A Socio-demographic and Clinical Study on Surgical Cases in a Tertiary Care Teaching Hospital, Suraram, Hyderabad

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Abstract

A descriptive study on surgical case profile related to socio demographic and clinical aspects was conductedin a tertiary care teaching hospital Hyderabad, Telangana. This was a retrospective and record based study. Atotal of 885 case sheets were collected from Medical record department among which 488 were males and 397were females. In-patient surgical case sheets were collected from 1st July 2021 to 30th June 2022 for a period ofone year after obtaining permission from the Institutional Ethics Committee. Absolute professional secrecy wasmaintained. All inpatient case sheets from department of Surgery were collected from the medical records andconsidered for this study. The study results were evaluated and analyzed by SPSS software.We found that highest number of patients admitted was in the age group of 31 to 50 years. Co- morbid conditionslike hypertension and diabetes (23.9%) was associated with surgical conditions. Majority of patients were fromurban locality (62.7%). Pain abdomen (36.3%) followed by swelling both inflammatory and tumor (35.5%) werethe common clinical presentations at the time of admission. Highest cases of surgical conditions in our study wereinflammatory swellings (17.9%), followed by benign tumors (17%), hernias(12.4%), appendicitis 9.2%, cholecystitisand cholelithiasis (9%), acid peptic diseases (7.2%) and renal calculi contributing 6.3%. Of the malignant conditions(3.16%) noticed, carcinoma of breast was common in females and oral cancers were commonest in males. Inguinalhernias were common in males and incisional hernias were common in females. Highest number of cholecystitisand cholelithiasis were observed in female population. Mean hospital stay was 6 days in our study. Most of thecases were reported in rainy season and treated conservatively (50.7%), very least genetic predisposition (0.4%)was observed in the study population. Study results were similar when compared with other studies conductedin India and abroad.
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海得拉巴苏拉拉姆一家三级护理教学医院外科病例的社会人口统计学和临床研究
在泰伦加纳邦海德拉巴的一家三级护理教学医院进行了一项与社会人口统计学和临床方面有关的外科病例概况的描述性研究。这是一项基于记录的回顾性研究。病案科共收集病例表885份,其中男性488份,女性397份。在获得机构伦理委员会的许可后,从2021年7月1日至2022年6月30日收集住院手术病例表,为期一年。绝对的专业保密。所有来自外科的住院病例表均从医疗记录中收集并考虑用于本研究。采用SPSS软件对研究结果进行评价和分析。我们发现,入院患者人数最多的是31至50岁年龄组。合并症如高血压和糖尿病(23.9%)与手术条件相关。大多数患者来自城市(62.7%)。入院时最常见的临床表现是腹部疼痛(36.3%),其次是肿胀、炎症和肿瘤(35.5%)。在我们的研究中,最多的手术情况是炎症性肿胀(17.9%),其次是良性肿瘤(17%)、疝气(12.4%)、阑尾炎9.2%、胆囊炎和胆石症(9%)、酸性消化性疾病(7.2%)和肾结石(6.3%)。在注意到的恶性疾病中,女性以乳腺癌多见(3.16%),男性以口腔癌多见(3.16%)。男性多见腹股沟疝,女性多见切口疝。胆囊炎和胆石症的发生率以女性最高。本研究平均住院时间为6天。大多数病例报告发生在雨季,保守治疗(50.7%),在研究人群中观察到极少的遗传易感性(0.4%)。与在印度和国外进行的其他研究相比,研究结果相似。
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