Morbidity and Mortality of Mucocutaneous Diseases in the Pediatric Population at a Tertiary Care Center

2007 ◽  
Vol 28 (6) ◽  
pp. 865-870 ◽  
Author(s):  
Jennifer Dore ◽  
Roger E. Salisbury
Keyword(s):  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Tertiary Care Center

scholarly journals Five-years review of obstetric hysterectomy at tertiary care center

2020 ◽  
Vol 10 (1) ◽  
pp. 308
Author(s):  
Anita G. Pawar ◽  
Mangala A. Shinde ◽  
Sarasjothi M. ◽  
Priyanka B. Nemagouda
Keyword(s):  
Risk Factors ◽  
Maternal Morbidity ◽  
Care Center ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Transfusion Rate ◽  
Hypertensive Disorder ◽  
Complication Rates ◽  
Tertiary Care Center ◽  
Maternal Morbidity And Mortality

Background: Obstetric hysterectomy (OH) is indicated as last resort operation to save the life of the mother  and associated with high complication rates, so  requires a highly experienced and skilled medical team ,to solve any complication. Objective was to identify incidence, demographic profile, indications, risk factors, complications, maternal morbidity and mortality associated   with   obstetric hysterectomy.Methods: Retrospective   analytical study of 47 case records is done over period of last 5 years   from October 1st October 2015 to 30th September 2020 at VDGIMS, a tertiary care center, Latur. Results are expressed in frequency and percentages.Results: In our study, the rate of OH was 1.1/1000 deliveries. Most common (68%) age group was 21-30 yrs, majority (70%) were multipara, and booked (76%). Most common indication of OH was atonic PPH (65%), followed by traumatic PP, including rupture uterus (21%), and placenta acreta (10%). Most OH was performed on emergency basis (91%) and of subtotal type (95%). Major mode of delivery  was cesarean 65% and vaginal delivery in 21% cases. Most common risk factors were placental causes (55%), previous LSCS (48%) and hypertensive disorder (31%). High maternal morbidity in form of 100% blood transfusion rate, 93% ICU admission, inotropes and ventilator support in 59% cases and prolonged hospital stay in 75% cases seen. Most common complication were hemorrhagic shock 21%, DIC (29%), renal failure (12%) and septic shock (14%) with maternal death rate of 23% was noted.Conclusions: Obstetric hysterectomy is a necessary life-saving operation, but also associated with high maternal morbidity and mortality, which can be minimized with timely done procedure by experienced person.

scholarly journals Study of maternal and perinatal outcome of referred patients in tertiary health centre

2017 ◽  
Vol 6 (12) ◽  
pp. 5363
Author(s):  
. Jyotsana ◽  
Lalit D. Kapadia ◽  
Hafsa Vohra
Keyword(s):  
Care Center ◽  
Health Centre ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Child Health Services ◽  
Tertiary Care Center ◽  
Perinatal Morbidity ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders ◽  
Common Diagnosis

Background: Referral services for identification and referral of high risk pregnancies are an integral part of maternal and child health services. The aim of this study was to review the pattern of obstetric cases referred to tertiary care center, to identify their clinical course, mode of delivery, maternal and perinatal outcomes.Methods: It is a prospective observational study carried out from January 2017 to July 2017. Study population was all Obstetrics patients referred to Department of Obstetrics and Gynecology of B.J Medical College, Ahmedabad, Gujarat, India a tertiary care center during the study period.Results: The total number of referred cases in above study period was 100. Mode of transport used by the referred patients was by 108 ambulances (75%) and private vehicles (25%). Most common diagnosis at the time of referral was hypertensive disorders of pregnancy (31%). Out of the total referred cases, 57% had vaginal delivery, 42% had caesarean section. Hypertensive disorders of pregnancy constitute the leading cause of maternal deaths amongst the referred cases.Conclusions: The present study has shown that inadequate antenatal and intra-natal care at the periphery level is responsible for increased maternal and perinatal morbidity and mortality. Even today, hypertensive disorders of pregnancy are the leading cause of maternal mortality. Health education to the community will definitely reduce maternal and perinatal morbidity and mortality.

scholarly journals Risk Assessment and Outcome of Venous Thromboembolism in Pediatric Population in an Academic Care Center of a Low-Middle Income Country

2021 ◽  
Vol 27 ◽  
pp. 107602962199589
Author(s):  
Muhammed Wahhaab Sadiq ◽  
Ronika Devi Ukrani ◽  
Aiman Arif ◽  
Inaara Akbar ◽  
Sadaf Altaf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Pulmonary Embolism ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Middle Income Country ◽  
Income Country ◽  
Tertiary Care Center ◽  
Middle Income

Venous thromboembolism (VTE) is a recognized complication of hospital stay in young patients in many developed countries, but such an information is largely unavailable from a low middle-income country (LMIC). This study aimed at identifying the frequency, risk factors, treatment options and outcome of deep venous thrombosis/pulmonary embolism (DVT/PE) in pediatric population in a tertiary care center from a LMIC. International classification of disease, ninth revision (ICD-9) was used to identify VTE in patients aged 0-18 years during January 2011 to September 2019. In-house computerized system was used to collect data for demographics, clinical and laboratory details. SPSS version 19 was used to analyzed data. The study was approved by Institutional ethical review committee (3872-Pat-ERC-15). During the study period, 134617 pediatric patients were hospitalized, DVT/PE was observed in 77 unique patients (47 males and 30 females) with a median (IQR) age of 14 (5-16) years equivalent to 5.9 VTE events /10,000 hospital admissions. Malignancy, community acquired infections and autoimmune diseases were the predominant risk factors (75%) in adolescent age-group while surgery for congenital heart anomalies was the primary reason (71%) in infants. Overall, lower extremity thrombosis was the most frequent (51%) followed by pulmonary embolism (25%). and upper extremity thrombosis (24%). Enoxaparin and unfractionated heparin were mainly used to treat VTE and all-cause mortality was 13% in the cohort studied. We observed substantial VTE events in pediatric patients during their hospital stay in a tertiary care center of a low-middle income country.

A Retrospective Analysis of Etiology and Outcomes of Refractory Capd Peritonitis in a Tertiary Care Center from North India

2018 ◽  
Vol 38 (6) ◽  
pp. 441-446 ◽  
Author(s):  
Venkatesh Thammishetti ◽  
Anupama Kaul ◽  
D.S. Bhadauria ◽  
Karthikeyan Balasubramanian ◽  
Narayan Prasad ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Care Center ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
North India ◽  
Catheter Removal ◽  
Tertiary Care Center ◽  
Technique Survival ◽  
Refractory Peritonitis ◽  
Culture Negative

Background Refractory peritonitis is defined as failure of clearance of peritoneal fluid despite 5 days of appropriate antibiotic therapy. Catheter removal decreases morbidity and mortality. Data on the outcomes of refractory peritonitis and of reinitiation of peritoneal dialysis (PD) in this group of patients are sparse. The present study analyzed etiology, outcomes, and prognostic factors of refractory peritonitis as well as survival of the reinitiation of the technique. Methods This was a single-center retrospective study that included 90 patients of refractory continuous ambulatory PD (CAPD) peritonitis at a tertiary care center in North India. We collected information regarding symptomatology, causes, prognostic factors, and outcomes of refractory peritonitis. Results Ninety patients suffered 93 episodes of refractory peritonitis. Fungal peritonitis was the most common cause of refractory peritonitis. Twenty nine (31%) episodes were culture- negative. We observed no difference between culture-positive and culture-negative peritonitis. Out of 90 patients, 54 (60%) recovered while 36 (40%) died. Septic shock at presentation alone was significantly associated with mortality in our study. The immediate mortality of refractory peritonitis is high. Even in patients who were shifted to permanent hemodialysis, 33% died in the first 3 months. Mean duration of technique survival after reinitiation was 23 months (1 – 85 months). Among the 12 patients who were reinitiated on CAPD, 5 patients had technique failure due to refractory peritonitis or ultrafiltration (UF) failure. Conclusion Refractory peritonitis is associated with significant morbidity and mortality despite catheter removal. Reinitiation is confounded by residual infection, which is a concern for poor technique survival, and high immediate mortality.

scholarly journals A rare case of dicephalous dibrachius dipus conjoined twins:case report

2019 ◽  
Vol 8 (8) ◽  
pp. 3422
Author(s):  
Medha Davile ◽  
Mrunal Gaikwad
Keyword(s):  
Rare Case ◽  
Caesarean Delivery ◽  
Rare Complication ◽  
Care Center ◽  
Tertiary Care ◽  
Morbidity And Mortality ◽  
Tertiary Care Center ◽  
Sonographic Diagnosis ◽  
Severe Morbidity

Conjoined twin is a rare complication seen in 1% of monochorionic monoamniotic twins and associated with severe morbidity and mortality. We are reporting a case of 30 years old second gravida referred to our tertiary care center at 35 weeks of gestation with ultra-sonographic diagnosis of dicephalus conjoined twin and further confirmed after caesarean delivery.

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