scholarly journals “PREVALENCE OF ISOLATED HYPERTENSION AMONG ELDERLY PATIENTS ATTENDING PERIPHERAL HEALTH CENTRE OF TERTIARY CARE HOSPITAL OF INDIA.”

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Munish Kumar Sharma ◽  
Neeraj Gour ◽  
Sanjay Choudhary ◽  
N K Goel ◽  
Deepak Sharma ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Rural Health ◽  
Tertiary Care Hospital ◽  
Health Centre ◽  
Tertiary Care ◽  
Communicable Diseases ◽  
Care Hospital ◽  
Cross Sectional ◽  
Training Centre ◽  
Non Communicable Diseases

Background: In this modern era, chronic non communicable diseases (NCDs) are a major global health challenge with numerous grave complications on the human body. Old age population tends to carry risk of almost all kind of diseases including non communicable diseases. Hypertension is one of biggest well known risk factor for many of non-communicable diseases usually found in the outdoor patients. Method:  This cross sectional study was undertaken to provide the data on the Prevalence & Pattern of hypertension amongst patients who were aged 60 years & above and who attended the Out Patients Department of the Rural Health & Training Centre of tertiary care hospital of Chandigarh city of India. Results: Majority of patients belonging to age group 60-69 years were found to be diastolic hypertensive (24.46%). Majority of male patients were found to be diastolic hypertensive (28.43%) (P< 0.05). More of less same trend was found among female patients. Conclusion: Hypertension was found to be highly prevalent among the outdoor elderly patients of Rural Health & Training Centre of Chandigarh, India. This study warrants the need of an early detection of hypertension, which can be accomplished by a periodic screening of the people. Keywords: Hypertension; Elderly; India.

scholarly journals PREVALENCE OF HYPERTENSION AMONG PRE-ELDERLY PATIENTS ATTENDING PERIPHERAL HEALTH CENTRE OF TERTIARY CARE HOSPITAL OF INDIA

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Munish Kumar Sharma ◽  
Dr. Neeraj Gour ◽  
Dr N K Goel ◽  
Dr. Deepak Sharma ◽  
Dr. Meenakshi Chaudhary ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Rural Health ◽  
Tertiary Care Hospital ◽  
Diastolic Pressure ◽  
Health Centre ◽  
Tertiary Care ◽  
Noncommunicable Diseases ◽  
Care Hospital ◽  
Training Centre

Background: In this modern era, chronic noncommunicable diseases (NCDs) are a major global health challenge with numerous grave complications on the human body. Hypertension is the most common disorder which is being encountered in the outdoor patients Method:  This cross sectional study was undertaken to provide the data on the prevalence of hypertension amongst patients who were aged 20 years and above (pre elderly) and who attended the Out Patients Department of the Rural Health & Training Centre of tertiary care hospital of Chandigarh city of India. Results: Association of age with systolic blood pressure & diastolic pressure was found to be highly significant (P < 0.001). On the other hand association gender with systolic blood pressure & diastolic blood pressure was also found to be highly significant (P < 0.001). Logistic regression was also applied & it was found that age and male gender is a better predictor of diastolic hypertension but it was found to be non-significant (P > 0.05). Conclusion: Hypertension was found to be highly prevalent among the outdoor patients of Rural Health & Training Centre of Chandigarh, India. This study warrants the need of an early detection of hypertension, which can be accomplished by a periodic screening of the people. Key words: Hypertension; India.

scholarly journals Psychiatric Morbidities in Patients with Non-communicable Diseases among Inpatients of Medicine Department in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Kalpana Sharma ◽  
Govinda Dhungana ◽  
Shailendra Adhikari ◽  
Archana Bista Pandey ◽  
Muna Sharma
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
High Morbidity ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medicine Department ◽  
Non Communicable Diseases

Introduction: Psychiatric morbidities are common among patients with chronic non-communicable diseases. These diseases have high morbidity, mortality, and higher health costs. However, psychiatric conditions are often underdiagnosed and undertreated in our country. This study aimed to find out the psychiatric morbidities among patients with non-communicable diseases admitted in inpatients units of the medicine department. Methods: A descriptive cross-sectional study was conducted in the inpatients of the medicine department of a tertiary care hospital among 926 patients with chronic non-communicable diseases. Ethical approval was obtained from the Chitwan Medical College Institutional Review Committee (Ref. No. CMC-IRC: 2074/75: 38). A convenient sampling technique was used. Patients were interviewed using the Patients Health Questionnaire. Data analysis was performed using Statistical Package for Social Sciences version 16. Results: Among 926 non-communicable disease patients, psychiatric morbidities observed were somatization 612 (66.1%) anxiety 319 (34.4%), and depression 379 (40.9%). Patients with multiple non-communicable diseases had higher psychiatric morbidities compared to patients with a single disease. Conclusions: Psychiatric morbidities are common among admitted patients suffering from non-communicable diseases in Nepal. Hence, regular screening services are needed in all levels of health care centers to identify and treat the risk groups on time.

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

scholarly journals Burden of Non-Communicable Diseases at a Tertiary Care Hospital of Central Uttar-Pradesh: A Retrospective Study

2018 ◽  
Vol 08 (04) ◽  
pp. 102-108 ◽  
Author(s):  
Sham Kumar Gupta ◽  
Mahima   ◽  
Badri Narayan Mishra ◽  
Sandip Kumar ◽  
Kiran Krishnappa ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Communicable Diseases ◽  
Care Hospital ◽  
Non Communicable Diseases

scholarly journals Bilateral Simultaneous Total Knee Arthroplasty in Elderly Patients with Severe Osteoarthritis of Knee Joint in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Kapil Mani KC ◽  
Dirgha Raj RC ◽  
Suman Babu Marahatta ◽  
Ankit Niroula
Keyword(s):  
Total Knee Arthroplasty ◽  
Elderly Patients ◽  
Knee Arthroplasty ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Bilateral Total Knee Arthroplasty ◽  
Cross Sectional ◽  
Osteoarthritis Of Knee ◽  
Total Knee

Introduction: Total knee arthroplasty is one of the most successful orthopedic surgeries performed in recent decades. However, there are controversies regarding the simultaneous or staged bilateral total knee arthroplasty. The aim of this study is to find the prevalence of bilateral total knee arthroplasty in elderly patients among severe osteoarthritis of knee joints in a tertiary care hospital. Methods: This is a descriptive cross-sectional study conducted from hospital records of 2015 to 2019 in elderly patients with severe osteoarthritis in a Tertiary Care Hospital. Ethical clearance (20/2020) was taken from Institutional Review Board. Convenience sampling was used and statistical analyses were performed using the Statistical Package for the Social Sciences software (version 16.0). Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: Out of 1200 patients with severe osteoarthritis, the prevalence of bilateral total knee arthroplasty was found to be 80 (6.67%) (95% Confidence Interval = 6.60-6.74). The mean Knee Society Score was 36±3.70 preoperatively. There were 21 (26.2%) patients having hypertension, 17 (21.2%) diabetes mellitus, 14 (17.5%) chronic obstructive pulmonary disease and 7 (8.7%) coronary artery disease. Conclusions: Bilateral simultaneous total knee arthroplasty was required in less patients with severe osteoarthritis of knee joints. Bilateral simultaneous total knee arthroplasty is safe, convenient, effective with early functional recovery, higher patient satisfaction and cost effective with acceptable cardiac, pulmonary and neurological complications in properly selected patients.

scholarly journals PRESCRIBING PATTERN AND APPROPRIATENESS OF PRESCRIPTION AMONG ELDERLY PATIENTS IN A TERTIARY CARE HOSPITAL OF WESTERN NEPAL – A PROSPECTIVE CROSSSECTIONAL STUDY

2020 ◽  
pp. 126-131
Author(s):  
SAGARANANDA GIRI ◽  
GULAM MUHAMMAD KHAN
Keyword(s):  
Elderly Patients ◽  
Health Care Professionals ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
World Health ◽  
Care Hospital ◽  
Prescribing Pattern ◽  
Cross Sectional ◽  
Essential Drug List

Objective: The current study aims to evaluate prescribing pattern and potentially inappropriate medicine (PIM) among elderly patients in a tertiary care hospital of western Nepal. Methods: A prospective cross-sectional study was conducted in the outpatient department of Manipal Teaching Hospital of Western Nepal. The World Health Organization prescribing indicators and Beers’ 2015 updated criteria were assessed to analyze the result. Results: The mean±standard deviation of the age was 73.47±6.42 years and the majority of patients were in the age group 65–74 (58.81%). Male preponderance (male: female=1.20:1) was found. The value of prescribing indicator includes the average number of drug per prescription (4.91), percentage of generic name prescription (3.40%), percentage of antimicrobials prescribed (19.40%), percentage of injections prescribed (2.70%), and percentage of the drug from essential drug list of Nepal (42.22%). At least one PIM was prescribed to 87 (21.6%) patients. Non-cyclooxygenase-selective nonsteroidal anti-inflammatory drugs (44%) and anticholinergics (18%) were the most frequently prescribed PIMs. Conclusions: Polypharmacy, PIMs, and potential drug-drug interaction were prevalent in this study. It is recommended that all the doctors, pharmacists, other concerned health-care professionals, patients, policymakers, and all other stakeholders must be aware of these situations and a multidisciplinary approach must be developed for the promotion of rational use of drugs.

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