Maternal and fetal outcome in abruptio placentae at a tertiary care centre: a retrospective analysis

Background: Placental abruption is a major obstetric complication leading to increased risk of maternal and neonatal morbidity and mortality globally. Placental abruption is traditionally defined as premature separation of a normally implanted placenta after 20 weeks of gestation and before delivery of the fetus. Early recognition of the risk factors, timely diagnosis and early intervention can significantly reduce maternal and fetal morbidity and mortality. This study was aimed to identify the associated risk factors with abruptio placenta and to analyse the maternal and perinatal outcome in abruptio placenta.Methods: This was a retrospective observational study, from Jan 2016 to Dec 2019 at M.S. Ramaiah medical college and hospitals, Bangalore.Results: In our study, the incidence of abruptio placenta was 0.95%. Majority of our patients were between 20-24 years (41.5%). Primigravidae accounted for 46.15% of the cases. The unbooked cases were 92%. The commonest risk factor was hypertension complicating pregnancy which accounted for 26% .The live births were 64%. Postpartum haemorrhage was one of the major complications in our study. There was no maternal mortality, probably due to early intervention and availability of blood and blood products.Conclusions: Timely diagnosis and appropriate intervention preferably in tertiary care centre will significantly reduce mortality and morbidity in both mother and fetus.

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A129 VIDEOCAPSULE ENDOSCOPY RETENTION: WHAT ARE THE RISK FACTORS?

Journal of the Canadian Association of Gastroenterology ◽

10.1093/jcag/gwab002.127 ◽

2021 ◽

Vol 4 (Supplement_1) ◽

pp. 112-113

Author(s):

S Li Fraine ◽

C Langevin ◽

N Mahdi ◽

M Bouin

Keyword(s):

Risk Factors ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Abdominal Surgery ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Iron Deficient ◽

Increased Risk ◽

Videocapsule Endoscopy

Abstract Background The most feared complication of videocapsule endoscopy (VCE) is retention in the intestine. It is estimated to occur in 1.4% of cases but the risk factors are not well known. Aims To determine the prevalence of VCE retention at a tertiary care centre as well the associated risk factors. Methods Retrospective study between 2016 and 2019. All patients at a tertiary care centre undergoing VCE were recruited. The patients with an incomplete endoscopy report or who were unable to complete VCE were excluded. Clinical and endoscopic information was compiled from patients’ medical charts as well as the indications and results of the endoscopic procedure. VCE retention, evaluated by radiography or CT scan, was defined as persistence of the videocapsule in the gastrointestinal tract for ≥14 days or the need for an intervention for removal. Results In total, 126 patients underwent VCE (average age: 66±16, 52% female). There was 6% of patients with Crohn’s disease, and 40% of patients had a previous abdominal surgery. The indications for endoscopy were: iron deficient anemia (48%), gastrointestinal bleeding (32%), suspicion/follow up of IBD (10%), and other (11%). The VCE findings (n=146) were: angiodysplasia (30%), inflammation (30%), normal (20%), polyp (5%), and other (15%). 77% of results were not previously found by conventional endoscopy or imaging. The prevalence of VCE retention was 1.6%. The patient risk factors for retention were Crohn’s disease (OR 19.67; 95CI 1.09–354.11; p<0.05) and corticosteroid use in the previous 2 weeks (OR 19.67; 95CI 1.09–354.11; p<0.05). There was no risk of retention associated with ulcerative colitis, sex, abdominal surgery, or opioid use. The finding of stenosis on VCE was associated with an increased risk of retention (OR 123; 95% CI 4.11-3683.43; p<0.01). Conclusions VCE retention remains a rare complication. There is increased risk of retention in patients with known Crohn’s disease or recent use of corticosteroids. Funding Agencies None

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Clinical profile and risk factors for mortality among COVID-19 inpatients at a tertiary care centre in Bengaluru, India

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2021.1724 ◽

2021 ◽

Author(s):

Yamini Marimuthu ◽

Radhika Kunnavil ◽

NS Anil ◽

Sharath Burugina Nagaraja ◽

N Satyanarayana ◽

...

Keyword(s):

Risk Factors ◽

South India ◽

Linear Models ◽

Tertiary Care ◽

Male Gender ◽

Clinical Profile ◽

Rank Test ◽

Care Hospital ◽

Care Centre ◽

Tertiary Care Centre

COVID-19 is an emerging viral disease affecting more than 200 countries worldwide and it present with varied clinical profile throughout the world. Without effective drugs to cure COVID-19, early identification and control of risk factors are important measures to combat COVID-19. This study was conducted to determine the clinical profile and risk factors associated with mortality among COVID-19 patients in a tertiary care hospital in South India. This record-based longitudinal study was conducted by reviewing the case records of COVID-19 patients admitted for treatment from June 2020 to September 2020 in a tertiary care centre in South India. The clinical details, discharge/death details, were collected and entered in MS Excel. Potential risk factors for COVID-19 mortality were analysed using univariate binomial logistic regression, generalized linear models (GLM) with Poisson distribution. Survival curves were made using the Kaplan-Meier method. Log-rank test was used to test the equality of survivor functions between the groups. Out of 854 COVID-19 patients, 56.6% were men and the mean (standard deviation) age was 45.3(17.2) years. The median survival time was significantly lesser in male COVID-19 patients (16 days) as compared to female patients (20 days). Increasing age, male gender, patients presenting with symptoms of fever, cough, breathlessness, smoking, alcohol consumption, comorbidities were significantly associated with mortality among COVID-19 patients. Patients with older age, male gender, breathlessness, fever, cough, smoking and alcohol and comorbidities need careful observation and early intervention. Public health campaigns aimed at reducing the prevalence of risk factors like diabetes, hypertension, smoking and alcohol use are also needed.

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Evaluation of Risk Factors for Retinopathy of Prematurity in Premature Born Infants in Tertiary Care Centre in Punjab

International Journal of Medical and Dental Sciences ◽

10.18311/ijmds/2020/24651 ◽

2020 ◽

Vol 9 (1) ◽

pp. 1-5

Author(s):

Jatinder Singh ◽

Vaneeta Bhardwar ◽

Harshdhawann Singh ◽

Isha Bhardwaj ◽

Sushmita Choudhary ◽

...

Keyword(s):

Risk Factors ◽

Retinopathy Of Prematurity ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Premature Born

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Lower Genital Tract Trauma in a Tertiary Care Centre in Mid-Western Nepal

Journal of Nepal Medical Association ◽

10.31729/jnma.3056 ◽

2017 ◽

Vol 56 (205) ◽

pp. 137-140

Author(s):

Anil Kumar Adhikari ◽

Mahuya Dutta ◽

Chittra Ranjan Das

Keyword(s):

Genital Tract ◽

Surgical Intervention ◽

Tertiary Care ◽

Morbidity And Mortality ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Lower Genital Tract ◽

Clinical Presentations ◽

Fall From Height

Introduction: The study of lower genital tract trauma has become important in gynaecological practice. There is paucity of reports on this clinical entity from our settings. The main aim of this study is to document injuries in female lower genital tract in Mid-Western Nepal. Methods: Sixty female patients admitted to the hospital with genital tract injuries caused by coitus or accidents were included in the study. Details of the causes of trauma clinical presentations and management were recorded. Results: These injuries were grouped according to etiological factors. This study included 33 (55%) coital injuries and 27 (45%) non- coital injuries. Out of coital injury, 12 cases were criminal assault (rape) in age group of 4 to 18 years. Four unmarried girls had consensual sex. Non-coital injuries were due to fall from height, cattle horn injuries, straddle type of trauma, vulvar haematoma and anorectal injuries. Conclusions: Appropriate surgical intervention can avert morbidity and mortality. Keywords: accident; lower genital tract; Nepal; trauma.

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CLINICAL PROFILE AND RISK FACTORS FOR CEREBRAL SINUS VENOUS THROMBOSIS IN A PAEDIATRIC COHORT FROM A TERTIARY CARE CENTRE

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2016/453 ◽

2016 ◽

Vol 3 (41) ◽

pp. 2031-2034

Author(s):

Justin C ◽

Manivannan M.R ◽

Ramu S

Keyword(s):

Risk Factors ◽

Venous Thrombosis ◽

Tertiary Care ◽

Clinical Profile ◽

Care Centre ◽

Tertiary Care Centre ◽

Paediatric Cohort ◽

Cerebral Sinus Venous Thrombosis ◽

Cerebral Sinus ◽

Sinus Venous Thrombosis

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The study of risk factors in the development of postlaparotomy incisional hernias - a study from tertiary care centre

MRIMS Journal of Health Sciences ◽

10.4103/2321-7006.301980 ◽

2015 ◽

Vol 3 (2) ◽

pp. 138

Author(s):

GLaxmana Sastry ◽

MSiva Rama Krishna Rao ◽

Swathi

Keyword(s):

Risk Factors ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Incisional Hernias

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Ectopic pregnancy: an observational study in a tertiary care centre of Southern Rajasthan, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200062 ◽

2020 ◽

Vol 9 (2) ◽

pp. 516

Author(s):

Shrusti Parmar ◽

Nalini Sharma ◽

Vimla Dhakar

Keyword(s):

Risk Factors ◽

Ectopic Pregnancy ◽

Tertiary Care ◽

First Trimester ◽

Treatment Modalities ◽

Public Health Issue ◽

Care Centre ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Early Presentation

Background: One among the three chief obstetric causes of bleeding in first trimester, ectopic pregnancy is the first thing to rule out as a gestation is suspected. The present study observes and analyses sociodemographic distribution, risk factors, presentation, diagnosis and treatment modalities in a tertiary care centre.Methods: An observational cross-sectional study, conducted among patients who were diagnosed and managed in department of obstetrics and gynaecology of a tertiary care centre. Data analyzed and explained as frequency, percentage, mean and standard deviation.Results: Age group between 21 to 30 years (69.9%) and multigravida (68.5%) are high risk for ectopic pregnancy (EP). Menstrual history was regular in 86.3%. Risk factors identified were previous abortion (30%) and history of pelvic inflammatory disease (30%). In 80.9% pain in abdomen was presenting complaints followed by bleeding per vaginum (60%), amenorrhoea (60%) and nausea and vomiting (32.9%). Right salpingectomy was most common in 43.8%, followed by left salpingectomy in 28.8%, methotrexate in 15.1%, left salpingo-ophorectomy in 5.5%, right salpingo-opherectomy in 5.5% and removal of tubal abortion in 1.3% patients. Laparoscopy was chosen route in majority 64.4% patients.Conclusions: Ectopic pregnancy - a gynecological catastrophe as well as a major challenge to the reproductive performance of women worldwide, should be considered a relevant public health issue. By providing adequate materials, manpower, well-equipped health facilities as well as a prompt and efficient referral system, good access roads and efficient transportation, will ensure early presentation in hospitals and prompt management of cases.

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