Study of the relation of clinical and demographic factors with morbidity in a tertiary care teaching hospital in India

Abstract

Background:The emergency department of every tertiary care teaching hospital is the backbone of community health care service.Aims:This study was undertaken to identify the pattern of emergencies in the hospital, and to identify the risk factors associated with these emergencies.Materials and Methods:This was a retrospective record analysis of the emergency department from Jan 2010 to Dec 2010. The data were analyzed for various types of medical emergencies presented at the hospital at Guru Gobind Singh Medical College and Hospital, Faridkot.Results:A total of 2310 patients presented in the emergency department of which nearly half were males; a great majority were in the age group of 15–40 years. The diseases related to the cardiovascular system, 367 (15.89%), topped the list of which hypertension was noted in 267 (11.56%) cases. This was followed by morbidities related to the neurological system, diabetes, hepatobiliary, respiratory, renal 168 (7.27%), poisoning, pyrexia of unknown origin, and multi-organ involvement. With regard to the specific diseases, the majority were contributed by coronary artery disease 217 (9.39%), stroke 178 (7.71%), alcoholic liver disease 160 (6.93%), and chronic obstructive lung diseases 90 (3.90%). In our series, we noted that a great majority of cases were in the 41–60 age groups except poisoning (majority less than 40 years). The age groups were significantly related with selected morbidities.Conclusions:There are transparent evidence that we need an organized emergency care system in India as relatively the younger age group (15–40 years) comprised nearly half cases.

Demographic And Clinical Patterns of Stroke in Emergency in A Tertiary Care Hospital in North India

“…WHO has estimated that the emergency morbidity load will rise noticeably by the next few decades [7] . In the present study, the incidence of stroke was observed to be higher in the higher age groups and was lower in younger patients.…”

Yoga Based Lifestyle for Prevention of Medical Emergencies

“…In a survey in the emergency department of a tertiary care teaching hospital in India, Garg et al found that in 2013, nearly half of emergency subjects were males and a great majority was in the age group of 15-40 years. They also found that diseases related to the cardiovascular system topped the list, of which hypertension was noted in most cases (Garg, 2013). Majority of these NCDs are lifestyle related and their progression towards acute complications are often triggered by lifestyle changes (Yusuf, 2004;Mittleman, 1995).…”

“…Pregnancy remains as one of the top causes of medical emergencies especially in developing countries (Garg, 2013;Saddichha, Saxena, Pandey & Methuku, 2009). Previous studies have noted a similar trend with most pregnancies occurring in the age group of 20-30 years (Gogoi & Ahmed, 2007).…”

“…Among those due to complications of NCDs, most common emergencies are hypertension, acute asthma attack, convulsions, hypoglycemia, myocardial infarction, shock, stroke and psychiatric emergencies (Garg, 2013;Saddichha, Saxena, Pandey & Methuku, 2009). In a survey in the emergency department of a tertiary care teaching hospital in India, Garg et al found that in 2013, nearly half of emergency subjects were males and a great majority was in the age group of 15-40 years.…”

“…The conditions with which a patient will approach the emergency department vary from the rural to urban setup. (Gupta, 2009) Most common medical emergencies may be categorized into following major categories: 1) Acute complications of chronic non-communicable diseases (NCDs), 2) Injuries due to accidents and assaults, 3) Complications of infections, 4) Pregnancy related complications and 5) those due to poisoning and drug over-dosage (Razzak & Kellermann, 2002;Garg, 2013;Saddichha, Saxena, Pandey & Methuku, 2009). …”