Estimation of morbidity profile and outcomes of geriatric indoor patients in medicine wards of tertiary care center of Bundelkhand region - A retrospective study

The elderly population is increasing rapidly globally, and presently, India has the second largest number of elderly persons in the country. Estimates of health disorders of the elderly in developing countries are required to predict trends in disease burden and to plan better health care facilities for the elderly population in the society. To study the profile of medical disorders & outcomes in the elderly patients admitted in the medicine wards of Bundelkhand Govt. Medical College, Sagar, MP. Which is a rural Government medical college of central India. This is a retrospective, observational study design. The study conducted in the indoor patients of Bundelkhand Medical College & Hospital Sagar, MP in the span of 6 months starting from Feb 2019 to July 2019 & total of 970 patients, aged 60- 90yrs were enrolled. The data were obtained from MRD of BMC Sagar & by review of records, data were collected and statistically analysed. Our study has total (n=970), out of which (n=581, 59.9%) were males & (n=389, 41.1%) were females. Mean age of males- 67.6±7.53, Mean age of females-68.4±7.98. Highest patients were in the age group of 60-69yrs (n=590, 60.8%). Among system involvement, Respiratory system (27%), Cardiovascular system (22.3%), GIT (11.4%), Cerebrovascular (7.7%), Genitourinary (5.7%) , Endocrine (5.1%), Infections (4.7%) and cancers (4.1) .In our patients 75.1% were discharged, 7.2% cases of DOR , 6.2% patients were LAMA. Death was in 4.6% and 0.6% cases were referred to higher center. The study shows highest cases of COPD (15.2%) followed by CAD (13.1%), Pulmonary TB (7.6%), Cerebrovascular accidents (6.1%), Hypertension (6.0%), Diabetes mellitus (4.5%), UTI (4.1%) and cancers (4.1%) in the geriatric patients of our study.

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A study of patients with acute poison: a single center experience

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20181313 ◽

2018 ◽

Vol 6 (4) ◽

pp. 1450

Author(s):

Ashvin Chaudhari ◽

Dalchand C. Kumawat

Keyword(s):

Care Center ◽

Tertiary Care ◽

Epidemiological Studies ◽

Acute Poisoning ◽

Health Care Facilities ◽

Organophosphate Poisoning ◽

Socioeconomic Class ◽

Young Males ◽

Medical College ◽

Single Center Experience

Background: Periodic experimental and epidemiological studies are essential to understand the pattern of poisoning in society. These studies are useful for planning of providing better and fast health care facilities to decrease poisoning connected mortality. This study was intended to assess the pattern & consequence of acute poisoning cases.Methods: This study was conducted with 100 patients admitted at a Geetanjali Medical college and hospital from June 2015 to December 2017 were studied. We retrospectively analyzed the gender, age, causes of poisoning, types of poisons, poisoning route, emergency diagnoses, outcomes, and prognoses of these patients.Results: Most of the patients were from the age group of 21 - 30 years (49 %) followed by 31-40 years (33%). Males (59%) prevailed females (41%). Out of all subjects, 53% belonged to middle socioeconomic class, whereas only 19% were from high socioeconomic class. Out of all patients, 62% were from illiterate class and 38% were literate. Suicide (77%) was the most communal nature of poisoning. Phenyl (19%) was the most commonly used poison. Mortality was found to be 4% and was mainly related to organophosphate compounds.Conclusions: Poisoning is further common in young males so they should be emotionally maintained in stressful conditions. Mortality was found significantly to organophosphate poisoning. Easy availability of this compound should be checked. Early care in tertiary care center may assistance to reduce mortality in India.

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A prospective study on prescribing pattern of drugs in geriatric patients in the department of medicine in a tertiary care center

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20210559 ◽

2021 ◽

Vol 10 (3) ◽

pp. 293

Author(s):

Priya Mohan B. N. ◽

Suma Jayaram

Keyword(s):

Elderly Population ◽

Geriatric Patients ◽

Care Center ◽

Tertiary Care ◽

Inappropriate Prescribing ◽

The Elderly ◽

Economic Security ◽

Screening Tools ◽

Male Population ◽

Prescribing Pattern

Background: India stands at 3rd position with large elderly population in the world. Elderly population has special problems related to health, social support, and economic security. Comorbidities in elderly people are frequent, which require use of multiple medications which increases the number of inappropriate medications noncompliance, economic burden, adverse drug reactions (ADRs), and drug interactions. The overall incidence of ADR is two to three times higher due to physiological and pharmacological variations. Currently used screening tools for inappropriate prescription in old age are: Beers criteria and inappropriate prescribing in the elderly tool (IPET).Methods: A prospective observational study of elderly patients of either sex admitted in the medicine ward, conducted from May 2019-November 2019. A total of 102 prescriptions were collected and analysed. Data was analysed using Microsoft excel.Results: In this study most of the patients (67 out of 102) were in the age group 65-70 years with male population (73%) dominance. Most of the patient were admitted due to cardiovascular (35.84%) and respiratory system (14.15%) disorder. Anti-diabetics (17.64%) followed by anti-microbials (14.24%) were the most commonly prescribed medicines in this study. Our study revealed poly pharmacy in geriatric patients with an average number of drugs per prescription being 6.07. According to BEER’s criteria 3.47% of total drugs prescribed were inappropriateConclusions: In this study most of the patients had co morbid conditions, cardiovascular disease and diabetes being the common cause led to polypharmacy. A high number of potential prescription errors were found.

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REVIEW OF CARDIOPULMONARY AUTOPSY FINDINGS IN DECEASED COVID-19 POSITIVE PATIENTS IN A TERTIARY CARE CENTER IN CENTRAL INDIA

10.36106/3200611 ◽

2021 ◽

pp. 18-23

Author(s):

Ganguly S ◽

Barpande CP ◽

Singh BP

Keyword(s):

Diffuse Alveolar Damage ◽

Care Center ◽

Multiorgan Failure ◽

Recovery Period ◽

Tertiary Care ◽

Central India ◽

The Elderly ◽

Long Term Effects ◽

Global Pandemic ◽

Cardiopulmonary Complications

COVID-19 is global pandemic caused by the SARS-CoV-2 virus. COVID-19 is a systemic multiorgan disorder with major involvement of the lungs and heart leading to Interstitial Pneumonia, Diffuse Alveolar Damage (DAD) and Acute Respiratory Distress Syndrome (ARDS). An important mechanism responsible for the widespread COVID-associated mortality is presumed to be the ineffective immune responses to the SARS-CoV-2 virus along with an associated thrombotic microangiopathy that ultimately leads to multiorgan failure and death. Even COVID-19 survivors with preexisting comorbidities; especially the elderly, run a risk of secondary neurologic and cardiopulmonary complications and might sometimes succumb to sudden death. Autopsy ndings are crucial to gaining a better understanding of the pathobiology of this “novel” disease as well as analyzing its long-term effects on target organs. In India, due to the prohibitive regulations regarding COVID autopsies; very little data is available on autopsy histopathology of patients dying of COVID-19; as well as those recovering from the disease, only to pass away during the recovery period. The present study aims to document the cardiopulmonary abnormalities found in autopsies of COVID-positive patients conducted at our institution while simultaneously conducting a review of the available international literature on the related topic. This will be particularly of interest for clinicians treating COVID-19 in Central India, as; of now, no similar studies have been reported from this region.

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Median Age of Medical Inpatients in a Tertiary Care Hospital

Journal of Medicine ◽

10.3329/jom.v17i1.30055 ◽

2016 ◽

Vol 17 (1) ◽

pp. 27-29

Author(s):

Chandra Shekhar Bala ◽

Sarmistha Biswas ◽

Md Mahfuze Sarkar ◽

Prodip Kumar Sarkar ◽

Maimuna Sultana ◽

...

Keyword(s):

Population Aging ◽

Tertiary Care ◽

The Elderly ◽

Elderly Persons ◽

Care Hospital ◽

College Hospital ◽

Medical College ◽

Medical Inpatients ◽

The Face ◽

Bangladeshi Population

Introduction: Population demography of the world including Bangladesh is on transition. The increasing number of elderly persons has a direct impact on the demand for health services due to the consequent rise in degenerative diseases of aging and changing life style. The chief objective was to know the median age of the medical inpatients.Methods: This was an observational study. It was conducted in the wards of Medicine department of Dhaka Medical College Hospital from the 1st of March to 15th March.Result: Median age of the admitted patients is 44.5 years. Highest admission is from the 6th to 8th decade of age group. A total of 176 patients (31.88%) were above the ageof 60 years.Discussion: Median age is one of the important measures of population aging. Global median age is 29 years whereas median age of Bangladeshi population is 22 years. The medianage of medical inpatients is relatively high. Percentage of patients aged more than 50 years are doubled in two decades.Conclusion: It is evident that the face of patients in medicine wards is growing older. We must redistribute our resources to deal the conditions and diseases prevalent to the elderly people. We must be kept our preparedness up to date to serve the senior citizens.J MEDICINE January 2016; 17 (1) : 27-29

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Prevalence of Hypomagnesemia among Elderly Patients attending a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5764 ◽

2021 ◽

Vol 59 (233) ◽

Author(s):

Surakchhya Gautam ◽

Anju Khapunj

Keyword(s):

Confidence Interval ◽

Elderly Population ◽

Magnesium Deficiency ◽

Care Center ◽

Tertiary Care ◽

The Elderly ◽

Cross Sectional Study ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

Introduction: Magnesium deficiency is common in the elderly and critically ill population and hasbeen associated with a prolonged ICU stay. The knowledge of hypomagnesemia is essential as itcould have prognostic and therapeutic implications in the elderly population. This study aimed toestimate the prevalence of hypomagnesemic in the elderly population visiting a tertiary care center. Methods: This descriptive cross-sectional study was conducted in a tertiary care hospital fromMarch 21, 2020 to September 21, 2020. After obtaining ethical clearance from the institutional reviewcommittee (Ref. 2003202008), convenience sampling was done. Data were collected and entered inMicrosoft Excel version 2007. Point estimate at 95% Confidence Interval was calculated along withfrequency and proportion for binary data. Results: Out of 384 participants, 174 (45%) participants were found to have deranged magnesiumlevels, in which 111 (29%) (31.3-26.7 at 95% Confidence Interval) were found to be hypomagnesemia.Among them, 62 (29.4%) males and 49 (28.5%) females were hypomagnesemia. The average level ofserum magnesium was 2.02±0.76 mg/dl ranging from 0.03 to 4.71. The mean age of participants was70.31±8.13 years, among which the participants between the age group of 71-80 years presented witha maximum percentage of hypomagnesemia. Conclusions: The present study has shown that an apparently-healthy elderly population mayhave a magnesium deficiency that may need to be identified and treated for optimizing clinicalcare. Further multicentric studies with a greater sample size should be done in this field, which willbenefit the elderly population.

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ORTHOPEDIC INJURIES AMONG ELDERLY PERSONS

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.04.2649 ◽

2011 ◽

Vol 18 (04) ◽

pp. 615-620

Author(s):

MUHAMMAD RAZZAQ MALIK ◽

MUHAMMAD AZEEM ◽

MUHAMMAD ZAFAR IQBAL

Keyword(s):

Elderly Patients ◽

Elderly Population ◽

The Elderly ◽

Medical College Hospital ◽

Elderly Persons ◽

Functional Impairments ◽

College Hospital ◽

Medical College ◽

Orthopedic Department ◽

Orthopedic Injuries

Background: Pakistan is experiencing a rise in its elderly population leading to increase burden of orthopedic injuries. With meager resources and a poor understanding of elderly health problems; Pakistan faces many challenges in caring for its elderly population. Objectives: The objectives of this study were to, “Assess the frequency of orthopedic injuries among elderly persons and the associated risk factors at Sheikh Zayed Medical College/ Hospital Rahim Yar Khan”. Study design and duration: This was an analytical observational study conducted among the elderly patients above the age of 60 years, admitted in the Orthopedic Department of Sheikh Zayed Medical College/ Hospital Rahim Yar Khan. Methodology: The data was collected regarding the frequency, causes and pattern of orthopedic injuries in elderly patients admitted in the Orthopedic Department of Sheikh Zayed Hospital / Medical College Rahim Yar Khan. The data regarding age, sex, education, occupation, geographical origin, and mechanism of injury were obtained by questionnaire. The data was analyzed on SPSS version 16. Results: There were total 1589 patients admitted in the Orthopedic Unit during the study period. The elderly persons above the age of 60 years were 291(18.31%). There were 184(63.24%) males and 107(36.76%) females. The average age was 64.52 years in urban residents and 66.34 years in rural residents’ patients. Among the frequency of injuries, the femoral neck and inter-trochanter region were most commonly involved. The proportion of injuries in males it was 44.02% and in females it was higher that was 49.53%. The majority (68.29%) of the elderly persons was dependent and was not satisfied with socio-economic condition and status in the family (p < 0.000). Conclusions: Elderly patients who have experienced trauma are at increased risk of subsequent injury. Interventions to reduce the likelihood of trauma recurrence should focus on those with chronic illnesses and functional impairments.

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In Reference to the Original Article “Prevalence of Frailty Syndrome and Chronic Diseases among the Elderly Population: A Hospital-based Study from a Tertiary Care Center”

Bengal Physician Journal ◽

10.5005/jp-journals-10070-7057 ◽

2021 ◽

Vol 8 (2) ◽

pp. 60-60

Author(s):

Atanu Chandra

Keyword(s):

Chronic Diseases ◽

Elderly Population ◽

Care Center ◽

Tertiary Care ◽

The Elderly ◽

Tertiary Care Center ◽

Frailty Syndrome

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Morbidity patterns in elderly patients attending medicine department of tertiary care center

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20170107 ◽

2017 ◽

Vol 4 (1) ◽

pp. 180

Author(s):

Vinay Kumar ◽

Pradeep Mital ◽

Harshith B. ◽

Premlata Mital ◽

Akshay Shekhawat ◽

...

Keyword(s):

Health Care Services ◽

Care Center ◽

Tertiary Care ◽

Elderly Persons ◽

Microsoft Excel ◽

Cross Sectional ◽

Medicine Department ◽

Medical College ◽

Care Services ◽

High Prevalence

Background: In India, there is a rapid increase in people above 60 years. In Rajasthan, there is increase in population of persons above 60 years from 5.1% of total population in 1961 to 7.2% in 2011. With increase in their number, the illnesses affecting elderly people will also increase. With this background, this study was done to assess the morbidity patterns in elderly population attending Department of Medicine, S.M.S. Medical College, Jaipur, Rajasthan, India.Methods: This was a cross sectional, prospective and observational study done in medicine department. 250 patients of 60 years and above, attending medical OPD or admitted were included. All data collected were entered in Microsoft Excel sheets and analysed statistically.Results: Respiratory diseases (45.6%) were commonest morbidity followed by cataract (36.8%), cardiovascular (34.4%) and hearing impairment (33.2%). Osteoarthritis was seen in 31.2% and anaemia was present in 20.8%. As the age increases chances of getting morbidities were more. The average number of illnesses per morbid person was 1.92.Conclusions: A high prevalence of morbidity among elderly highlights the urgent need to provide geriatric health care services in the developing country like India. Elderly persons should be motivated to undergo regular health check-ups to identify these common problems at earliest.

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Common menstrual disorders in adolescent girls attending a tertiary care center

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200894 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1164

Author(s):

Hibina K. P. ◽

Nishi Roshini K. ◽

Andrews M. A.

Keyword(s):

Adolescent Girls ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

P Value ◽

Tertiary Care Center ◽

Menstrual Disorders ◽

Cross Sectional ◽

Medical College ◽

Medical Disorders

Background: Menstrual disorders are an important cause of concern among adolescent girls. Most problems are physiological but few have underlying pathology which has adverse effect on the future reproductive health Aim of the study was to know the prevalence and to evaluate the underlying cause of the menstrual problems in adolescent girls seeking medical care.Methods: This is a cross sectional study conducted in in 215 adolescent girls aged 13-19 years who sought medical care over a period of 12 months for menstrual complaints from the department of obstetrics and gynecology, Govt. Medical College, Thrissur, a tertiary care center in middle of Kerala, South India. Data was analyzed by SPSS software and p value <0.05 was taken statistically significant.Results: Dysmenorrhea was the most common problem (57.5%), followed by scanty menstruation (35.35%) and 25.2% of girls suffered from premenstrual symptoms. Hypothyroidism was seen in 2.4% of girls 40% were anemic. Statistically significant association was found between hypothyroidism and features of hyperandrogenemia with cycle irregularity. Ultrasonographic evidence of polycystic ovarian morphology was identified among 61.9% girls with irregular cycles.Conclusions: Even though majority of menstrual issues are self-limiting proper evaluation and follow up for medical disorders like hypothyroidism and anemia are important and appropriate intervention is crucial for future reproductive and general health of adolescents presenting with Menstrual disorders.

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