kit those showing the positive results with clinical features with written and explained consent were included into the study hence in the study period 77 patients were enrolled. The data was entered into excel sheet and analyzed excel software’s for windows 10. Result: In our study we have seen that the majority of the patients were in the age group of 40-50 were 32.47%, followed by 50-60 Were 24.68%, 30-40 were 16.88%, >60 were 14.29%, 20-30 were 11.69%. The majority of the patients were Male i.e. 57.14% followed by Female were 42.86%. The most common clinical features were Fever in 94% followed by Myalgia in 92%, Headache in 80%, Retro-orbital pain in 79%, Arthralgia in 68%, Rash in 43%, Diarrhea in 24%, Mucosal bleeding in 5%, Spontaneous bleeding of skins in 4%. The majority of the patients improved i.e. 82% and 16% Improved with Complications, DAMA was given in 1% and Death occurred in only 1%. The most common factors associated were Old age (>50) in 69.23% followed by H/o Diabetes in 53.85%, H/o Hypertension in 53.85%, H/o CVD in 46.15%, H/o Smoking in 38.46%, Recurrent infection in 30.77%, Renal failure -23.08, H/o Immuno compromised disease - 15.38%. Conclusion: It can be concluded from our study that the majority of the patients were in the age group of 4th or 5th decade and male outnumbered than females, the most common clinical features were Fever and myalgia, the majority of the patients improved and the factors associated with poor outcome were Old age (>50), H/o Diabetes , H/o Hypertension , H/o CVD , H/o Smoking , Recurrent infection, Renal failure, H/o Immuno-compromised disease etc.

A study of factors associated and complications of measles infection in children at a tertiary health care centre

2019 ◽  
Vol 10 (2) ◽  
pp. 56-58
Author(s):  
Sushant Kumar ◽  
◽  
Vinod Kumar Mishra ◽  
Sunil Kumar ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Care Centre ◽  
Health Care Centre ◽  
Factors Associated

A study of factors associated with mortality in severe head injury at tertiary health care centre

2019 ◽  
Vol 10 (2) ◽  
pp. 32-34
Author(s):  
Sudhir Fattepurkar ◽  
◽  
Geeta Fattepurkar ◽  
Narayan Nagmode ◽  
Rekha Kardile ◽  
...  
Keyword(s):  
Health Care ◽  
Head Injury ◽  
Severe Head Injury ◽  
Care Centre ◽  
Health Care Centre ◽  
Factors Associated

scholarly journals Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

2012 ◽  
Vol 32 (2) ◽  
pp. 142-145 ◽  
Author(s):  
B Sigdel ◽  
R Nepali
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
Paediatric Age ◽  
One Year ◽  
A Prospective Study ◽  
Nose And Throat

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

scholarly journals A Cross Sectional Descriptive Study of Etiology and Clinical Pattern of Liver Abscess : 50 Cases

2013 ◽  
Vol 12 (3) ◽  
pp. 44-48
Author(s):  
Joyabrata Das ◽  
Subash Majumdar ◽  
Subrata Das ◽  
Saiem Nurul Anwar ◽  
Hossain Ahmed ◽  
...  
Keyword(s):  
Clinical Features ◽  
Liver Abscess ◽  
Rural Areas ◽  
Descriptive Study ◽  
Age Group ◽  
Cross Sectional ◽  
Medical College ◽  
Abdominal Abscesses ◽  
One Year ◽  
The Right

Background: The liver is the organ most subjected to the development of abscesses and made up 48 % of all visceral abscesses' and 7% of all intra abdominal abscesses. Liver abscess should be suspected when there is a combination of fever, leucocytosis, constitutional symptoms, and pain in the right upper quadrant, and tenderness over the liver or right lower rib cage. The liver is affected by a number of local and disseminated infections; their frequency and types vary considerably around the world. Parasitic disorders are more prevalent in developing countries. Methods: It was a cross-sectional descriptive study. The cases were taken from the admitted patients of Medicine unit of SMCH, Chittagong. The study was conducted over a period of one year with a sample size of 50 patients and sample was taken by purposive sampling. Results: Among 50 patients 40 (80%) were diagnosed as ALA and 10 (20%) were diagnosed as PLA. ALA cases are common in 21-30 years age group & PLA cases are more common in >50 years of age group. Majority of the cases were from rural area. Common clinical features were fever, abdominal pain, nausea and tender hepatomegaly. Diarrhea was present on admission in 7 (15.9%) patients of ALA. Anaemia was common in both but polymorphonuclear leucocytosis was moderate to severe in PLA. Microscopic examination of stool samples for E. Histolytica trophozoites was positive in 3 (7.5%) cases and cysts in 4(10%) cases. Nine patients had right sided pleural effusion. Conclusions: Clinical features are common in both ALA and PLA. Liver abscesses are more common in men and more prevalent in rural areas. ALA more commonly occurs in 21-30 years age group but can occur at any age. Pyogenic abscess is more common in older age group (>50 years) and E. Coli is the commonest organism. Chattagram Maa-O-Shishu Hospital Medical College Journal Volume 12, Issue 3, September 2013: 44-48

Battered baby syndrome

Trauma ◽  
2016 ◽  
Vol 19 (3) ◽  
pp. 216-218
Author(s):  
Shashank Pooniya ◽  
Sanjeev Lalwani ◽  
Nirupam Madaan ◽  
Manju Mehta ◽  
Ashu Bhalla ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Abuse ◽  
Child Abuse ◽  
Physical Abuse ◽  
Emotional Abuse ◽  
Age Group ◽  
Care Centre ◽  
Health Care Centre ◽  
Second Child ◽  
Attending Physician

The problem of battered baby and child abuse is a much underreported condition, easily missed by the attending physician and autopsy surgeon. According to a study by the Ministry of Women and Child Development, India, in 2007, more than two-thirds (69%) of children, particularly in the age group of 5–12 years, faced physical abuse, mostly (89%) by parents. Sexual abuse occurred in over half of them (53%) and every second child faced emotional abuse, mostly by parents (83%). In this presentation, we will be sharing the experience of managing two cases of battered baby syndrome, reported at a tertiary health care centre in India.

scholarly journals Risk factors associated with the development of death events during the first year of follow-up after pulmonary thromboembolism

2019 ◽  
pp. 80-85
Author(s):  
S. A. Berns ◽  
E. A. Schmidt ◽  
A. G. Neeshpapa ◽  
A. A. Potapenko ◽  
K. V. Smirnov ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
High Risk ◽  
Anticoagulant Therapy ◽  
Severe Heart Failure ◽  
First Year ◽  
Factors Associated ◽  
Risk Of Death ◽  
One Year ◽  
The One

Purpose: to identify the factors associated with the development of death events during the year follow-up after hospitalization for pulmonary embolism (PE). Materials and methods: 93 patients with PE discharged to the outpatient stage of observation were studied. 45 (61,6%) patients were female with an average age of 66 years. The examination of patients at the stage of inclusion in the study consisted of standard methods of examination for this pathology. The diagnosis was confirmed by multislice computed tomography. Follow-up was 12 months. Statistical analysis was performed using the MedCalc Version 16.2.1. Results: during the one-year follow-up period 62 (66,7%) patients with PE were alive but 11 patients (11,8%) died, and no information was obtained about 20 patients. The causes of death were as follows: the development of recurrent PE – 4 (36,4%) patients, cancer – 3 patients (27,3%), stroke – 2 (18,1%), one patient (9,1%) died due to severe heart failure and one – myocardial infarction. A comparative analysis in the groups of alive patients (n = 62) and patients with a fatal events (n = 11) showed that the dead patients were older (78 (68; 81) vs. 65 (49; 75) years; p = 0,003), had a higher PESI score (119,0 (99,7; 137,2) vs. 88,0 (68,0; 108,0); p = 0,016) and were less compliant to prolonged anticoagulant therapy during the one year of observation (45,5% of patients (n = 5) vs. 82,3% ( = 51); p = 0,015). The ROC curve determined that a high risk of death during the one year after PE is associated with age over 70 years (p = 0,0001) and more than 95 points by PESI in the hospital period (p = 0,0001). Conclusion: The death events were developed in 11,8% of cases in patients with pulmonary embolism during the first year of follow-up. The death outcomes were significantly associated with elderly age, intermediate and high risk by PESI in the hospital period and low compliance to anticoagulant therapy extended during the year after pulmonary embolism.

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