4 research outputs found
IN HOSPITAL OUTCOMES AND ACS
No full textObjective: Frequency of in hospital outcomes in admitted with ACS. Methodology; This was a cross sectional study that was carried out at PIMS hospital, Islamabad during September 2015 to September 2016. In this study the cases of both genders with age more than 30 years were selected via Non probability consecutive sampling. These cases were admitted with standard AHA criteria of acute coronary syndrome bases on chest pain and ECG changes along with cardiac enzymes and were assessed for various clinical outcomes till their discharge or death. The cases with co morbid renal or hepatic failure or those that had pre hospital CPR, were excluded form this study. Results; In the present study there were total 100 cases, out of which 57 (57%) were males and 43 (43%) females. The mean age of the subjects was 54.11±10.35 years and mean duration of symptoms of ACS was 14.67±3.44 hours. The most common complication was arrhythmia noted in 41 (41%) of the cases, followed by hear failure in 15% cardiogenic shock in 13% and mortality in 4% of the cases. Conclusion; ACS can result in multiple complications during hospital stay and the most common one is arrhythmias.
Key words; Acute coronary syndrome, Mortality, Shock, Arrhythmia
Assessment of Average Length of Stay among Stroke Patients in a Tertiary Care Hospital
No full textBackground: Stroke is defined as a clinical syndrome where sudden onset neurological deficit appears and remains for 24 hours or more due to vascular compromise. Stroke is the leading cause of disability worldwide and the second leading cause of death. Certain risk factors have been discussed in the literature previously which are strongly associated with stroke. However, the literature is scarce in terms of risk factors affecting the hospital stay of patients suffering from stroke.
Objective: The objective of this study is to evaluate the risk factors that may affect the hospital stay in stroke patients.
Materials and Methods: This study was conducted prospectively at Aga Khan University Hospital, Karachi where length of hospital stay among stroke patients were included. The length of hospital stay (LOS) was found and compared by dividing the included participants into subgroups including age (30-50 and 51-80), gender (male and female), diabetes mellitus type II (yes or no), hypertension (yes or no), duration of disease (</=2 or >2 days), smoking (yes or no), BMI, and type of stroke (ischemic or hemorrhagic).
Results: We included 94 stroke patients. The LOS in hospital was significantly associated with age (P=0.01), gender (0.01), diabetes mellitus type II (P=0.04), smoking (P=0.01), BMI (P=0.01) while it was not associated significantly with hypertension (P=0.09), duration of disease (P=0.05) and type of stroke (P=0.08).
Conclusion: LOS after stroke differed according to the sex, age, diabetes mellitus type II, and BMI. Hence, BMI and smoking are modifiable risk factors that could decrease the LOS while more efforts can be made to control blood sugars at optimum levels for further decreasing the LOS
Chikungunya encephalitis: Usual presentation at an unusual time. a case report
No full textCHIK is an arboviral infection caused by chikungunya virus transmitted by Aedes mosquito worldwide. It usually manifests as a self-limiting acute febrile illness with rash, body ache and severe polyarthralgia; in some patients, symptoms persist up to months or even years. Neurological manifestations are relatively uncommon. In recent years Pakistan and other South East Asian countries have been hit several times by its epidemics1. We report a case of a middle-aged male who presented in our hospital with acute febrile illness along with neurological manifestations. Extensive laboratory investigations were done and he was diagnosed with seropositive CHIKV. He was treated symptomatically and recovered without any complication. Although previously cases of chikungunya meningoencephalitis have been reported in Pakistan during epidemics; such cases sporadically have not been reported so far1
Cerebral venous sinus thrombosis with positive Dengue serology
No full textDengue fever is a viral febrile illness caused by dengue virus and spread by Aedes mosquito worldwide. It usually manifests as an acute fever associated with body ache, skin rash, and thrombocytopenia. Neurological manifestations are relatively uncommon but well-known. We report a case of a 25-year-old male patient who presented to our hospital with acute febrile illness, headache, and vomiting. Extensive laboratory investigations were done and he was diagnosed with cerebral venous sinus thrombosis. Dengue serology was positive. He was treated with anticoagulation and hydration with complete recovery. The treatment with anticoagulation is challenging due to accompanying thrombocytopenia. Only two previous case reports of cerebral venous sinus thrombosis with positive dengue serology have been reported in the literature
