ObjectiveS: To examine trends in hospital length of stay and total costs in patients with peripheral T-cell lymphoma. MethOdS: The latest available 2015 National Inpatient Sample (NIS) data set of hospital admissions from the Healthcare Cost and Utilization Project was utilized in order to determine the number of hospital admissions for patients with PTCL (identified by ICD-9 for Q1-Q3 and ICD-10 codes for Q4). The LOS and costs were compared by payer type, race and age groups. ReSultS: Based on our inclusion criteria we found 555 admissions, representing 0.006% of all hospitalizations. The mean age was 58.2 years (SD: 16.07, Median 60 years). The overall mean LOS was 9.27 days (SD: 10.26, Median 6 days). Majority of the hospitalizations were in patients age 60+ (52%), followed by age 45-59 (31%).

Background: Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice. In western countries, rheumatic heart disease (RHD) is a rare cause of atrial fibrillation but in developing countries like India it is one of the commonest cause of atrial fibrillation. We studied etiology, left atrial size and the incidence of left atrial appendage clot in patients with atrial fibrillation at our institution so that guidelines could be formulated to manage the patients of AF in the hours of emergency.Methods: 110 consecutive patients of atrial fibrillation coming to emergency, cardiology and medicine outpatient department over a period of one year were enrolled for the study. Ethical committee clearance was taken. Detailed history were taken, clinical presentation reviewed  and examination were carried out. All patients were subjected to transthoracic echocardiography and for transesophageal echocardiography if required.Results: The mean age of patients in the study was 58.42±14.27 years (range 22-90 years). Maximum numbers of patients were in the age group of 61-70 years (26.37%). Out of 110 patients with atrial fibrillation, 72 patients (65.46%) were females and 38 patients (34.54%) were males. Majority of patients presented with more than one symptom. Out of 110, 66 patients (60%) had RHD. Among RHD patients, 50 patients (45.55%) were females and 16 patients (14.55%) were males. Next common causes were hypertensive heart disease and degenerative valvular heart disease.Conclusions: In our study RHD was the most common cause of atrial fibrillation, followed by hypertensive heart disease and degenerative valvular heart disease. Mitral valve involvement was seen in all patients of RHD. Left atrial enlargement was seen in majority of patients, so left atrial enlargement could be a predictor of atrial fibrillation. Patients of left atrial enlargement are more prone to develop left atrial appendage clot.

Objectives: To examine trends in hospital length of stay, seasonality and total costs in patients with RSV. MethOds: The latest available 2015 National Inpatient Sample (NIS) data set of hospital admissions from the Healthcare Cost and Utilization Project was utilized in order to determine the number of hospital admissions for patients with RSV (identified by ICD-9 for Q1-Q3 and ICD-10 codes for Q4). The LOS and costs were compared by payer type, season, race and age groups. Results: Based on our inclusion criteria we found 597 admissions, representing 0.009% of all hospitalizations. The mean age was 22.58 years (SD: 29.53, Median 4 years). The overall mean LOS was 5.29 days (SD: 9.45, Median 3 days). Majority of the hospitalizations were in patients age 0-18 (65%), followed by age 60+ (18%). All infections were in winter, with most in December (58%), followed by November (26%). Mean (SD)

Background: Serum sodium disorder is most common electrolyte disorder in hospitalized patients. It is associated with significant morbidity and mortality. In developing countries like India; there is continuous increase in elderly population due to improving health care. There is lack of sufficient Indian data on clinical profile, causes, and outcome in elderly hospitalized patients with sodium disorder. We studied incidence, etiology, clinical profile, and outcome of sodium disorders after the treatment during the hospital stay in elderly patients at our institution so that guidelines could be formulated to manage the patients.Methods: 100 consecutive patients of serum sodium abnormality coming to indoor wards of medicine department over a period of one year were enrolled. Detailed history was taken, clinical presentation reviewed and examination were carried out. All patients were followed closely during hospital stay and necessary investigations were done to establish the cause.Results: The mean age of patients in the study was 71.26 ±7.8 years (range 60-96 years). Maximum numbers of patients were in the age group of 61-65 years (31%). Out of 100 patients, 54% were males and 46% were females. Out of 100, 48% patients had HTN,38% had DM, 19% had CKD. Abnormal behavior, nausea, vomiting were the predominant symptoms. CKD and drugs intake were the chief causes of the serum sodium abnormality due to abnormal fluid and water homeostasis. The mortality rate was significantly higher in Hypernatremia patients i.e.62 % as compared to hyponatremia patients 26% which was related to severity of serum sodium abnormality, rapid onset, long hospital stays and severity of underling illness.Conclusions: In our study CKD, drugs chiefly thiazide like diuretics were the most common causes of hyponatremia and dehydration was most common cause for hypernatrmia. Serum sodium disorders were associated with high mortality and morbidity in elderly hospitalized patients.

Objectives: To examine trends in hospital length of stay, seasonality and total costs in patients with RSV. MethOds: The latest available 2015 National Inpatient Sample (NIS) data set of hospital admissions from the Healthcare Cost and Utilization Project was utilized in order to determine the number of hospital admissions for patients with RSV (identified by ICD-9 for Q1-Q3 and ICD-10 codes for Q4). The LOS and costs were compared by payer type, season, race and age groups. Results: Based on our inclusion criteria we found 597 admissions, representing 0.009% of all hospitalizations. The mean age was 22.58 years (SD: 29.53, Median 4 years). The overall mean LOS was 5.29 days (SD: 9.45, Median 3 days). Majority of the hospitalizations were in patients age 0-18 (65%), followed by age 60+ (18%). All infections were in winter, with most in December (58%), followed by November (26%). Mean (SD)