scholarly journals Spectrum of diseases in a medical ward of a teaching hospital in a developing country

2012 ◽  
Vol 8 (2) ◽  
pp. 7-11 ◽  
Author(s):  
BR Pokharel ◽  
S Humagain ◽  
P Pant ◽  
R Gurung ◽  
R Koju ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Hospital Stay ◽  
Developed Countries ◽  
Communicable Diseases ◽  
Medical Ward ◽  
Pulmonary Diseases ◽  
Chronic Obstructive ◽  
Non Communicable Diseases ◽  
Chronic Obstructive Pulmonary Diseases ◽  
Common Diagnosis

Communicable and respiratory tract diseases especially chronic obstructive pulmonary diseases are the main reasons of admission in medical ward of low and middle income countries. This is different from the developed countries where non communicable diseases are the main reasons of hospital admission. In developing countries the data of hospital admission are still lacking. Therefore this study will help us to assess the common patterns of diseases admitted in a medical ward, the average length of hospital stay etc. The record of 1040 hospitalized patients in medical ward was analyzed for the period of six months from Jan 2010 to Jun 2010. Patient’s medical records were retrieved and data analysis was done to obtain age, sex, common diagnosis, the affected system and the duration of the hospital stay. The data was analyzed by using SPSSV 16. After reviewing the data the most common age of patients being admitted were between 46-65 years (31.5%) followed by more than 65 years (25%) between 26-45 years (21.28%) and less than 25 years (21.28%). Among the admitted patients females were more than the males except in neurolog ward. The most effected system was respiratory (31.73 %),and the most common diagnosis was Chronic obstructive pulmonary diseases (23.17%). The next common system involved was gastroenterology including liver (18.64%) ,genitourinary (12.01%), cardiovascular ( 11.34%), neurology (9.23%), endocrine (4.80%) hematology (2.30%). The cause for hospital admission by infection in different system was (30.08%) The average duration of hospital stay of the patients was less than 7 days. The respiratory diseases and the infectious disease are the most common disease in Nepal. The communicable diseases still hold a greater position, while non communicable diseases are main reasons for admission to the medical wards in developed countries. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-2, 7-11 DOI: http://dx.doi.org/10.3126/jcmsn.v8i2.6831

DISEASE PATTERNS;

2014 ◽  
Vol 21 (03) ◽  
pp. 570-574
Author(s):  
Muhammad Ashraf ◽  
Muhammad Zakria
Keyword(s):  
Developing Countries ◽  
Hospital Admission ◽  
Hospital Stay ◽  
Average Duration ◽  
Gastrointestinal Diseases ◽  
Developed Countries ◽  
Communicable Diseases ◽  
Medical Ward ◽  
Cross Sectional ◽  
Common Diagnosis

Communicable and gastrointestinal diseases followed by respiratory diseasesare the main reasons of admission in medical ward of developing countries. This is different fromthe developed countries where non communicable diseases are the main reasons of hospitaladmission. In developing countries the data of hospital admission are still lacking. Therefore thisstudy will help us to assess the common patterns of diseases admitted in a medical ward, theaverage length of hospital stay etc. Objective: The objectives of this study are to assess thepatterns and prevalence of diseases, the most common diagnosis and average duration ofpatient’s hospital stay. Design: Observational retrospective cross-sectional study. Patients andmethods: The record of 327 hospitalized patients in medical ward was analyzed for the period ofthirteen months from Mar 2013 to Mar 2014. Patient’s medical records were retrieved and dataanalysis was done to obtain age, sex, common diagnosis, the affected system and the duration ofthe hospital stay. The data was analyzed by using SPSSV 16. Results: After reviewing the data,the most common age of patients being admitted were between 46-65 yrs (37.6%), followed bybetween 26-45yrs (33%), < 25yrs (15.9 %) , between 66-85 yrs (12.5 % )and > 85 yrs were only1% . Among the admitted patients females were more than the males except in case of liverdiseases. The most affected system was gastrointestinal ( 22.63 % ) and the most commondiagnosis was Diabetes Mellitus (12.84 %). The next common system involved wascardiovascular (15.29 %), respiratory (14.37 %), endocrine / DM (10.70 %), neurology (9.48 %),heamatology (3.36 %), renal (2.45 %) , rheumatology (1.84 %) and others ( including pyschiarty ,poisoning, infectious , electric shock etc ) (5.81 %). The cause for hospital admission by infectionin different system was (20.48%) The average duration of hospital stay of the patients was 4 days.Conclusions: The gastrointestinal diseases and the infectious diseases are the most commondiseases. The communicable diseases still hold a greater position in developing countries, whilenon communicable diseases are main reasons for admission to the medical wards in developedcountries.

scholarly journals Characterizing a two-pronged epidemic in Mexico of non-communicable diseases and SARS-Cov-2: factors associated with increased case-fatality rates

2021 ◽  
Author(s):  
Eric Monterrubio-Flores ◽  
María D Ramírez-Villalobos ◽  
Juan Espinosa-Montero ◽  
Bernardo Hernandez ◽  
Simón Barquera ◽  
...  
Keyword(s):  
Case Fatality ◽  
Logistic Models ◽  
Communicable Diseases ◽  
Chronic Obstructive ◽  
Fatality Rate ◽  
Younger Adults ◽  
Obstructive Pulmonary Disease ◽  
Non Communicable Diseases ◽  
Risk Of Death ◽  
Mexican Adults

Abstract Background People with a previous diagnosis of non-communicable diseases (NCDs) are more likely to develop serious forms of COVID-19 or die. Mexico is the country with the fourth highest fatality rate from SARS-Cov-2, with high mortality in younger adults. Objectives To describe and characterize the association of NCDs with the case-fatality rate (CFR) adjusted by age and sex in Mexican adults with a positive diagnosis for SARS-Cov-2. Methods We studied Mexican adults aged ≥20 years who tested positive for SARS-Cov-2 during the period from 28 February to 31 July 2020. The CFR was calculated and associations with history of NCDs (number of diseases and combinations), severity indicators and type of institution that treated the patient were explored. The relative risk (RR) of death was estimated using Poisson models and CFR was adjusted using logistic models. Results We analysed 406 966 SARS-Cov-2-positive adults. The CFR was 11.2% (13.7% in men and 8.4% in women). The CFR was positively associated with age and number of NCDs (p trend &lt;0.001). The number of NCDs increased the risk of death in younger adults when they presented three or more NCDs compared with those who did not have any NCDs [RR, 46.6; 95% confidence interval (CI), 28.2, 76.9 for women; RR, 16.5; 95% CI, 9.9, 27.3 for men]. Lastly, there was great heterogeneity in the CFR by institution, from 4.6% in private institutions to 18.9% in public institutions. Conclusion In younger adults, higher CFRs were associated with the total number of NCDs and some combinations of type 2 diabetes, chronic kidney disease, chronic obstructive pulmonary disease and cardiovascular disease.

Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

2021 ◽  
Vol 6 (1) ◽  
pp. 1285-1290
Author(s):  
Nilam Kumari Jha ◽  
Komal Kant Jha
Keyword(s):  
Risk Factor ◽  
Teaching Hospital ◽  
College Teaching ◽  
Pulmonary Diseases ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Early Assessment ◽  
Medical College ◽  
Copd Patients ◽  
Chronic Obstructive Pulmonary Diseases

Introduction: Anxiety and Depression is a common comorbidity in chronic obstructive pulmonary disease patients. Impaired lung function is a risk factor for depression In COPD patients, reduced recreational activities and social Isolation is a major risk factor resulting in anxiety and depression.  Objective: The objective of this study is to evaluate the prevalence of Anxiety and Depression among the COPD patients at Pulmonology unit of Nobel Medical College Teaching Hospital.  Methodology: A hospital based cross- sectional research design was used for the study. A total of 185 patients with previously diagnosed COPD. Data were collected by using a face to face interview technique in patients to evaluate anxiety and depression using Nepali version of Hospital Anxiety and Depression Scale questionnaire at Nobel Medical College Teaching Hospital, Biratnagar, Nepal from May to August 2020. Data analysis were done by descriptive and inferential statistics.  Results: A total of 185 patients participated in the study, 157 patients (84.9%) had anxiety, 107 patients (57.8%) had depression and 102 patients (55.1%) had both anxiety and depression. There was statistically significant association of anxiety and depression in COPD patients with age, religion, occupation, smoking status, duration of illness, history of previous hospitalization, number of hospitalization in previous year, type of family, domiciliary oxygen therapy.  Conclusion: The study concluded that anxiety and depression had been most prevalent in COPD patients. Therefore health personnel working in the Pulmonology unit should be aware the early assessment and treatment of anxiety and depression of chronic obstructive pulmonary diseases patients. 

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