Morbidity Pattern among Out-Patients Attending Urban Health Training Centre in Srinagar

Abstract

<p>The current study was designed to identify the morbidity pattern of out-patients attending Urban Health Training Centre in an urban area of a medical college in Srinagar, Pauri Garhwal district, Uttarakhand, North India. The present study record-based retrospective study was conducted among the out-patients attending the regular clinic at the Urban Health Training Centre, of a medical college in Srinagar city of Uttarakhand State of North India during the study period of one year in 2014. Data was retrieved from the OPD registers maintained at the clinic. Data was collected pertaining to socio-demographic profile, morbidity details and treatment pattern. Diseases were identified using the International Classification of Diseases (ICD-10) code. Descriptive analysis was done.<strong> </strong>During the study period, a total of 9343 subjects attended the OPD. Among them, majority of them (60%) were females. More than half (56 %) belonged to the age group of 35-65 year age-group. The association of disease classification was found to be statistically significant with respect to gender. The leading morbidity of communicable disease was found to be certain infectious and parasitic diseases especially Typhoid whereas musculoskeletal system and connective tissue disorders were the most common cause among morbidity due to NCDs. Out of all, typhoid was found to cause maximum of morbidity among the subjects. The present study highlights the morbidity pattern of communicable and NCDs among the population of hilly areas of Garhwal, Uttarakhand India. Priority should be preferred for the regular tracking of diseases in terms of preventive and promotive aspects. Morbidity in the out- door clinics reflects the emerging trend of mixed disease spectrum burden comprising communicable and non-communicable diseases.</p>

A Retrospective Study of Non-Communicable Diseases amongst Blue-Collar Migrant Workers in Qatar

“…A study of morbidity patterns of outpatients reported for a city in India, showed that endocrine, nutritional and metabolic diseases accounted for 8.1% of the total patients visiting an urban healthcare training centre. Moreover, patients with circulatory diseases accounted for 27.5% [ 21 ], which was higher than that reported in this study. Possible differences could be that patients in our study were relatively younger, and only included men.…”

“…The costs of NCD treatments place a considerable burden on household income. Studies from India showed that high out-of-pocket expenditure for healthcare related to NCDs is significant in contributing to poverty [ 21 , 22 ]. An estimated 1.4 to 2 million Indians experienced catastrophic spending in 2004, and 600,000 to 800,000 people were impoverished by the costs of caring for cardiovascular disease and cancer [ 23 ].…”

“…The prevalence of NCDs is higher in these workers. However, these are often comparable to that seen in the host GCC population, possibly due to some overlap in dietary practices, sedentary lifestyle or epigenetic factors [ 19 , 20 , 21 ]. Despite this, a longer length of residence (>10 years) has been associated with a more than two-fold increase in the prevalence of diabetes among female migrant workers in the United Arab Emirates (UAE) [ 18 ], suggesting that both migration and duration of residence in the foreign country may equally impact health outcomes.…”

Female Gender was a Protective Factor for Patients with Frailty Undergoing Total Knee or Hip Replacement

“…This is consistent with the so-called male-female health-survival contradiction survival paradox that women have poor health but less serious comorbidities, leading to longer life expectancy. [13] In joint replacement, the overall number of frail people gradually increased. The results of this study suggested that the demand to improve the quality of life for frail patients has increased in recent years.…”