Psychiatric co morbidities in ESRD Patients Recently Placed on Haemodialysis : A Prospective Observational Study from a Tertiary Care Hospital

Background: Psychiatric co-morbidity especially anxiety and depression are common in patients who are recently placed on dialysis, but very little research has been done on this subject. Mental illness results in increased non-compliance in accepting dialysis and this results in increased mortality in End Stage Renal Disease (ESRD) patients.Methodology: This cross- sectional study was done on ESRD patients newly diagnosed and initiated hemodialysis in the department of Nephrology of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh with informed written consent and maintaining privacy. Diagnostic and Statistical Manual of Mental Disorders (DSM-V) was used for diagnosis of psychiatric disorders. Patients on maintenance hemodialysis for more than 1 month and patients on Chronic Ambulatory Peritoneal Dialysis were excluded in this study.Results: There were total 83 patients out of whom there were 50 (62.2%) males and 33(39.38%) females. Mean age of study patients was 56.8±9.96 years. Bulk of the patients was clinically depressed (68.7%), followed by anxiety disorder (13.3%) rest were acute stress disorder, adjustment disorder and one case of psychosis. 8.4% participants denied any symptoms.Conclusion: Significant psychiatric co-morbidities developed in newly diagnosed ESRD subjects when they were prescribed hemodialysis. This study showed majority of the patients with renal failure on initiating hemodialysis who develop different psychiatric problems that need prompt diagnosis and appropriate treatment. These interventions will improve the quality of life of ESRD patientsBangladesh Crit Care J March 2016; 4 (1): 28-32

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Acute Intradialytic Complications in End Stage Renal Disease on Maintenance Hemodialysis

Journal of Nepal Medical Association ◽

10.31729/jnma.358 ◽

2012 ◽

Vol 52 (187) ◽

Author(s):

R K Agrawal ◽

S Khakurel ◽

R Hada ◽

D Shrestha ◽

A Baral

Keyword(s):

Renal Failure ◽

Renal Disease ◽

End Stage Renal Disease ◽

Tertiary Care ◽

Cross Sectional Study ◽

Maintenance Hemodialysis ◽

Care Hospital ◽

Cross Sectional ◽

Stage Renal Disease ◽

End Stage

Introduction: Hemodialysis is the preferred method of treatment for Nepalese patients with End Stage Renal Disease. Despite the technological advances and better understanding of physiology associated with hemodialysis, a number of complications are known to be associated with hemodialysis. This study was undertaken to study the frequency of acute intradialytic complications in patients undergoing hemodialysis. Methods: A cross-sectional study was conducted at Nephrology unit of a tertiary care hospital from 15 June, 2007 to 15 December, 2007. A total of 28 patients were included in the study. Patients with acute renal failure and acute on chronic renal failure were excluded from the study. Results: Total sessions of hemodialysis during the period were 1455. Hypotensive episode were 66 (4.5%) and was the commonest complication and followed by hypertensive episodes were 58 (3.8%). Other problems encountered were transfusion reactions were 23 episodes (1.5%), rigors not related to transfusions were 13 episodes (0.8%), nausea/vomiting were 20 episodes (1.4%), muscle cramps were 12 episodes (0.8%), hypoglycemia were 6 episodes 5(0.4%). Conclusions: The frequency of intradialytic complications is low and many of them are not life threatening. Keywords: complications; end stage renal disease; hemodialysis; hypertension; hypotension.

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Knowledge, Attitude and Practices Regarding First Aid against Domestic Injuries in Mothers of Children less than 5 Years of Age Attending Fauji Foundation Hospital Islamabad

Pakistan Journal of Public Health ◽

10.32413/pjph.v11i3.761 ◽

2021 ◽

Vol 11 (3) ◽

pp. 151-157

Author(s):

Raima Asif ◽

Naila Azam ◽

Fatima Ali Raza ◽

Mehwish Riaz ◽

Shaista Zulfiqar ◽

...

Keyword(s):

Statistical Analysis ◽

Tertiary Care ◽

First Aid ◽

Cross Sectional Study ◽

Care Hospital ◽

Chi Square ◽

Cross Sectional ◽

Co Morbidity ◽

Strongly Agree ◽

Home Accidents

Background: The objective is to assess the knowledge, attitude and practices regarding first aid towards home related injuries among mothers of children less than 5 years of age at tertiary care hospital of Islamabad. Methods: A questionnaire based cross sectional study was conducted in Fauji Foundation Hospital Islamabad. 400 participants were selected using convenience sampling the mother of children under 5 years of age were included and mother of children with any major co morbidity, congenital abnormalities and who didn’t give consent were excluded from the study. A pretested, structured, self-administered questionnaire was used for data collection after obtaining permission from Institutional Ethical Committee. Statistical analysis was carried using SPSS version 20. Frequencies and percentages were computed, descriptive statistical analysis was done. Chi- Square was applied for association between socio demographic variables and knowledge of mothers regarding first aid. Results: About 44% of the mothers and 63% children fall in age group of 31 and 2-5 years respectively. Half of the mothers (48%) are below intermediate level of education. About 34% of the respondents stated bleeding as most urgent and important injury requiring first aid. Regarding attitudes, 50% of the mothers strongly agree towards necessity of first aid and lack of awareness about dealing with domestic injuries. Sixty-five (65%) of the mothers had given first aid to their child. About 33%, 75%, 44% and 39% of the mothers have faced a child with difficulty in breathing; bleeding, burning and insect/sibling bite respectively. Age of mother (p=0.041), education of mother (p=0.001) and total no of children (p=0.001) were significantly associated with knowledge of first aid. Conclusion: Although home accidents are a common problem, mother’s knowledge regarding home accidents was deficient although majority of the respondents have positive attitude.

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CD4 Count At The Time of HIV Diagnosis – A Cross Sectional Study Among Newly Diagnosed HIV Patients Presenting To A Tertiary Care Hospital In South India

Annals of International medical and Dental Research ◽

10.21276/aimdr.2017.3.4.dt1 ◽

2017 ◽

Vol 3 (4) ◽

Author(s):

Sivayadevi P ◽

Krishnamoorthy K ◽

Heber Anandan

Keyword(s):

South India ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Cd4 Count ◽

Care Hospital ◽

Newly Diagnosed ◽

Sectional Study ◽

Hiv Diagnosis ◽

Cross Sectional

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Drug utilization pattern and selected biochemical parameters in pre- and post-hemodialysis state in the end stage renal disease patients: a cross sectional study at a tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20194119 ◽

2019 ◽

Vol 8 (9) ◽

pp. 2074

Author(s):

S. P. Gokulraj ◽

Surendra Kumar Bouddh ◽

J. Rajesh

Keyword(s):

Serum Albumin ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Significant Difference ◽

Blood Haemoglobin ◽

Stage Renal Disease ◽

End Stage ◽

Esrd Patients

Background: Chronic kidney disease can progress to end-stage kidney failure (ESRD), which is fatal without artificial filtering (dialysis) or a kidney transplant.Methods: The ESRD patients of either gender age >18 years who were diagnosed by nephrologist as ESRD and are on haemodialysis regularly included for the study.Results: The blood urea, serum creatinine, phosphorous, potassium levels were reduced significantly in post – haemodialysis condition, but, there was not much weight reduction after haemodialysis. Serum albumin, serum sodium and blood haemoglobin levels were almost unchanged in post – haemodialysis state. There was no significant difference between the pre and post haemodialysis parameters- serum Na+ serum albumin and blood hemoglobulin. Out of 75 ESRD patients, almost all patients 74 (98.7%) prescribed tablet Livogen, 73 (97.3%) patients given Inj. EPO, 55 (73.3%) tab Nicardia, 54 (76%) tab Sodamint, 43 (57.3%) capsule Alpha D3, 40 (53.3%) tab Shelcal. While between 12 (16%) to 20 (26%) patients prescribed tab Nodosis, tab Metoprolol, tab Febuget, tab Ecosprin, and tab Rantac. Only 1 (1.3%) to 9 (12%) patients received tablet Augmentin, tab Arkamine, tab Carvedilol, tab Para 500, tab Atorvas, Human mixtard, tab Calcicard, tab Minipress XL, tab Dytor, and tab Clopilet.Conclusions: The available two models of treatment, i.e., haemodialysis and poly pharmacy at hospital setup to face the challenges associated with the ESRD, and even outcome after application of both these two models of therapies did not provide optimal normal healthy life status to ESRD patients.

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PREVALENCE OF PSYCHIATRIC MORBIDITIES AMONG COVID -19 PATIENTS IN A TERTIARY CARE HOSPITAL, CHENNAI, TAMIL NADU.

10.36106/ijsr/4322050 ◽

2021 ◽

pp. 63-64

Author(s):

Anupama Roshan S ◽

Priyasubhashini. M ◽

M Mathivanan

Keyword(s):

Tamil Nadu ◽

Acute Stress ◽

Tertiary Care Hospital ◽

Treatment Options ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Medical College ◽

The Difference

Background: Due the lack of treatment options, isolation guidelines and fear about the disease, the cases with COVID 19 may experience high psychiatric related disorders. Hence this study was conducted to assess the prevalence of psychiatric morbidities among the cases with COVID 19 in a tertiary care hospital. Methods: Cross sectional study in the Department of Psychiatry at Government Medical College , Omandurar Government Estate, Chennai, a tertiary care teaching hospital during the period of April 2020 to September 2020. A total of 11,704 cases with COVID-19 were included in the study. Demographic details and psychiatry related clinical prole were assessed and entered in a proforma. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results: Overall prevalence of psychiatric morbidities among the COVID 19 cases was reported as 24.4% with signicant difference in prevalence among males and females. Most common psychiatric illness reported was COVID related anxiety (16.5%) followed by COVID related depression (6.6%), insomnia (0.87%), alcohol dependence syndrome (0.3%), acute stress reaction (0.03%), intellectual disability (0.03%), psychosis (0.02%) and hemophobia (0.008%). The difference in proportion of cases with various psychiatric morbidities like insomnia, COVID related anxiety, COVID related depression, and alcohol dependance syndrome among the male and female genders was found to be statistically signicant. Conclusion: Almost one fourth of the COVID cases are suffering from psychiatric morbidities. It can be recommended that all the cases with COVID can undergo screening and counseling for the psychiatric disorders.

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Hospital Stay of Orthopedic Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.6400 ◽

2021 ◽

Vol 59 (236) ◽

Author(s):

Pramod Joshi

Keyword(s):

Hospital Stay ◽

Chronic Back Pain ◽

Tertiary Care ◽

Length Of Hospital Stay ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Provincial Hospital ◽

Co Morbidity

Introduction: Orthopedic conditions includes a range of condition varying from traumatic injuries, congenital anomalies, chronic back pain, arthritis, rheumatologic conditions, and other. Length of hospital stay is determined by a number of factors such as symptom severity, patient co morbidity and hospital availability. Our study aims to study the length of hospital stay of the patients admitted in a provincial hospital. Methods: A descriptive cross-sectional study was conducted in Seti Provincial Hospital in the month of January among 800 cases. The record of each orthopedic cases admitted in the hospital was retrospectively collected from the medical record section after receiving ethical approval from Institutional Review Committee of Seti Provincial Hospital. Whole sampling technique was used. Data were analyzed by Statistical Package for the Social Sciences version 20. The descriptive statistical analysis was done. Results: The average length of hospital stay was 2.87 days with the maximum length of the stay of 10 days and the minimum stay of zero days (discharged on the same day). Forearm bone fracture was the main reason for admission in the hospital 325 (40.62%). Conclusions: Length of the hospital stay was found to shorter than the previous study done in similar settings.

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Culture bound syndromes- a cross-sectional study from India

European Psychiatry ◽

10.1016/s0924-9338(11)72155-1 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 448-448 ◽

Cited By ~ 2

Author(s):

M.S. Bhatia ◽

A. Jhanjee ◽

P. Kumar

Keyword(s):

Psychiatric Disorder ◽

Indian Subcontinent ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sociocultural Factors ◽

Care Hospital ◽

Prevalence Rates ◽

Cross Sectional ◽

Native Culture ◽

Co Morbidity

IntroductionSociocultural factors profoundly influence and determine every aspect of psychiatric disorder. The term culture bound syndrome refers to psychopathological entities that are not mere variants of well recognized psychiatric disorder, have a geographically defined prevalence, and are largely determined, at least in their symptoms by the beliefs and assumptions prevalent in the native culture. Dhat syndrome, possession syndrome, Koro, Ascetic syndrome, Gilhari syndrome are some of the frequently reported culture bound syndromes from Indian subcontinent.ObjectivesTo assess the prevalence rates and psychiatric co morbidities in patients affected by Dhat syndrome, possession syndrome, Koro, Ascetic syndrome, Gilhari syndrome.Methods50 subjects of either sex affected by at least one of the following culture bound syndromes - Dhat syndrome, possession syndrome, Koro, Ascetic syndrome, Gilhari syndrome were recruited on consecutive basis from the patients attending psychiatry outpatients department of a tertiary care hospital in Delhi, India. The selected subjects were assessed for respective prevalence rates and co morbidity profile in patients affected with above listed culture bound syndromes.ResultsOf 50 cases of culture bound syndromes seen in psychiatry OPD, Dhat syndrome was most common (80%), followed by Possession syndrome (14%), Ascetic syndrome (2%), Gilhari syndrome (2%), Koro (2%). Depression was the most common associated psychiatric disorder.ConclusionsCulture bound syndromes exhibit significant psychiatric co morbidity, this study calls for careful evaluation of these patients psychologically to detect and treat the associated psychiatric co morbidity appropriately.

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Quality of life in patients of erectile dysfunction: a cross sectional study in tertiary care settings

International Surgery Journal ◽

10.18203/2349-2902.isj20192144 ◽

2019 ◽

Vol 6 (6) ◽

pp. 1922

Author(s):

Raja Langer ◽

Rushali Gupta ◽

Kailash Singh Thaker ◽

Rashmi Kumari ◽

Rajiv K. Gupta ◽

...

Keyword(s):

Quality Of Life ◽

Erectile Dysfunction ◽

Interpersonal Relationships ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Co Morbidity

Background: Normal sexual desire coupled with physical inability to act is a major source of mental stress in interpersonal relationships which subsequently affects the quality of life of patients.Methods: The present cross sectional study was conducted among patients of erectile dysfunction visiting the Urology OPD of tertiary care hospital. Study instruments used were international index of erectile function (IIEF) to assess sexual functions and version of the WHO QOL scale (WHOQOL-BREF) to assess quality of life.Results: 168 patients were interviewed and 62.5% of them were less than 45 years of age. Age, income and presence of co-morbidity were found to be statistically significantly associated with ED (p<0.05). Overall QOL scores were lower in severe grades of ED as compared to milder grades and this difference was found to be statistically significant (p<0.05).Conclusions: Erectile dysfunction has a significant impact on the quality of life of the patients which reemphasizes the need to diagnose and manage ED at the earliest.

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