RESUMO
Objective: To study the frequency and types of complications in colostomy patients. Study Design: Prospective cross sectional study. Setting: Department at Surgery, Fauji Foundation Hospital Rawalpindi. Period: 1[st] December 2009 to 30th November 2011
Material and Methods: A total of 104 consecutive patients who end up with colostomy due to any reason were included in the study
Results: It was noted that 52 patients had stoma due to malignancy and complications was noted in 40 patients. Same number of Patients operated for non-malignant disease i.e. 52. Complications noted in only 24 patients while 28 were without complications
Conclusions: The chances of complications in different type of stomas are much higher in case of malignancy. It is recommended that such operations are performed by senior surgeons in order to avoid post-operative morbidity and mortality
RESUMO
Myocardial infarction is one of the most common life threatening diagnoses in emergency hospital admissions. Most of the complications occur during the first few hours while the patients are likely to be in the hospital. Although the mortality rate after admission for myocardial infarction has declined significantly over the last two decades but it still remains high. Survival is markedly influenced by age of the patient, presence of different risk factors and complications that patients develop after myocardial infarction. We conducted a study at Armed Forces Institute of Cardiology/National Institute of Heart Diseases [AFIC/NIHD] to document the predictors of mortality in patients with acute myocardial infarction. Patients with first acute myocardial infarction admitted to the hospital from Feb. 2007 to June 2007 were included in the study. It was a descriptive case series study and data was collected on a pre-designed proforma with convenient sampling technique. Patients were assessed clinically with special emphasis on history of typical chest pain and physical examination. Relevant investigations were carried out to establish the diagnosis. Two hundred and fifty cases were assessed. Mean age was 57.94 +/- 14.00 years. Males were 74.4% and Females were 25.6%. Overall in-hospital mortality was 9.2%. Females had a higher mortality [14.06%] as compared to males [7.52%]. Mortality was also related with age of the patient and Diabetes Mellitus. Other features adversely affecting the in-hospital mortality included higher Killip class, anterior wall myocardial infarction and higher peak Creatine Kinase [CK] levels. Mortality was also higher in patients who did not receive thrombolytic therapy for different reasons. Patients with certain risk factors are more prone to develop complications and have a higher mortality rate. Identification of some of these risk factors and timely management of complications may reduce mortality