scholarly journals Retrospective chart- review of Tetanus cases admitted in a tertiary care hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 69-72
Author(s):  
Bhupendra Shah ◽  
Manish Subedi ◽  
Bijay Bartaula ◽  
Ashish Ghimire
Keyword(s):  
Low Income ◽  
Chart Review ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Health Concern ◽  
Care Hospital ◽  
Low Income Country ◽  
Wound Type ◽  
The Status ◽  
The Mean

Background and Aims: Tetanus is a cause of thousands of death and disability annually in developing countries. Nepal is a low-income country and has achieved maternal-neonatal transmission elimination status. However, the literature regarding the status of generalized tetanus in adult populations is limited. This study was conducted to determine the clinical profile and outcome of patients with generalized tetanus. Methods: This was a retrospective study conducted among adult patients with generalized tetanus admitted at the Department of Internal Medicine or Department of Anesthesiology and Critical Care at B.P. Koirala Institute of Health Sciences, Dharan, Nepal from January 2012 to December 2016. Results: Of 40 patients with generalized tetanus, the mean age was 47 } 16 years. Most of the patients were male (95%) and were not vaccinated with tetanus toxoid (67.5%). The most common wound type was skin puncture. Tracheostomy was done in 30 patients (75%). Twenty-nine patients (72.5%) were discharged after completion of treatment, seven patients (17.5%) took leave against medical advice, and three patients (7.5%) died at the hospital during treatment. Conclusions: Generalized tetanus is still a public health concern in Nepal. It is more common in males and at ages above 40 years. Perforative skin wounds sustained from the wood sticks or needles were a frequent cause. Most of the patients with generalized tetanus needed a tracheostomy and mechanical ventilation. The in-hospital mortality rate of generalized tetanus was 7.5%.

scholarly journals The Pattern of Substance Abuse in the Psychiatry Department of a Tertiary Care of Srinagar Hospital, Jammu and Kashmir, India

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Mudasir Maqbool ◽  
Ginenus Fekadu ◽  
Dinka Dugassa ◽  
Firomsa Bekele ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Psychiatric Disorders ◽  
Nuclear Family ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Health Concern ◽  
Care Hospital ◽  
Prescribing Pattern ◽  
Jammu And Kashmir ◽  
The Mean

Background: Substance-use related disorders (SUD) are a major public health concern worldwide, especially in developing nations. Currently, it is characterized by high rates of mortality and morbidity. Moreover, through increased utilization of healthcare services, it causes both direct and indirect significant medical expenditures. Objectives: The current study aimed to evaluate the pattern of Substance abuse in the department of psychiatry of a Tertiary Care Hospital, Srinagar, Jammu, and Kashmir, India. Methods: This is a descriptive, cross-sectional, and open study conducted in the psychiatry inpatient department of a tertiary care hospital, Srinagar, Jammu, and Kashmir, India, for 7 months (January to May 2020). Results: Over a period of seven months, a total of 135 participants were recruited (105 males and 30 females). Most of them were Muslim (96.29%), married (68.14%), and living as a nuclear family (75.55%). Tobacco (Nicotine) was the most commonly used substance by those admitted to the psychiatry ward (62.96%), followed by cannabis (11.11%) and opioids (11.11%). The most comorbidity associated with substance abuse was psychiatric disorders (36.84%), followed by neurological disorders (21.05%), and gastrointestinal disorders (7.89%). Among those with psychiatric disorders, 14 (10.37%) had mood (bipolar) disorders. A total of 1129 medicines were prescribed for 135 patients. The mean ± standard error of the mean (SEM) of the prescribed medicines was 8.48 ± 3.3. The average number of drugs per encounter was 8.48%. Conclusions: In this study, cigarette smoking (nicotine) was the most commonly abused substance. It can be justified by the fact that Kashmir is a conflict zone, and many people suffer from the post-traumatic stress disorder. Hence, a collaborated effort is necessary to improve the prescribing pattern and to enhance the rational use of medications for better treatment outcomes.

scholarly journals Compliance of antibiotic prescriptions to the antibiotic policy in surgical cases at an Indian tertiary care hospital

2020 ◽  
Vol 13 (36) ◽  
pp. 3772-3777
Author(s):  
Kulkarni Meenal ◽  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Prophylactic Antibiotic ◽  
Care Hospital ◽  
Medical Treatments ◽  
Antibiotic Policy ◽  
The Past ◽  
The Status ◽  
The Mean ◽  
Tertiary Care Hospitals

Background/ Objectives: The use of antibiotics in all kinds of medical treatments has increased tremendously in the past few years. Many tertiary care hospitals have developed guidelines and protocols on antibiotic usage but are unable to achieve targeted compliance and the desired outcome. This study aims to assess the status of antibiotic prescription and compliance with the hospital antibiotic policy during surgical cases. Methods: A retrospective study was carried out for a period of 2 months by passive file auditing of the patients’ record. Findings: The results obtained show 84.8 % compliance with respect to the choice of antibiotic, 90.4 % to indication, and prophylactic antibiotic was given in only 51.2 % amongst the 122 surgical cases. With respect to the time within which antibiotics were given it was found that in 10.4 % it was given more than 2 hours of surgery being started, in 26.4 % it was given in less than one hour and for the remaining 63.2 % that data was not recorded properly. The mean duration of administering the antibiotic was 6.29 hours with SD of 5.20 hours with a median of 4 hours. Novelty: The study highlights the lacunae and flaws amounting to the non-compliance to the antibiotic policy in surgical cases and suggests that most of the tertiary care hospitals too need an implementable policy than a perfect policy. Keywords: Antibiotic; assessment; compliance; prescription; surgical cases

scholarly journals Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases

2015 ◽  
Vol 7 (3) ◽  
pp. 105-108
Author(s):  
Simple Patadia ◽  
Amitkumar Keshri ◽  
Saurin Shah
Keyword(s):  
Uptake Rate ◽  
Pure Tone ◽  
Chart Review ◽  
Tertiary Care ◽  
Pure Tone Audiometry ◽  
Uttar Pradesh ◽  
Retrospective Chart Review ◽  
Long Term Results ◽  
Care Hospital ◽  
Tympanic Membrane Perforations

ABSTRACT Objective Cartilage shield tympanoplasty (CST) is an acknowledged procedure to repair total tympanic membrane perforations. The main objective of this study was to share our experience of CST, in form of its technique, graft uptake and hearing outcomes. Study design Retrospective chart review. Setting Tertiary care hospital, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. Patients A total of 69 cases of type 1 CST, from January 2013 to March 2014. We followed all patients for a minimum period of 6 months. Intervention Therapeutic. Main outcome measures Graft uptake rate, along with preand postoperative pure tone audiogram air bone gap (ABG) and postoperative complications, was evaluated. We compared ABG using Student's t-test. Results Graft uptake was seen in 68 cases (98.5%). The mean pre- and postoperative pure tone audiometry (PTA)-ABG was 37.58 ± 6.43 dB and 20.19 ± 8.14 dB, respectively. Hearing improvement was maximum at 2 kHz with mean postoperative value of 17.73 dB, and the least improvement was seen at 8 kHz with value of 30 dB in postoperative period. Conclusion The graft uptake rate was excellent, and hearing results were satisfactory. Cartilage shield tympanoplasty should be a recommended procedure for total perforation, subtotal perforation and revision cases. However, long-term results are still awaited. How to cite this article Patadia S, Keshri A, Shah S. Cartilage Shield Tympanoplasty: A Retrospective Chart Review of 69 Cases. Int J Otorhinolaryngol Clin 2015;7(3):105-108.

Death audit in the neonatal ICU of a tertiary care hospital in Bangladesh: a retrospective chart review

2017 ◽  
Vol 32 (5) ◽  
pp. 776-780 ◽  
Author(s):  
Sanjoy Kumer Dey ◽  
Sharmin Afroze ◽  
Tariqul Islam ◽  
Ismat Jahan ◽  
Mohammad Kamrul Hassan Shabuj ◽  
...  
Keyword(s):  
Chart Review ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Care Hospital ◽  
Neonatal Icu

Powered Intracapsular Tonsillectomy in the Management of Recurrent Tonsillitis

2007 ◽  
Vol 137 (2) ◽  
pp. 338-340 ◽  
Author(s):  
Richard Schmidt ◽  
Amanda Herzog ◽  
Steven Cook ◽  
Robert O'Reilly ◽  
Ellen Deutsch ◽  
...  
Keyword(s):  
Chart Review ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Streptococcal Pharyngitis ◽  
Inclusion Criteria ◽  
Infection Rates ◽  
Recurrent Tonsillitis ◽  
The Mean ◽  
Intracapsular Tonsillectomy

OBJECTIVE: To compare intracapsular tonsillectomy (IT) and traditional tonsillectomy (TT) in treating recurrent adenotonsillitis or streptococcal pharyngitis. DESIGN: Retrospective chart review. SETTING: Tertiary care pediatric referral center. RESULTS: Of 166 patients who met all inclusion criteria, 117 received TT and 49 received IT. Seventeen TT patients and 8 IT patients were treated at least once postoperatively for streptococcal pharyngitis or tonsillitis. The mean number of infections after surgery in each group did not reach statistical significance ( P = 0.295). CONCLUSION: There was no difference between the IT and TT groups in postoperative infection rates.

Defining Success of Parathyroidectomy in Hyperparathyroidism

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P36-P36 ◽  
Author(s):  
Yalon Dolev ◽  
Martin J Black ◽  
Michael P Hier ◽  
Michael Tamilia ◽  
Richard J Payne
Keyword(s):  
Primary Hyperparathyroidism ◽  
Serum Calcium ◽  
Chart Review ◽  
Care Center ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Tertiary Care Center ◽  
The Mean ◽  
Normal Calcium

Objective To clearly define what constitutes successful parathyroidectomy in patients with primary hyperparathyroidism and to review our institution's results. Methods A retrospective chart review was conducted for consecutive patients who underwent parathyroidectomy at a university-affiliated tertiary care center between January 1998 and February 2006. Intraoperative pre- and post-excision PTH levels were recorded. PTH and calcium levels were recorded at 3 – 6 month intervals in the first 2 years and then yearly. Results 84 patients were analyzed. 50 (60%) had normal calcium and normal PTH levels following surgery, 28 (33%) had normal calcium and elevated PTH following surgery, and 6 (7%) had both elevated calcium and PTH. The mean follow-up time was 2.23 years, with a range of 0.25 to 5 years. Conclusions Surgery was successful, as indicated by normocalcemia, in 78 patients (93%). Of these 78 patients, 28 (33%) developed persistent PTH elevation without developing hypercalcemia. Other studies have studied this subgroup of patients with normalized post-operative calcium and consistently elevated PTH levels and noted that these new set points persist. Consequently, successful parathyroidectomy should be defined by serum calcium and not PTH levels.

Sign in / Sign up

Export Citation Format

Share Document