Delay in the Initiation of Extra Renal Purification on the Morbi-Mortality of Patients with Acute Renal Aggression in the Surgical Resuscitation of Mulhouse Hospital
José Mavinga,
Christian Meyer,
Eric Mafuta,
Gibency Mfulani,
Sylvie Ndjoko,
Julie Pembe,
Roddy Bengono,
Eric Amisi,
John Nsiala,
Medard Bula Bula,
Berthe Barhayiga
Issue:
Volume 12, Issue 3, September 2023
Pages:
31-36
Received:
10 July 2023
Accepted:
2 August 2023
Published:
20 September 2023
Abstract: Introduction: Acute renal failure (ARI) is a sudden onset of the partial or total inability of the kidney to eliminate the products of nitrogen catabolism and to maintain the hydro-electrolyte balance. It results in the installation of an acute uremic syndrome, made up of a constellation of biological and clinical abnormalities, the intensity of which directly defines the therapeutic urgency. The ideal moment to start an ERA remains debated, with studies with sometimes contradictory results. Objective: to determine the effect of the delay in initiation of the RE on the morbidity and mortality of patients in intensive care surgery in Mulhouse, in the context of severe ARI with multi-visceral involvement. Materials and methods: This is a retrospective single-center study, of the professional practice evaluation type, carried out in the surgical intensive care unit of the Groupe Hospitalier de la Région de Mulhouse Sud Alsace (GHRMSA) over a period of 12 months (March 2019 to February 2020). All patients aged at least 18 years and presenting with ARF were included in the study. Diagnosis and severity of renal injury was determined using the DIGO K score. The primary endpoint was mortality. Results: In 122 patients, the diagnosis of ARF was retained. Twenty-six of them benefited from an RRT and among which 18 for an early RRT and 8 for a late RRT. Baseline patient characteristics were similar in the 2 groups. Mortality was 50.0% in the two early RRT groups and 50.0% in the late RRT group, among the patients who received dialytic treatment with a statistically non-significant difference. Conclusion: This study did not show a difference in terms of mortality between the early RRT group and the late RRT group in patients with severe acute renal injury in intensive care. On the other hand, it notes a reduction in the duration of stay in intensive care as well as the duration of the EER in the early group.
Abstract: Introduction: Acute renal failure (ARI) is a sudden onset of the partial or total inability of the kidney to eliminate the products of nitrogen catabolism and to maintain the hydro-electrolyte balance. It results in the installation of an acute uremic syndrome, made up of a constellation of biological and clinical abnormalities, the intensity of wh...
Show More
Inpatient Dermatology: A Reterospective Analysis of Admitted Patients in Dermatology Department Services Hospital, Lahore
Saadiya Siddiqui,
Faria Altaf,
Ayesha Chatta,
Shahbaz Aman,
Saelah Btool
Issue:
Volume 12, Issue 3, September 2023
Pages:
37-41
Received:
4 August 2023
Accepted:
17 August 2023
Published:
27 September 2023
Abstract: Objective: Dermatology is primarily considered an outpatient based allied specialty of medicine in which significant number of patients require hospitalization to control disease and this improves their quality of life. Methods: A retrospective analysis of admitted patients in dermatology department of services institute of medical sciences/services hospital Lahore was done from 2016-2022. Dermatological diseases were categorized into respective groups. Demographic data; patient identifier number; date of admission; date of discharge, length of hospital stay and final diagnosis were considered. All data was converted into excel sheet. Mean and standard deviation was calculated for quantitative variables, frequency and percentages were calculated for qualitative variables. Data was analyzed in SPSS version 25.0. Results: A total number of 1467 patients admitted including 925 (63.05%) male and 542 (36.95%) female. Most common age bracket was 21-40 years and 41-60 years admitted over these years. Male patients dominated female patients throughout. We have recorded psoriasis (78.75%) as the most common reason for admission followed by erythroderma due to psoriasis (44.30%), SJS/TEN (49.24%), systemic lupus erythematosus (36.84 %) and pemphigus vulgaris (33.79%). Conclusion: Dermatology is an important medical allied specialty which not only shares a major burden of outpatient but a significant number of patients require hospitalization foe extensive management. This indoor admission not only enhances the clinical acumen of dermatology residents but increases the scope of interspeciality training. Further large scale multicentric studies are recommended to estimate the hospital disease burden of skin patients.
Abstract: Objective: Dermatology is primarily considered an outpatient based allied specialty of medicine in which significant number of patients require hospitalization to control disease and this improves their quality of life. Methods: A retrospective analysis of admitted patients in dermatology department of services institute of medical sciences/service...
Show More
