scholarly journals Characterization of Medication Related Problems Among Patients with Cardiovascular Disease in Medical Ward of Mettu Karl Referral Hospital, South Western, Ethiopia: A Prospective Observational Study

Author(s):  
Gudisa Bereda ◽  
Gemechis Bereda
Author(s):  
Gudisa Bereda ◽  
◽  
Gemechis Bereda ◽  

Background: Non-communicable diseases are defined as diseases or conditions, which affect individuals over an extended period of time (years, decades or even an entire lifetime) and for which there are no known causative agents that are transmitted from one affected individual to another. Noncommunicable diseases are a major global problem. Objective: To find out magnitude and determinants of non-communicable disease and its contributing factors in medical ward of Mettu Karl Referral Hospital. Methods: A prospective observational study design was conducted from April 23/2021 to June 24/2021. Data was collected through employing structured questioner, and then the collected data was coded and analyzed by statistical packages for social sciences 25.0-version statistical software. A test of association was done using binary and multiple logistic regressions. P value <0.05 was considered significant. Findings: The overall prevalence of non-communicable disease in medical ward was 288 (68.2%).Hypertension was the commonest type of noncommunicable disease 41.71% followed by diabetes mellitus 41.5%. Regarding body mass index majority 153 (36.3%) of patients were normal (18.5-24.9 kg/m²) and least 57 (13.5%) of the patients were underweight (<18.5kg/m²). Age, every khat chewers, every alcohol drinkers, BMI ≥thirty kg/m², biochemical risk factors (obesity, high blood pressure, high fasting blood sugar, low density lipoprotein, and comorbidity were significantly predictors of non-communicable diseases). Conclusion and Recommendation: Majority of patients had physical activity ten minutes per day, had sedentary lifestyle ten to thirty hours per week, were walking ten to thirty hours/per week, and above half of patients were use salt always/usually. Health care workers should have teach the patients how to prevent non-communicable diseases.


2018 ◽  
Vol 36 (Supplement 1) ◽  
pp. e138
Author(s):  
M. Kallistratos ◽  
S. Giannitsi ◽  
L. Poulimenos ◽  
N. Miaris ◽  
A. Koukouzeli ◽  
...  

Author(s):  
Kinley Zangmo ◽  
Sunisa Chatmongkolchart ◽  
Pasuree Sangsupawanich

Objective: Intraoperative hypothermia is commonly encountered in anesthetic practice. It is related to several risk factors and can lead to various adverse events. It is important to detect it early and prevent the complications related to it. This study was done to identify incidence and perioperative risk factors of intraoperative hypothermia at a national referral hospital in Bhutan.Material and Methods: A prospective observational study was conducted in adult patients who underwent elective surgery lasting more than 30 minutes. Patient characteristics, incidence of hypothermia, and any interventions for treatment of hypothermia during the operation were recorded. Intraoperative hypothermia was defined as a core body temperature less than 36 °C measured with an esophageal probe.Results: Data were obtained from 91 patients with a mean (±standard deviation; S.D.) age of 42.3 (17.2) and American Society of Anesthesiologists (ASA) scores of 1 and 2 in 62.6% and 37.4% of the patients, respectively The patients underwent elective surgery with a mean (S.D.) duration of 73.24 (48.1) minutes and a mean (S.D.) duration of anaesthesia of 80.9 (49.2) minutes. The incidence of intraoperative hypothermia was 61.5% (56/91). Preoperative heart rate more than 80 beats per minute [hazard ratio (HR) 0.45, 95% confidence interval (CI), 0.26-0.77] was a protective factor and duration of anesthesia more than 60 minutes (HR 1.82, 95% CI, 0.98–3.38) was a risk factor for intraoperative hypothermia.Conclusion: Patients with a preoperative heart rate less than 80 beats per minute and undergoing duration of anesthesia more than 60 minutes should be assessed from the preoperative period and continuously monitored throughout the intraoperative period.


2020 ◽  
Author(s):  
Xiaoying Ma ◽  
HaiPing Xu ◽  
FuYun Sun

Abstract Background: This study aimed to analyze the characteristics, outcomes and prognosis factors of survival in elderly peritoneal dialysis patients, so as to better understand the status of elderly peritoneal dialysis patients and improve their quality of life.Methods: This study was a prospective, observational study that included peritoneal dialysis (PD)patients.Categorizing by age, elderly group aged ≥ 65, younger group aged < 65. Clinical characteristics, survival and transferring to hemodialysis were compared between two groups.Meanwhile, risk factors for death in elderly PD patients were explored.Results: A total of 202 PD patients were enrolled, including 61 in elderly group and 141 in younger group. Among elderly individuals,serum albumin and normalized protein catabolic rate(nPCR) decreased, the incidence of previous cardiovascular, cerebrovascular diseases and Charlson Comorbidity Index(CCI) were higher.The major primary disease in elderly patients was diabetic nephropathy, significant differences were found between elderly and younger group(P < 0.01). The mortality in elderly group was substantially higher, 27 patients (44.3%) died in elderly group and 21 patients(14.3%) died in younger group .The 1-year,2-year,3-year,4-year survival rate were 81.97%, 70.49%, 60.66%, 55.74% respectively. Cardiovascular disease was the main cause of death in elderly PD patients. Higher BMI, CCI, and previous ischemic heart disease were risk factors for long-term survival of elderly PD patients. Compared with the younger group, elderly patients were less likely to transfer to hemodialysis: 2 cases (3.3%) in elderly group and 23 cases (16.3%) in younger group. Peritonitis was the primary reason for converting to hemodialysis(HD) in both two groups.Conclusions: Poor nutrition, more complications and diabetic nephropathy were characteristics of elderly PD patients. High BMI, CCI and previous ischemic heart disease were independent predictors of death in elderly PD patients. Cardiovascular disease was the main cause of death in elderly PD patients,while the chief reason of transferring to hemodialysis was peritonitis.


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