Background: One of the major health problems after stroke is aspiration pneumonia which might cause death. Aspiration pneumonia occurs in patients both with ischemic stroke and hemorrhagic stroke. Objective: To assess the prevalence of aspiration Pneumonia in stroke patients Methodology: This descriptive and cross-sectional study was carried out at the Medicine department, Qazi Hussain Ahmad Medical Complex, Nowshera from July 2020 to July 2021. By using pre-designed Performa, all the data including stroke type, name, age and gender of the patient and diagnosis of aspiration pneumonia were documented. All the analysis of the recorded data was carried out by employing SPSS version 24. Results: In the current study, totally 180 patients were enrolled. There were 102 (56.67%) males participants while female participants were 78 (43.33%). On the basis of age distribution, 69 (38.335%) patients were observed in age group 40-60 years whereas 111 (61.67%) patients were observed in age group 61-80 years. The mean age (SD) in the current study was 61 (3.11) years. Based on type of stroke, 117 (65%) patients were observed with ischemic stroke whereas 63 (35%) patients were observed with hemorrhagic stroke. The overall frequency of aspiration pneumonia in stroke patients was 15.56% (n=28). Practical implication: Our study will provide physicians with new data that early diagnosis for aspiration pneumonia in stroke patients should be done to reduce the morbidity and mortality rates. Conclusion: Aspiration pneumonia is highly prevalent in stroke patients in our setting. Our study recommends that early diagnosis for aspiration pneumonia in stroke patients should be done to reduce the morbidity and mortality rates. Keywords: Prevalence; aspiration Pneumonia; stroke; diagnosis; morbidity; mortality
Introduction: Ascites is the most prevalent clinical symptom of cirrhosis and hepatic decompensation. Patients with cirrhosis are often more likely to get bacterial infections, particularly ascitic fluid infection, which affects 15-20% of people with ascites and cirrhosis Objective: To determine mean platelet volume in cirrhotic patients with ascitic fluid infection. Material and methods: The current study was descriptive and cross-sectional carried out at the department of Medicine Lady Reading Hospital Peshawar for duration of six months from January 2022 to July 2022. From all the patients, a 10cc blood and 20cc ascitic fluid was obtained under aseptic conditions and was sent immediately to hospital diagnostic laboratory for measurement of MPV from blood and Poly-morphonuclear cells in the ascitic fluid. Data analysis was done by employing SPSS version 17. Results: In the current study, male patients were 129(62%) while female patients were 79(38%). The mean age (±SD) in the current study was 42 (±1.88) years. Based on platelet volume, 46(22%) patients had platelet volume range from 7.6- 8.5 fl, 100(48%) patients had platelet volume range 8.6- 9.5 fl, 62(30%) patients had platelet volume range 9.6- 11.5 fl. Mean platelet volume was 9.12 fl with SD ± 1.21. Conclusion: Our study concludes that MPV levels increase significantly in cirhhotic patients with ascitic fluid infection therefore MPV measurement might be thought of as an accurate diagnostic tool for predicting ascitic fluid infection. Keywords: Mean platelet volume; cirrhotic patients; ascitic fluid infection
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