Prevalence of vitamin D deficiency in critically ill patients and its influence on outcome: experience from a tertiary care centre in North India (an observational study)

ObjectiveThe paucity of specialised care in the peripheral areas of developing countries necessitates the referral of sick neonates to higher centres. Organised interhospital transport services provided by a skilled and well-equipped team can significantly improve the outcome. The present study evaluated the transport characteristics and predictors of mortality among neonates referred to a tertiary care centre in North India.DesignProspective observational study.SettingsTertiary care teaching hospital in North India.Patients1013 neonates referred from peripheral health units.Main outcome measuresMortality among referred neonates on admission to our centre.ResultsOf the 1013 enrolled neonates, 83% were transferred through national ambulance services, 13.7% through private hospital ambulances and 3.3% through personal vehicles. Major transfer indications were prematurity (35%), requirement for ventilation (32%), birth asphyxia (28%) and hyperbilirubinaemia (19%). Hypothermia (32.5%, 330 of 1013), shock (19%, 192 of 1013) and requirement for immediate cardiorespiratory support (ICRS) (10.4%, 106 of 1013) on arrival were the major complications observed during transfer. A total of 305 (30.1%, N=1013) deaths occurred. Of these, 52% (n=160) died within 24 hours of arrival. On multivariate logistic analysis, unsupervised pregnancy (<4 antenatal visits; p=0.037), antenatal complications (p<0.001), prematurity ≤30 weeks (p=0.005), shock (p=0.001), hypothermia (p<0.001), requirement for ICRS on arrival (p<0.001), birth asphyxia (p=0.004), travel time >2 hours (p=0.005) and absence of trained staff during transfer (p<0.001) were found to be significant predictors of mortality.ConclusionThe present study depicts high mortality among infants referred to our centre. Adequate training of peripheral health personnel and availability of pre-referral stabilisation and dedicated interhospital transport teams for sick neonate transfers may prove valuable interventions for improved outcomes.

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Prevalence of Obstructive Sleep Apnoea in Patients with Metabolic Syndrome: A Prospective Observational Study from a Tertiary Care Centre in North India

Sleep and Vigilance ◽

10.1007/s41782-019-00077-1 ◽

2019 ◽

Vol 3 (2) ◽

pp. 151-155

Author(s):

Pushpinder Nagpal ◽

Sunil Sharma ◽

R. S. Negi ◽

Malay Sarkar ◽

Surinder Thakur

Keyword(s):

Metabolic Syndrome ◽

Observational Study ◽

Obstructive Sleep Apnoea ◽

Prospective Observational Study ◽

Tertiary Care ◽

Sleep Apnoea ◽

North India ◽

Care Centre ◽

Tertiary Care Centre ◽

Obstructive Sleep

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The Etiological Diagnosis and Outcome in Patients of Acute Viral Encephalitis: A Prospective Observational Study at Tertiary Care Centre of North India

Journal of Neuroinfectious Diseases ◽

10.4172/2314-7326.1000233 ◽

2016 ◽

Vol 07 (04) ◽

Author(s):

Deepak Bhagchandani ◽

Virendra Atam ◽

Supriya Thadani

Keyword(s):

Observational Study ◽

Prospective Observational Study ◽

Viral Encephalitis ◽

Tertiary Care ◽

North India ◽

Care Centre ◽

Tertiary Care Centre ◽

Etiological Diagnosis

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Serum Magnesium Level in Critically Ill Patients in a Tertiary Care Centre

International Journal of Contemporary Medicine ◽

10.5958/j.2321-1032.2.1.011 ◽

2014 ◽

Vol 2 (1) ◽

pp. 49

Author(s):

K M Veeranna Gowda ◽

Jayachandra ◽

G Zakir Hussain ◽

Mumtaz Ali Khan

Keyword(s):

Critically Ill ◽

Critically Ill Patients ◽

Serum Magnesium ◽

Tertiary Care ◽

Magnesium Level ◽

Care Centre ◽

Serum Magnesium Level ◽

Tertiary Care Centre

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Prevalence of vitamin D deficiency among doctors in a tertiary care centre in north India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20192528 ◽

2019 ◽

Vol 7 (6) ◽

pp. 2362

Author(s):

Ishfaq Chodhary ◽

Tariq Ahmed Mala ◽

Tasleem Arif

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Tertiary Care ◽

Ultra Violet ◽

North India ◽

Human Beings ◽

Tertiary Care Centre ◽

College Hospital ◽

Medical College ◽

Vitamin D Levels

Background: Vitamin D is unique among vitamins as it can be synthesized from the action of ultra-violet radiation (UVR) upon the skin of human beings. This study was done to investigate the prevalence of vitamin D deficiency among health care professionals.Methods: This was institution based study conducted over a period of two years at Govt. Medical College Hospital. The study was conducted on 200 healthy doctors working in different departments of Govt. Medical College and Associated Hospitals, Jammu for a period of two years. Data regarding demographic characteristics, lifestyle assessment, exposure to sunshine on workdays and weekends, type of clothing, use of sunscreen, subjective general health, dietary assessment and use of calcium or vitamin D supplements was collected using a structured questionnaire.Results: Mean value of age of study subjects was 26.18±2.09 years. Results showed that 50% were male and 50% were females. In this study, 65.50% of the study subjects were Hindu and 30% of study subjects were Muslim. Majority of the study subjects had exposure to sunlight for less than 20 minutes and only 10 out of 200 study subjects had exposure to sunlight for more than 30 minutes. In this study, 97% of the study subjects were vitamin D deficient and only 3% were vitamin D sufficient. Among 196 study subjects with vitamin D deficiency, severe deficiency was present in 30.41% (59 out of 194) of study subjects, moderate deficiency was present in 60.82% (118 out of 194) of study subjects and very few study subjects had mild vitamin D deficiency.Conclusions: Vitamin D deficiency is highly prevalent among healthy medical college students. Lack of awareness regarding importance of vitamin D requirement, inadequate exposure to sunlight, changes in lifestyle and food habits contribute to low vitamin D levels in young population.

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