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Pattern of Cardiovascular Disease among Admitted Patients in Tertiary Care Teaching Hospital
Dibya Sharma1, Ram Chandra Kafle2, Vijay Madhav Alurkar2
1Department of Nursing Program, Manipal College of Medical Sciences, Phulbari-11, Pokhara, Nepal.
Insights
Ischemic heart disease, hypertension, and arrhythmia were the main reasons for hospital admission. Focusing on risk factors for ischemic heart disease can help reduce its burden.
Area of Science:
- Cardiology
- Public Health
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of death, particularly in developing nations.
- Hypertension, atherosclerosis, stroke, heart failure, and atrial fibrillation incidence are increasing.
- This study aimed to identify CVD patterns in hospitalized patients.
Purpose of the Study:
- To determine the pattern of cardiovascular diseases among patients admitted to a cardiac ward.
- To analyze the prevalence of specific cardiovascular conditions.
Main Methods:
- Retrospective analysis of 2268 patient records from January 2016 to December 2017.
- Data collected from the Cardiology ward register at Manipal Teaching Hospital, Pokhara, Nepal.
- Descriptive and inferential statistics were applied using SPSS 18.0.
Main Results:
- The patient age range was 12-95 years (mean 61.23 ± 16.34).
- Females constituted over half (51%) of the patients.
- Ischemic heart disease (IHD) was diagnosed in 35%, followed by hypertension (22.8%) and arrhythmia (13.4%).
- Significant associations were found between age, gender, and CVD patterns.
Conclusions:
- Ischemic heart disease, hypertension, and arrhythmia are primary causes for cardiac ward admissions.
- Community and personal preventive strategies targeting IHD risk factors are crucial.
- Effective risk management can alleviate the significant burden of ischemic heart disease.
Background:
Cardiovascular diseases are the dominant cause of morbidity and mortality worldwide. In 2008, cardiovascular deaths represented 30% of all global deaths, with more than 80% of deaths in developing countries. There is increase in incidence of hypertension, atherosclerosis, stroke, chronic heart failure and atrial fibrillation. The objective of this study is to find the pattern of cardiovascular diseases among patients admitted in cardiac ward.
Methods:
A retrospective analysis of records of admitted patients from 1st January 2016 - 30th December 2017 was conducted in Cardiology ward of Manipal Teaching Hospital, Pokhara, Nepal. A total of 2268 patients' data were taken from the ward register. The data was collected and analyzed with descriptive and inferential statistics using SPSS 18.0 version during the period from 1st June to 30th August 2018.
Results:
The age ranged between 12 to 95 years with a mean (SD) is 61.23(16.34 years). More than half (51%) of the patients were female gender. Forty-six percentages of the patients were in the age group of 56 - 75 years. More than 1/3rd (35%) were diagnosed with Ischemic heart disease (IHD) followed by hypertension (22.8%) and arrhythmia(13.4%). There was a significant association between age and gender with the pattern of cardiovascular disease.
Conclusions:
Ischemic heart disease, hypertension and arrhythmia were the major causes of hospitalization. Preventive measures at community and personal level focusing on the risk factors management of ischemic heart disease will alleviate the burden of ischemic heart disease.
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