Background: Self-reported instruments are outstanding predictor of symptom severity and functional status, hence represent a patient’s view and capture the full extent of disability. The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient reported self-assessment tool for the peoples with Carpal Tunnel Syndrome (CTS). Objective: Our intension was to develop a reliable, validated and culturally adapted Bangla version of original BCTQ (B-BCTQ). Materials and Methods: The B-BCTQ was succeeded following a structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-BCTQ reliability and validity were conducted in 48 CTS patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-BCTQ with the Physical functioning subscale (PF-10) of Short Form health Survey (SF-36) scale. Results: Cronbach’s alpha was 0.89 for symptom severity scale (SSS) and 0.86 for functional status scale (FSS). Also, Intra-class Correlation Coefficients (ICCs) were calculated as 0.86 for SSS and 0.91 for FSS. Pearson correlation (0.80 for SSS and 0.83 for FSS) analysis demonstrated that the B-BCTQ score was significantly correlated with the PF-10 of SF-36. All of the items were statistically significant (P<0.001). Conclusion: The B-BCTQ is successfully adapted. The study findings support the previous English version indicating its validity and reliability. KYAMC Journal Vol. 13, No. 01, April 2022: 24-31
not available Bangladesh Crit Care J September 2022; 10(2): 166-167
Background: For assessment of unconscious state in Medical Intensive Care Unit, physician mostly rely on Glasgow Coma Scale (GCS). But its verbal component has limitations in aphasic and intubated patient. More over its predilection ability to mortality is hardly challenged. The FOUR (Full outline of unresponsiveness) score, a new coma scale, evaluates 4 components: Eye, motor responses, brain stem reflexes and respiration. Aim of this study was to compare Full Outline of Unresponsiveness (FOUR) scale for prediction of mortality among patients admitted in Medical Intensive Care Unit (MICU) of a tertiary care hospital of Bangladesh with Glasgow Coma Scale (GCS). Objectives: To compare prediction of mortality between Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness (FOUR) scale. Methods: This is a prospective observational study was carried out in the Department of Critical Care Medicine, BIRDEM General Hospital to compare the mortality predilection in between FOUR score and GCS score. All consecutive adult unconscious patients over the age of 18 years were included in this study. Sedated patients were examined while they were not getting sedation or during routine sedation window period. Altered conscious level was examined by both GCS and FOUR scales. Data were collected using a check list containing demographic information, preexisting chronic illness, biochemical markers, imaging findings etc. Later patients were followed up and data regarding ICU stay, mortality and time of discharged from ICU were recorded. Both GCS and FOUR score were compared between survivor and non-survivor group and compared both score in between non-survivor group. Ultimately data were analyzed by using Statistical Package for Social Sciences (SPSS) software (version 20). Results: Total 105 unconscious patients were enrolled within the study after fulfilling inclusion & exclusion criteria. Among them 34 patients were survivor and 71 patient were non-survivor. The mean and SD of age in this study were 64 .55 ±14.65 years. The peak age distribution was (61-70) 39%. Among them 54.3 % (n=57) were male and 45.7 % (n=48) were female. DM (82.85%) was the most common comorbidity and the predominant diagnosis was Septic shock 33% followed by Ischemic stroke 29%, Meningo encephalitis 19.04 %, and Electrolytes imbalance 17.14%, Cardiogenic shock 12.38% etc. In both GCS and FOUR score their value significantly differ in case of both survival ([7.15± 1.56]; P<.0001 and [7.74± 2.26]; P<.0001) and non-survival group ([5.38± 1.96]; P <0.0001) and ([5.35± 2.83]; P <0.0001). But comparison of FOUR score (5.35± 2.83) with GCS (5.38± 1.96) in terms of predicting mortality their value not significantly differ (P <0.93). So both GCS and FOUR score is equally effective predicting mortality among unconscious patients. Conclusion: Both GCS and FOUR score significantly vary among survivor and non-survivor groups of unconscious patients but while comparing them regarding predicting mortality there is no significant differences in both score. Finally we conclude that both GCS and FOUR score equally good at predicting in hospital mortality among unconscious patients admitted in MICU. Bangladesh Crit Care J September 2022; 10(2): 76-81
Ascites is an infrequent presentation of poorly controlled congestive cardiac failure. Tense ascites due to heart failure is more infrequent. Whenever there is tense ascites, intra-abdominal hypertension should always be considered. The most deleterious effect of intra-abdominal hypertension is abdominal compartment syndrome. It is a condition that is frequently overlooked and underdiagnosed. Abdominal compartment syndrome is a medical as well as surgical emergency which should be promptly diagnosed and adequately managed; otherwise, it may lead to multiple organ failure and death. Here we present a patient with congestive cardiac failure leading to huge ascites, intra-abdominal hypertension and abdominal compartment syndrome. Bangladesh Crit Care J September 2022; 10(2): 149-153
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