Pattern of Diseases with Their Clinical Outcomes: Experience of 124 Cases in Bangladesh

Qazi Hena Ferdousi^1, , Selim Reza², Rafia Akhter³, Mahibun Nahar³, Nawaz Mohsin Ismail Yousuf⁴ and Md. Abdullah Yusuf⁵

¹Department of Community Medicine, Government Homeopathic Medical College, Mirpur-14,Dhaka, Bangladesh

²Department of Forensic Medicine, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh

³Department of Community Medicine, Mugda Medical College, Dhaka, Bangladesh

⁴Department of Cardiology, National Institute Cardiovascular Disease, Dhaka, Bangladesh

⁵Department of Microbiology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

Cite this paper

Qazi Hena Ferdousi, Selim Reza, Rafia Akhter, Mahibun Nahar, Nawaz Mohsin Ismail Yousuf and Md. Abdullah Yusuf. Pattern of Diseases with Their Clinical Outcomes: Experience of 124 Cases in Bangladesh. American Journal of Public Health Research. 2021; 9(4):176-179. doi: 10.12691/AJPHR-9-4-8

Abstract

Background: The clinical outcomes are very important for different pattern of diseases among the hospital admitted patients. Objective: The purpose of the present study was to see the pattern of diseases with their clinical outcomes of hospital admitted patients in the medicine ward at a tertiary care hospital in Dhaka city. Methodology: This cross-sectional study was conducted in the Department of Medicine at Dhaka Medical College Hospital, Dhaka, Bangladesh from March 2003 to June 2003 over a period of 16 weeks. The study population comprised of all patients admitted in the selected Medicine wards during the study period irrespective of age and sex. All admitted patients in the selected wards irrespective of age and sex carefully screened out by examining the patients’ daily hospital records and discharge certificate at the time of their discharge. The different disease pattern of the admitted patients were recorded. Clinical outcome of diseases were categorized cured, referred or deceased. Result: A total number of 124 patients were recruited for this study. Various types of diseases were categorized into 8 groups. Out of 124 respondents 35 (28.2%) patients were suffering from Gastrointestinal and hepatobiliary diseases that topped the list followed by patients with cardiovascular diseases (21.8%). Majority (59.7%) were cured and 15.3% were found to be referred. One fourth of the patients admitted were deceased. Most of the patients (94.4%) had investigations done whereas only a small fraction (5.6%) did not under go any laboratory investigations. Conclusion: In conclusion most of the admitted patients in the medicine unit of hospital are suffering from gastrointestinal and hepatobiliary diseases and majority are cured before discharge from the hospital.

Keywords

pattern, diseases, clinical outcomes, medicine ward

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Institute for Health Metrics and Evaluation (IHME). Findings from the Global Burden of Disease Study 2017. Seattle, WA: IHME, 2018.
[2]	Mensah GA, Roth GA, Fuster V. The Global Burden of Cardiovascular Diseases and Risk Factors: 2020 and Beyond.
[3]	Dicker D, Nguyen G, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, Abbastabar H, Abd-Allah F, Abdela J, Abdelalim A. Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017: a systematic analysis for the Global Burden of Disease Study 2017. The lancet. 2018 Nov 10; 392(10159): 684-735.
[4]	Jeemon P, Mini GK, Thankappan KR, Sylaja P. GBD 2017 Mortality Collaborators. Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: a systematic analysis for the Global Burden of Disease Study 2017.
[5]	Mokdad AH, Mensah GA, Krish V, Glenn SD, Miller-Petrie MK, Lopez AD, Murray CJ. Global, regional, national, and subnational big data to inform health equity research: perspectives from the Global Burden of Disease Study 2017. Ethnicity & disease. 2019 Feb 21; 29(Suppl 1): 159-72.
[6]	Kadel R. Global, regional, and national under-five mortality, adult mortality, age-specific mortality, and life expectancy, 1950-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2018 Nov 10; 392(10159): 1684-735.
[7]	Monasta L, Ronfani L, Gallus S, Beghi E, Giussani G, Bosetti C, Cortinovis M, Bikbov B, Perico N, Remuzzi G, GBD 2017 Mortality Collaborators. Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017. The Lancet. 2018 Nov 10; 392(10159): 1684-735.
[8]	Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, Mullany EC, Abate KH, Abbafati C, Abebe Z, Afarideh M. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2019 May 11; 393(10184): 1958-72.
[9]	Bloom DE, Cafiero E, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, Feigl AB, Gaziano T, Hamandi A, Mowafi M, O’Farrell D. The global economic burden of noncommunicable diseases. Program on the Global Demography of Aging; 2012 Jan.
[10]	Lopez AD, Murray CC. The global burden of disease, 1990–2020. Nature medicine. 1998 Nov; 4(11): 1241.
[11]	Lawes CM, Vander Hoorn S, Rodgers A. Global burden of blood-pressure-related disease, 2001. The Lancet. 2008 May 3; 371(9623): 1513-8.
[12]	Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ, editors. Global burden of disease and risk factors. The World Bank; 2006 Apr 2.
[13]	Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, Charlson FJ, Norman RE, Flaxman AD, Johns N, Burstein R. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The Lancet. 2013 Nov 9; 382(9904): 1575-86.
[14]	Feigin VL, Roth GA, Naghavi M, Parmar P, Krishnamurthi R, Chugh S, Mensah GA, Norrving B, Shiue I, Ng M, Estep K. Global burden of stroke and risk factors in 188 countries, during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet Neurology. 2016 Aug 1; 15(9): 913-24.
[15]	Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJ, Vos T, Whiteford HA. Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS medicine. 2013 Nov 5; 10(11): e1001547.
[16]	Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. The Lancet. 1997 May 24; 349(9064): 1498-504.
[17]	Murray CJ, Lopez AD. Evidence-based health policy--lessons from the Global Burden of Disease Study. Science. 1996 Nov 1; 274(5288): 740-3.
[18]	Rehm J, Taylor B, Room R. Global burden of disease from alcohol, illicit drugs and tobacco. Drug and alcohol review. 2006 Nov; 25(6): 503-13.