Pulmonary Manifestations in Patients With Rheumatoid Arthritis Visiting Tertiary Care Hospital

Abstract

Background: Rheumatoid arthritis is a common problem in elderly individuals. It is reported that lung involvement in these patients is widely present. This study was done with the purpose to assess the burden and characteristics of lung involvement in rheumatoid arthritis patients attending rheumatology clinic. Methods: This descriptive cross-sectional study, in which data was retrospectively collected, was carried out from April 2019 to December 2020 at the Rheumatology Department of Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan. All adult rheumatoid arthritis individuals, irrespective of gender or duration of disease, were consecutively enrolled. Information regarding the baseline characteristics, medication history for rheumatoid arthritis, findings of immunological tests along with the frequency of lung involvement and its pattern were observed. Results: Of 254 patients, the mean age was 37.46 ±12.39 years. Females were predominantly higher as compared to males, i.e., 232 (91.3%) vs. 22 (8.7%) respectively. Current smoking status was found positive in 7 (2.8%) patients. The mean disease duration was 4.41 ±3.96 years. Furthermore, frequency of pulmonary manifestation was observed in 45 (17.7%) patients. A significantly higher mean difference of age (p-value <0.001) and disease duration (p-value <0.001) was observed among patients with and without pulmonary manifestation. Moreover, a significant association of current smoker was also observed with pulmonary manifestation. Conclusion: A considerable number of patients with rheumatoid arthritis had pulmonary manifestation. Furthermore, a significant relationship was observed with age, duration of disease, and current smokers.

Assessment of patient satisfaction in inpatient department of Ayub Teaching Hospital Abbottabad, Pakistan.

“…It is relatively higher compared to previous study by Ahsen et al 15 where patients' satisfaction in regards to cleanliness was only 44% which means that there has been slight improvement in hygiene conditions of the hospital. Our study results are higher than the studies conducted by Kaur et al 16 where it was 46% and by Verma et al 19 where it was 47%.…”

“…This included attitude of doctor, explanation of their disease, diagnosis and treatment facility provision. This is higher as compared to previous studies by Ahsen et al 15 where it was 70%, by Verma et al 19 and by Kaur et al 16 where satisfaction was 67% and 78% respectively. It is less compared to study by Paniyadi et al 18 and Pande et al 17 where 94.7% and 97.3% of patients were satisfied with care provision by doctor and explanation of their disease and treatment respectively.…”

“…Patients' satisfaction regarding the cost affordability was 55.74%. This is higher compared to the studies by Ahsen et al 15 and Sultana et al 26 where cost affordability was 22-29% and 43% respectively.…”

“…Patients' satisfaction was 37.70% in regards to their stay experience in hospital. This is less compared to previous study by Ahsen et al 15 where attitude of nurses was highly friendly. It is also less compared to the study of Verma et al 19 where stay experience was 55.4% and the study by Kaur et al 16 showed 78% of satisfaction regarding care received and attitude of nurses.…”

Comprehensive Assessment of Occupational Therapy Services in Lady Reading Hospital Peshawar, Pakistan

“…Overall satisfaction the study gave good satisfactory result of the respondent experience. (32) Descriptive qualitative study conducted in Mayo hospital reported that 22% parents were fully satis ed while 11% of the parents totally dissatis ed while many of patients were pleased. (42)Our study majority of the study participants showed satisfactory response.…”