scholarly journals Pattern and outcome of admissions in a neonatal high dependency unit of a medical college hospital in Khulna, Bangladesh

Mediscope ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. 1-7
Author(s):  
MB Ali ◽  
AA Maruf ◽  
MM Rashid
Keyword(s):  
Neonatal Jaundice ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Medical College Hospital ◽  
High Dependency Unit ◽  
College Hospital ◽  
Meconium Aspiration ◽  
Medical College ◽  
High Dependency ◽  
Time Of Admission

To determine the pattern and outcome of admitted patients in neonatal high dependency unit of a medical college hospital in Khulna, Bangladesh the patients in this study were included from January 2016 to December 2016. Data of all the neonatal admissions were recorded and analyzed for age, gender, weight at the time of admission, place of delivery, the reason for admission, duration of hospital stay and the final outcome of the patients. A total of 433 neonates were admitted during the year 2016. Among them, 262 (60.5%) were male and 171 (39.5%) female patients. Majority of the newborns, 255 (58.9%), were admitted within 24 hours of life. Most of the patients, 365 (84.3%), were born in hospitals/ private clinics and the others, 68 (15.7%), at home. Major causes of admissions were sepsis 115 (26.6%), neonatal jaundice 102 (23.6%), low birth weight (LBW) 61 (14.1%), birth asphyxia 48 (11.1%), preterm 27 (6.2%), meconium aspiration 22 (5.1%), respiratory distress syndrome (RDS) 19 (4.4%) and intrauterine growth retardation 18 (4.2%). Most of the patients, 215 (49.7%), were admitted for 2-5 days followed by 118 (27.3) patients for 6-10 days. Three hundred seventy (85.4%) babies were discharged after improvement, 18 (4.2%) babies referred to higher centers, 20 (4.6%) discharged against medical advice and 25 (5.8%) deceased. The deceased were most frequently with neonatal sepsis 9 (36.0%) followed by prematurity 6 (24.0%), birth asphyxia 3 (12.0%), RDS 2 (8.0%), meconium aspiration 3 (12.0%) and multiple congenital anomalies 2 (8.0%). Sepsis, neonatal jaundice, LBW, birth asphyxia were the main causes of neonatal admissions. Common causes of neonatal mortality were sepsis, prematurity and birth asphyxia. The majority of morbidities and subsequently the mortalities can be prevented by improving antenatal care, maternal health, timely intervention, referring at an appropriate time to tertiary care centers.Mediscope Vol. 5, No. 2: Jul 2018, Page 1-7

scholarly journals Socio-demographic Characteristics of Vesico-vaginal fistula (VVF) patients attended at a tertiary Care Hospital in Bangladesh

2020 ◽  
Vol 6 (2) ◽  
pp. 114-117
Author(s):  
Shimul Akter ◽  
Naznin Rashid Shewly ◽  
Kashefa Khatun ◽  
Rokshana Parvin Nupur ◽  
Kamrun Nahar ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Demographic Characteristics ◽  
Medical College Hospital ◽  
Care Hospital ◽  
Vaginal Fistula ◽  
College Hospital ◽  
Medical College ◽  
The Mean ◽  
Vesico Vaginal Fistula

Background: Vesico-vaginal fistula can occur in different women with varied socio-economic condition. Objectives: The purpose of the present study was to see the socio-demographic characteristics of vesico-vaginal fistula (VVF) patients attended at a tertiary care hospital in Bangladesh. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. The entire selected patients were interviewed for detailed socio-demographic characteristics. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Most of the respondents were illiterate (55.0%) and one-third patients had primary level education. The number of highly educated patients was scarce (12.0%). It was evident that average age at marriage of the patients was 15.8(±4.74) years. Some females were forced to accept marriage at the age of 10 years. The mean interval between initiation of menstruation and the marriage was only 4.72 years. Mothers were on an average 17.48 years old at the time of first delivery. Conclusion: In conclusion middle age illiterate women are most commonly suffering from VVF. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 114-117

scholarly journals An etiological study of respiratory distress in neonates in a tertiary care medical college hospital

2020 ◽  
Vol 7 (1) ◽  
pp. 22-26
Author(s):  
Dr. Harshini B.P. ◽  
◽  
Dr. Ananda Kumar T.S. ◽  
Dr. G.V. Kumar ◽  
Dr. Imthyas Khan ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Etiological Study

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 A Clinico-epidemiological Study of Malaria Patients Admitted in A Tertiary Care Hospital of Bangladesh

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Diagnostic Test ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Clinical Aspects ◽  
Case Report Form ◽  
Care Hospital ◽  
Mosquito Net ◽  
College Hospital ◽  
Medical College ◽  
History Of

Malaria is a public health problem in 90 countries around the world affecting 300 million people and responsible for about 1 million deaths annually. Bangladesh is considered as one of the malaria endemic countries in Asia. Every year large number of people suffered for malaria. But there is little studies about clinico-epidemiology of malaria. Aim: To study the epidemiological and clinical aspects of malaria. Methods: This is a Prospective observational study that was conducted in all medicine unit of Chittagong Medical College Hospital, Chittagong, Bangladesh during August 2017 to June 2018. Total 55 patients were included in the study having malaria diagnosed by blood slide examination or rapid diagnostic test. Patients were enrolled in this study after getting written informed consent from the patient or attendant. Detail demographic and clinical data were recorded in structured case report form. Patients were regularly followed up and outcome recorded. Results: Results showed males (65.5%) of 25±15.109 years of age were the main sufferer. Majority (45%) came from low socio-economic condition (<5000 taka/month). 65.5% patients denied any history of recent travel to malarias’ area. 69.1% cases give history of using mosquito net, but only 25.5% have insecticide treated mosquito net. Majority (89.1%) were diagnosed as severe malaria and only few (10.9%) as uncomplicated malaria. Most of the diagnosis done at Chittagong Medical College Hospital, mainly presenting with coma or altered consciousness and convulsion. At field level diagnostic test done in 67.27% cases, of which RDT in 14.5%, BSE in 45.5% and both in 7.3% cases. 78.2% cases outcome were good with improvement and death occurred in 21.8% cases, mainly due to acute renal failure. Conclusion: Though we are making significant effort to control malaria, still we have to improve in controlling malaria based on both preventing the infection and on prompt effective treatment of the infection and illness when it does occur.

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