Spectrum of hand injuries and their management at a tertiary care hospital using the hand injury scoring system

A high-risk pregnancy is any condition associated with a pregnancy where there is an actual or potential risk to the mother or fetus. Risk assessment is a key component of antenatal care (ANC) and has demonstrated benefits in improving maternal and perinatal outcomes. To assess maternal complications that occurs in antenatal women and their neonatal outcomes in a tertiary care hospital.200 antenatal women, admitted to obstetrics & gynaecology department from 16-09-2020 to 15-03-2021 were evaluated. Antenatal women with maternal complications (Gestational hypertension, preeclampsia, Gestational diabetes, Hypothyroid, Anaemia, Asthma and oligohydramnios) were taken into study group and women with no complications were taken into control group. The risk factors were assessed and risk scores were determined by Dutta and Das scoring system and Hobel risk scoring system. It was found that there was a significant association between poor neonatal outcome and high-risk pregnancies. The incidence of preterm births is higher in the study group (34.1%) when compared with the control group (13.7%). Mode of delivery was predominantly by caesarean section in the study group (p<0.005). Neonatal complications were significantly more (p<0.05) in study group and fetal distress was exclusively seen in the study group (p<0.0005). Maternal complications such as eclampsia correlated significantly with the risk score (p=0.005). Neonatal outcomes such as Low birth weight (p<0.0001) were higher in the high-risk category when compared to the low risk and moderate risk category. There was a significant correlation between high-risk antenatal and poor neonatal outcome. Scoring systems, such as the one used in our study, can be adopted at primary and rural health centres even by a non-medical counsellor as a screening tool to predict pregnancies at high risk for poor neonatal outcome, thereby facilitating early referral of these women to tertiary care centres.

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Visual analogue score and endoscopic domain analysis to assess the outcome of microdebrder in sinonasal diseases

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20211185 ◽

2021 ◽

Vol 7 (4) ◽

pp. 633

Author(s):

Anil S. Harugop ◽

O. Padmavathy ◽

Shama A. Bellad ◽

Reshma Ramesh ◽

Rajesh R. Havaldar

Keyword(s):

Visual Analogue Scale ◽

Scoring System ◽

Analogue Scale ◽

Prospective Observational Study ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Postoperative Outcome ◽

Visual Analogue Score ◽

Care Hospital ◽

Sinonasal Disease

Background: The use of microdebrider in various sinonasal diseases have been sparingly understood. The present study aims to find out the effectiveness of a microdebrider in different sinonasal diseases by using each domain of visual analogue scale (VAS) and confirming the findings by diagnostic nasal endoscopy.Methods: A prospective observational study was done among patients with sinonasal disease between January 2019 to March 2020 in our tertiary care hospital. A subjective visual analogue scale (VAS) was completed by every patient for all domains according to Lund and Mackay symptom scoring system. Using Lund Kennedy scoring, polyp, edema and discharge were assessed preoperatively. Patients were followed up for 1 week, 6 weeks and 3 months. At 3 months both VAS and Lund Kennedy scoring was done. Post operatively scarring and crusting were assessed separately.Results: There was a significant improvement in domains post operatively in all the diseases considered (p=0.001). In Lund Kennedy endoscopic scoring system there was significant improvement in all the domain that was taken into consideration (p=0.001). Inter-disease domain comparison was also made.Conclusions: The study substantiates the use of microdebrider in various sinonasal disease. Microdebrider being a modern multipurpose instrument plays a significant role in complete clearance of the disease with good postoperative outcome.

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A descriptive study of patterns of traumatic hand injury cases in a tertiary care hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20202090 ◽

2020 ◽

Vol 7 (6) ◽

pp. 1736

Author(s):

Biswaranjan Samal ◽

Rajagopalan Govindarajan ◽

Thirthar Palanivelu Elamurugan ◽

Deviprasad Mohapatra

Keyword(s):

Road Traffic ◽

Tertiary Care ◽

Descriptive Study ◽

Management Plan ◽

Hand Injury ◽

Hand Injuries ◽

Care Hospital ◽

Lower Socioeconomic ◽

Education Status ◽

Quick Dash

Background: All patients who presented to the emergency and trauma with a clinical evidence of hand injury were assessed based on the history and examination, mechanism of injury, common patterns of the injuries, management of the injuries and their functional outcome. The aim and objective were to study the mode, pattern, management and early outcome of hand injury cases attending Department of Emergency Medicine and trauma.Methods: This was a hospital based descriptive study, of patients presenting with hand injuries to the emergency department. The management plan was formulated and the outcomes of the treatment were assessed by limb function loss and Quick DASH 9 score.Results: Majority of our study population belonged to 16 to 35 years age group comprising of mostly males. Most of the incidents occurred within 50 km from our hospital. The mean duration to arrival at our hospital from site of injury was 2.71±2.61 hours. Road traffic accident in males and thermal burns in females were common. Fractures to phalanges of index and middle fingers were the most common type of injury. The average calculated Quick DASH 9 score was found to be 51.24±9.89.Conclusions: Hand injuries were found to be more prevalent in lower socioeconomic strata of the society with education status and occupation as major risk factors. Increased awareness and better implementation of traffic rules and better safety measures at workplace environment are the need of the hour to decrease the burden of hand injury.

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Demographic Profile of Hand Injuries in North India: A Tertiary Care Hospital Experience.

Albanian Journal of Trauma and Emergency Surgery ◽

10.32391/ajtes.v5i1.150 ◽

2021 ◽

Vol 5 (1) ◽

pp. 759-763

Author(s):

Sandesh Bharat Singh ◽

Harsha Vardhan ◽

Sameer Halageri ◽

Arun K Singh ◽

Vijay Kumar ◽

...

Keyword(s):

Nerve Repair ◽

Tertiary Care ◽

National Level ◽

Middle Finger ◽

Hand Injury ◽

Hand Injuries ◽

North India ◽

Care Hospital ◽

Demographic Profile ◽

Socioeconomic Risk

Introduction: Hand injuries are the most complex injuries when compared to other bodily injuries. A better understanding of the biological, behavioral, and socioeconomic risk factors that are associated with hand injuries is therefore needed. This data can help identify individuals at risk and define preventive measures to help reduce the incidence. Material and Methods: We present a study of 350 consecutive patients of hand injury treated between 2017- 2018. The demographic profile of the patient along with the type & cause of the injury sustained, hand dominance, type of procedure, and requirement of hospital administration was extracted from hospital records. Results: 159 (45.5%) of the patients were in the age group of fewer than 20 years. Out of the 350 patients, 288 (82%) were male. 302 (86%) patients were right-handed. The most common mode of injury was machine injury in 205 (59%) patients. 181 (52%) patients had crush injury, 107 (31%) had the sharp cut injury, and 32 (9%) had blast injury. 94 (27%) patients needed hospital admission for management. 119 ( 34%) patients had the injury to the thumb, 89 (25%) had injury to the middle finger. Primary suturing was done in 116 (33%) patients, tendon and nerve repair in 209 (60%), and 177 (51%) patients respectively. Conclusions: The study describes the demography and etiology of the cases of hand injury. The study has a limitation of having absence of assessment of functional outcome. There is a necessity of hand trauma registry to quantify the burden of hand injuries and formulate a prevention strategy at the national level.

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