scholarly journals Birth Defects at the Outpatient Department of the Philippine General Hospital from 2000-2010

2017 ◽  
Vol 51 (3) ◽  
Author(s):  
Carmencita D. Padilla ◽  
Melissa Mae P. Baluyot ◽  
Aster Lynn D. Sur ◽  
Roxanne Janica E. Merencilla ◽  
Maria Melanie Liberty B. Alcausin

Introduction. Birth defects or congenital anomalies are a major global concern. An estimated 7.9 million children are born worldwide each year. Birth defects are among the top ten leading causes of infant deaths in the Philippines for more than six decades. The objectives of this study were to: 1) determine the frequency of birth defects among patients seen at the Outpatient Department (OPD) of the Philippine General Hospital (PGH) from 2000 to 2010; 2) describe the birth defects by organ systems and presentation (isolated, part of a recognizable syndrome, chromosomal syndrome or multimalformed case); 3) present the distribution of patients by geographic origin; 4) describe the birth defects according to age group and organ system; and 5) compare the data from this study to the previously published report among admitted patients at PGH in the same time period. Methods. Medical records of new patients seen at the PGH OPD from 2000 to 2010 were reviewed. Medical records that included written diagnosis of any of the following International Classification of Diseases (ICD) -10 codes (Q 00 – Q 99, P 35.0, P 83.5, K40, H49.0, H50.0, H50.1, H53.0, H54.42, H54.7, and H55.01) were considered birth defect cases. Results. Out of the 804,410 new patients at the PGH OPD from 2000 to 2010, 12,827 patients (1.59%) had a diagnosis of at least one major structural birth defect. The most common birth defects were cardiovascular, digestive, genital organ and nervous system anomalies. The top 5 anomalies in this report were: congenital malformations of cardiac septa, other congenital malformations not elsewhere classified, cleft palate with cleft lip, congenital hydrocoele, and congenital hydrocephalus. The highest percentage of birth defects were from the < 1 age group (40.3%), followed by the 1 to 4 age group (29%) and the 5 to 9 age group (14.6%). NCR, Region IV-A and Region III had the highest percentages of patients with birth defects, 51.4%, 26.03% and 10.97%, respectively. Conclusion. This study revealed a prevalence of birth defects among PGH OPD patients of 1.59%. The most common birth defects were possibly surgically correctable reflecting the nature of PGH as a referral center. Majority of patients affected were in the under-5 population. The study reflects the importance of a birth defects surveillance to develop policies on strategies that will reduce the burden of morbidity and mortality secondary to preventable birth defects like congenital rubella syndrome that can be aborted by a successful immunization program. The birth defects surveillance will generate data that will support strengthening the regional hospitals with a better complement of specialists and capability for both medical and surgical management of the patients. 

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong

This was an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Theresults showed that the majority of research subjects were male, accounting for 80.5%; The age group with higher prevalence of accidents was under 30 years old, accounting for 31.2%; The agegroup of 50-59 years old was at lower prevalence of accidents accounting for 15.8%. The time of the higher chance of occurring accident was between 4p.m and 11p.m daily. The majorityof traffic accidents occurred when riding motorbikes and electric bicycles (82.3%). About 75.0% of the victims received first aid with a gauze bandage; 5.4% of them had broken bones fixed. Amongthe brain injuries, 34.4% of the victims suffered from frontal trauma; 29.3% had unilateral cerebral hemisphere injury, 24.2% had temporal region injury, 15.8% had occipital region injury, and 8.4% ofvictims had parietal injury. More than half of the study subjects (53.5%) were hospitalized for 7-10 days. The rate of patients who have been discharged from the hospital with improved symptoms was81.4%; and 14.9% of patients were transferred to higher level hospitals.


Author(s):  
Yudianto B Saroyo ◽  
Christian Wijaya ◽  
Putri M T Marsubin

Abstract Objective: to determine the characteristics and background of mothers who delivered neonates with birth defects. Methods: A retrospective study was used by evaluating the medical records of patients with birth defects in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016. Results: A total of 67 (1.85%) out of 3,619 infants who were born in Dr. Cipto Mangunkusumo Hospital during the period between September 2014 and June 2016 had birth defects. Forty-seven (70.1%) mothers of the subjects irregularly attend antenatal care. The most frequent maternal comorbid disease in this study was asthma, which was found in 4 (5.97%) mothers of the subjects. 48 (58.7%) subjects had birth weight under 2500 g. Conclusion: In this retrospective study, the main highlight is that 70.1% of the mothers who delivered neonates with birth defects did not attend antenatal care regularly. 58.7% of the neonates with birth defects had low birth weight. This study could be used as base for further research investigating about the role of antenatal care in early detection and/or the planning of delivery for babies with birth defects. Trends in babies with birth defects suggested that fetuses diagnosed with IUGR/SGA should be given special attention, as they were at increased risk for birth defects. Keywords: birth defect, maternal description   Abstrak Tujuan: untuk mengetahui deskripsi/ciri-ciri  dan latar belakang ibu yang melahirkan janin dengan kelainan bawaan. Metode: Studi retrospektif digunakan dengan menggunakan data sekunder rekam medis pasien dengan kelainan bawaan di Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo pada periode September 2014-Juni 2016. Hasil: Sejumlah 67 (1.85%) dari 3,619 neonatus didapatkan dengan kelainan bawaan di RSUPN Cipto Mangunkusumo pada periode September 2014-Juni 2016 . Sejumlah 47 (70.1%) ibu dari subjek tidak teratur dalam melakukan kunjungan antenatal care. Penyakit komorbid ibu yang paling banyak ditemukan dalam studi ini adalah asma, yang ditemukan dalam 4 (5.97%) subjek. 48 (58.7%) subyek memiliki berat lahir di bawah 2500 g. Kesimpulan: Pada studi retrospektif ini didapatkan 70.1% ibu yang melahirkan bayi dengan kelainan bawaan tidak melakukan kunjungan antenatal care. Didapatkan bahwa 58,7% bayi yang lahir dengan kelainan bawaan memiliki berat badan lahir rendah (BBLR). Studi ini dapat dijadikan sebagai landasan dilakukannya studi yang lebih besar untuk mengevaluasi peran antenatal care terhadap deteksi dini dan/atau perencanaan persalinan bayi dengan kelainan bawaan. Tren pada bayi dengan kelainan bawaan menunjukkan bahwa janin yang pada antenatal care didapatkan IUGR/SGA patut diperhatikan lebih untuk kecurigaan kemungkinan adanya kelainan bawaan. Kata kunci:   deskripsi ibu,   kelainan bawaan,


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Ni Luh Putu Ratih Vibriyanti Karna ◽  
Dewi Gotama ◽  
Sissy Sissy

Introduction: Pyodermas are infections in the epidermis, just below the stratum corneum or in hair follicles. It is most common in children, although it can also affect adults. Pyoderma often found in tropic areas. Pyoderma is caused by Staphylococcus, Streptococcus, or both. This study aimed to identify the profile of pyoderma in Dermatology Outpatient Department at Sanglah General Hospital Denpasar Periods January 2016 – December 2017.Method: Study design using descriptive retrospective model, done by taking data from daily visit record in Dermatology Outpatient Department at Sanglah General Hospital Denpasar Periods January 2016 – December 2017.Result: Pyodermas is one of the common skin problems observed in patients attending dermatology OPD. The number of new cases in pyoderma is 202 cases (7,32%), often found in males and 0-5 years age group (35,64%). The diagnosis of furuncle is the most finding type of pyoderma and the most commonly given therapy is a combination therapy of systemic antibiotics with topical. Co-amoxiclav is the most common drug that uses orally and fusidic acid as topical ointment.Conclusion: pyoderma remains as the most common skin infection in dermatology outpatient department at Sanglah General Hospital, Bali-Indonesia.


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Ananias Malak

Abstract: Non-infectious skin disease is a skin disease that is not caused by pathogenic bacteria or by transmission. Many non-infectious skin diseases showed different manifestations in infants and children. This study aimed to obtain the patterns of non-infectious skin diseases in children at Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011. This was a retrospective study. Data of the annual cases, gender, and ages were obtained from the medical records. From a total of 595 patients in 2009-2011 there were 323 (54.29%) children with non-infectious skin diseases, females (167 patients, 51.70%) were more frequent than males, and most commonly in the age group of 5 to 14 years (59.13%). Conclusion: Non-infectious skin diseases were still common in Dermatovenorology Department Prof. Dr. R. D. Kandou General Hospital period 2009-2011.Keywords: non-infectious skin diseases, childrenAbstrak: Penyakit kulit non-infeksi adalah penyakit kulit yang tidak disebabkan oleh kuman patogen ataupun ditularkan. Banyak penyakit kulit non-infeksi memperlihatkan manifestasi yang berbeda pada bayi dan anak-anak. Penelitian ini bertujuan untuk mengetahui pola penyakit kulit non-infeksi pada anak di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode 2009-2011.Metode Penelitian dilakukan secara retrospektif pada pasien anak dengan penyakit kulit non-infeksi yang datang ke Poliklinik Kulit dan Kelamin pada tahun 2009-2011. Data diperoleh dari rekam medik mengenai jumlah kasus pertahun, jenis kelamin, dan umur. Hasil penelitian memperlihatkan dari sejumlah 595 kunjungan pada tahun 2009-2011 terdapat 323 (54,29%) pasien anak dengan penyakit kulit non-infeksi, distribusi jenis kelamin memperlihatkan perempuan yang terbanyak 167 (51,70%), dan ter banyak pada kelompok umur 5-14 tahun (59,13%). Simpulan: Penyakit kulit non-infeksi masih sering dijumpai pada pasien anak di RSUP Prof. Dr. R. D. Kandou Manado.Kata kunci: penyakit kulit non-infeksi, anak


2021 ◽  
Vol 1 (3) ◽  
pp. 152-158
Author(s):  
Yessi Sundari

DBD is a disease caused by the dengue virus which is transmitted through mosquito bites and reduces the platelet count in the sufferer. This study aims to determine the medical records of dengue hemorrhagic fever at Lubuk Pakam General Hospital. This type of research is descriptive. Data collection methods were medical records for all DHF patients from 2005 to 2009 at Lubuk Pakam General Hospital. Then the medical record data are grouped by age, sex and occupation. Based on the results of the study, it was found that the number of DHF sufferers from 2005 to 2009 increased in the 21-56 year age group with all male sex and work as entrepreneurs. This is due to a narrower environment, increasing population, and inadequate living quarters with no good air ventilation, so that the spread of dengue is increasing.


2011 ◽  
Vol 5 (3) ◽  
pp. 611
Author(s):  
Moisés Kogien ◽  
Carlos Alberto Teixeira

ABSTRACTObjectives: to describe the most frequent causes for realization of thoracotomies and the epidemiological profile of individuals submitted of its. Method: this is about a retrospective study from quantitative approach conducted by medical records of a large general hospital of region Center-Western of Paraná (PR) were analysed in from June 2005 to july 2006. The study has been approved by the Research Ethics Committee of the Universidade Estadual do Centro-Oeste in Paraná (BR), in accordance to registration number 019/2006. Results: it were studied 50 cases, 56% were men; the age-group where the most number of cases were concentred was between 40 and 49 years old (22%), the average age was 42,5 years. Most of the case studied (50%) was closed thoracotomy drainage; 42% was thoracotomized for exhibit pleural empyema and 22% for exhibit pleural effusion. Conclusion: males aged up to 49 years old predominated among the thoracotomized patients in the study sample. The lateral thoracotomies were the main thoracic incisions made for treatment of pleural effusions and empyemas.  Descriptors: thoracotomy; thoracic surgery; epidemiology descriptive.RESUMOObjetivo: descrever as causas mais frequentes para a realização de toracotomias e traçar o perfil epidemiológico dos indivíduos submetidos a este procedimento. Método: estudo retrospectivo com abordagem quantitativa através de análise de prontuários médicos em um hospital de grande porte da região Centro-Oeste do Paraná no período entre junho/2005 e junho/2006. O trabalho foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Estadual do Centro-Oeste, sob registro n.019/2006. Resultados: foram estudados 50 casos, destes, 56% constituem-se de homens; a faixa etária onde se concentraram o maior número de casos foi entre 40 e 49 anos (22%), com idade média de 42,5 anos. A maioria dos casos analisados (50%) correspondeu a toracotomias com drenagem fechada; 42% foram toracotomizados por apresentarem empiema pleural e 22% por apresentarem derrame pleural. Conclusão: indivíduos do sexo masculino na faixa etária de até 49 anos de idade predominaram entre os pacientes toracotomizados da amostra do estudo, todos procedentes da região estudada. As toracotomias laterais foram as principais incisões torácicas realizadas em indicação ao tratamento de derrames e empiemas pleurais. Descritores: toracotomia; cirurgia torácica; epidemiologia descritiva.RESUMENObjetivos: describir las causas más frecuentes para la realización de toracotomías y trazar el perfil epidemiológico de los individuos sometidos a esto procedimiento. Método: estudio retrospectivo con abordaje cuantitativa a través de análisis de archivos médicos en un hospital de gran porte de la región Centro-Oeste del Paraná en el período entre junio/2005 y junio/2006. El estudio fue aprobado por el Comité de Etica en Investigación de la Universidad Estadual del Centro-Oeste, sob protocolo n. 019/2006. Resultados: fueron estudiados 50 casos, de estos, 56% se constituyen de hombres; la faja etaria donde se concentraron el mayor número de casos fue entre 40 y 49 años (22%) con edad media de 42,5 años. La mayoría de los casos estudiados (50%) correspondió a toracotomías con drenaje cerrada; 42% fueron toracotomizados por presentaren empiema pleural y 22% por presentaren derrame pleural. Conclusión: hombres en la faja etaria hasta 49 años predominarán entre los toracotomizados en la amostrad del estudio, todos procedentes de la región estudiada. Las toracotomías laterales fueran las principales incisiones torácicas realizadas en indicación al tratamiento de derrames y empiemas pleurales.  Descriptores: toracotomía; cirúgia torácica; epidemiología descriptiva.


KYAMC Journal ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 294-297
Author(s):  
Mohammad Ashik Imran Khan ◽  
Md. Annazmus Sakib ◽  
Mrinmay Kumar Podder ◽  
Md. Mainuddin ◽  
Binoy Krishna Tarafder

Background : Bangladesh has had tremendous development when it comes to health. With greater emphasis given to health, more and more people has become health conscious and seek medical attention early in their disease course. Our study looked at the pattern of the medicine OPD consultation in a peripheral center. Methodology: It was an observational study where all patients coming to the outpatient department of a 250 bed general hospital cum newly formed medical college were included in the study. Data was collected viewing the OPD patient registry and a short questionnaire over a three month period. Results: Over a three months period, a total of 2344 patients were seen in OPD. Among them, 1247 were male (53.19%),1097 were female(46.81%). Most of the patients belonged to the 35-54 age group(47%). Only 3%(70 patients) required admission. Among the patients seeking consultation, around 79% were actually seeking consultation, rest were looking for free medicine. Majority patients had PUD(982).630 patients had IBS. Conclusion: Over the years, there has been a shift in health awareness among Bangladeshi people which is reflected in our study.OPD need more attention for effective functioning of hospitals. KYAMC Journal Vol. 3, No.-2, January 2013, Page 294-297 DOI: http://dx.doi.org/10.3329/kyamcj.v3i2.15170


2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luong Xuan Hien ◽  
Nguyen Quoc Tien ◽  
Tran Thi Phuong

This is an epidemiological study through a retrospective review of 215 medical records of patients with brain injury due to land traffic accidents treated at Ninh Binh Provincial General Hospital. Research results show that among the 5 factors of the scale measuring quality of life in Vietnam, the factor of anxiety and sadness was the least recorded by patients. Up to 96.5% of subjects did not feel the presence of this factor.Up to 42.7% of the subjects felt a little element of pain and discomfort. Married people living with family had higher quality of life scores than single or separated/divorced people. The older the age group, the lower the mean score of quality of life (p<0.05). People with higher incomes had higher quality of life scores than those with lower incomes (p<0.05).


Author(s):  
Agus Bhayu W. Wiwekananda ◽  
I Wayan Arimbawa ◽  
Ratna Rayeni Natasha Roosseno

Background: Trauma is one of the leading causes of death among people under 40 years of age and approximately 10 percent of the cases have been maxillofacial trauma. There was limited number of studies on maxillofacial fractures in Indonesia. Thus, this research attempted to investigate the characteristics and patterns of maxillofacial fractures at Mangusada General Hospital in Badung-Bali.Methods: This research was a cross-sectional descriptive study which conducted at Mangusada General Hospital in the period of 1 January 2016 - 31 December 2017. The 127 samples selected using non-probability sampling. The inclusive criteria involved all maxillofacial trauma cases and the exclusive criteria focused on maxillofacial fractures that received intervention or with incomplete medical records. Each data was collected from the medical records and then analysed descriptively.Results: From 127 samples, male dominated the sample on the gender-based criteria (70.1%) and the highest frequency of all age groups is 21-30 years old on the age group based criteria (23.6%). Maxillary fractures are the most occurring maxillofacial cases, which took up 33.6%. The main cause of the cases is traffic accidents (89.0%).Conclusions: Maxillary fractures are the highest maxillofacial cases at Mangusada General Hospital on 1 January 2016 - 31 December 2016 period of time. The productive male age groups are the most affected groups due to traffic accidents.


2018 ◽  
Vol 123 (6) ◽  
pp. 514-528 ◽  
Author(s):  
Tracie C. Rosser ◽  
Jamie O. Edgin ◽  
George T. Capone ◽  
Debra R. Hamilton ◽  
Emily G. Allen ◽  
...  

Abstract The cause of the high degree of variability in cognition and behavior among individuals with Down syndrome (DS) is unknown. We hypothesized that birth defects requiring surgery in the first years of life (congenital heart defects and gastrointestinal defects) might affect an individual's level of function. We used data from the first 234 individuals, age 6-25 years, enrolled in the Down Syndrome Cognition Project (DSCP) to test this hypothesis. Data were drawn from medical records, parent interviews, and a cognitive and behavior assessment battery. Results did not support our hypothesis. That is, we found no evidence that either birth defect was associated with poorer outcomes, adjusting for gender, race/ethnicity, and socioeconomic status. Implications for study design and measurement are discussed.


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