Spectrum of Neurological Diseases in Tertiary Care Centre of Nepal

Pokharel, BR; S, Amatya

doi:10.3126/njn.v16i3.27360

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…The present study has shown that cerebrovascular disease was the most common reason for admission of patients in the ICU which is similar to other studies. [18][19][20] This may be because the cerebrovascular disease is an emergency requiring ICU care while other diseases may present as a non-emergency condition.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study on the Outcome of Semi-Closed Neurointensive Care in A Tertiary Care Hospital Located in A Rural Area of Eastern Nepal: A Lower-Income Developing Country

Keyal¹,

Nepal²,

Tamrakar³

et al. 2020

Eastern Green Neurosurg.

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Background: High mortality and morbidity in neurological patients are found due to lack of closed ICU (Intensive Care Unit), neurointensivist, and training in neurocritical care in most of the developing countries. Therefore, this study was conducted to evaluate the outcome of the neurological patient managed by neurointensivist in a semi-closed ICU. Materials and methods: It was a prospective, descriptive observational cross-sectional study in a level three Neuro-intensive care unit of a tertiary care hospital of Eastern Nepal, for one year in 191 patients. All patients above 18 years admitted to the Neuro-intensive care unit were included in this study. Demographic data was collected for all patients at the time of presentation to the ICU. The outcome of the patient was defined as transferred to Neuro-Ward, leave against medical advice (LAMA), do not resuscitate (DNR) and death. Statistical analysis was done by using SPSS. The result was presented as frequency and percentage. Results: Out of 191 patients, Males (71.7%) was more common than females (28.2%). There were 107 (56%) patients were admitted after 24 hours of injury or illness. 28.2% of patients had a hemorrhagic stroke and was the most common diagnosis for admission in the ICU. This study showed that 58(82.72%) patients survived and were discharged, 23(12%) expired, 7(3.66%) went in LAMA) and 3(1.57%) gave do not resuscitate orders (DNR). Mean days on a mechanical ventilator was 3.17 ± 2.12 days. Mortality in the intubated patient was 19%. Conclusion: A semi-closed Neuro-intensive care unit that includes full-time neurointensivist may have a better outcome than the open ICU.

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Section: Discussionmentioning

confidence: 99%

A Prospective Study on the Outcome of Semi-Closed Neurointensive Care in A Tertiary Care Hospital Located in A Rural Area of Eastern Nepal: A Lower-Income Developing Country

Keyal¹,

Nepal²,

Tamrakar³

et al. 2020

Eastern Green Neurosurg.

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“…More and more children are seeking well facilitated neuro centers every day. 3 In our hospital, being only one tertiary center for child care, most of the children from Nepal is being referred. People from different parts of Nepal are visiting here as super specialty service is very limited.…”

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confidence: 99%

Spectrum of Neurological cases in OPD of Tertiary Paediatric care Center of Nepal

Adhikari

Manandhar

Jha

et al. 2022

Med. J. Shree Birendra Hosp.

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Introduction: Advancement of different mortality of investigation and super specialization of medical science has been able to develop different diagnosis and treatment possible. Neurology is one of the super specialties. Cases are increasing day by day. We aimed to change the data of paeditric neuro OPD. Methods: Those cases that visited the Neuro department of only one governmental tertiary paediatric care center of Nepal and have been registered in outpatient register were analyzed. Mean, frequency etc. were calculated using Microsoft excel. Results: Out of diagnosed 2517 patients, 64.48% (N = 1623) were males, 35.51% (N = 894) were females. The mean age of the children was 57.64. Global developmental delay comprised 24.19% (N = 609), epilepsy comprised 21.81% (N = 549), motor delay comprised 5.68% (N = 143), intellectual delay comprised 1.98% (N = 50), speech delay comprised 3.33% (N = 84), febrile seizure comprised 3.41% (N = 86, 3.41%), seizure disorder comprised 16.84% (N = 424), headache / migraine comprised 3.33% (N = 84), Duchene muscular dystrophy and spinal muscular atrophy comprised 1.5% (N = 38), cerebral palsy comprised 2.41% (N = 61), acute encephalitis syndrome comprised 1.23% (N = 31) and others were 1.03% (N = 26) diagnosis made in the Neuro OPD. Conclusions: Our study showed that there were more male children in Neuro OPD than females and the commonest morbidities included global development delay, hypoxic ischemic encephalopathy, seizure disorder in children visiting the Neuro OPD in tertiary paediatric care center of Nepal.

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Spectrum of Neurological Diseases in Tertiary Care Centre of Nepal

Cited by 2 publications

References 11 publications

A Prospective Study on the Outcome of Semi-Closed Neurointensive Care in A Tertiary Care Hospital Located in A Rural Area of Eastern Nepal: A Lower-Income Developing Country

A Prospective Study on the Outcome of Semi-Closed Neurointensive Care in A Tertiary Care Hospital Located in A Rural Area of Eastern Nepal: A Lower-Income Developing Country

Spectrum of Neurological cases in OPD of Tertiary Paediatric care Center of Nepal

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