Study of Associated Medical Ailments in Himachal Pradesh Patients Posted For Surgical Procedures At Maharishi Markandeshwar Hospital Solan.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background: Himachal Pradesh because of its varied topography is endemic to various medical ailments which are either already present or coincidentally diagnosed in patients presenting for elective or emergency surgical procedures. Aim: The aim of the present study was to determine the incidence and severity of associated medical ailments in Himachal Pradesh population presenting for any surgical intervention and also to evaluate their perioperative course under different anaesthetic techniques. Materials and methods: The present study was prospective and included 1000 adult patients (>19years of age) of either sex, residing in Himachal Pradesh for >10 years and presenting for various surgical interventions. Results: 1000 patients were examined out of which 586 were females and 414 were males. 316 patients had associated co-morbidities which included 126 males and 190 females. Diabetes mellitus was the most common disorder overall incidence being 22.4% with 52.6% males and 47.3% females affected. Hypertension was present in 20% patients, 49% males and 51% females affected. Hypothyroidism was seen in 17.6% patients with 25.5% incidence in males and an alarming 74.4% in females. Chronic obstructive pulmonary disease was the associated ailment in 9.2% patients affecting 71.7% males and 28.2% females. Ischemic heart disease affected 7% patients, 42.8% males and 57.1% females. The incidence of other ailments was 1%. Lifestyle changes, smoking, alcoholism, hypercholesterolemia were the common risk factors. The perioperative course of these patients presenting for various surgeries remained uneventful. Conclusion: The non communicable diseases have emerged as a significant menace in Himachal Pradesh, affecting younger age groups and females as well, with diabetes mellitus at number one followed by hypertension, hypothyroidism, chronic obstructive pulmonary disease, ischemic heart disease as inferred from our study. Most of the risk factors identified are modifiable which if curbed early can have a fruitful outcome.
Authors and Affiliations
Smriti Anand, Rakesh Sadhu, B. S Sekhon, A. M Hashia, R. S Thakur, MandeepKaur Nanda
Keywords
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- EP ID EP243651
- DOI 10.9790/0853-1610055559
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