RESUMO
Objective: to determine inpatient bed utilization in the Pediatrics Ward of Services Hospital, Lahore as average daily census and Bed Occupancy Rate
Methods: a cross sectional study was conducted in the Pediatrics Medicine Ward of Services Hospital Lahore which is a tertiary care hospital attached with Services Institute of Medical Sciences Lahore, Pakistan. A 'midnight census' was conducted by 4th year MBBS, Medical Students for the children admitted from 6 to 12 May, 2015. The data for inpatient service utilization was analyzed for estimation of average daily census and bed occupancy rate
Results: the average daily census was 69 patients per day and the Bed Occupancy Rate was found to be 137.7%. This rate was higher than 100% that shows the over-utilization of beds leading to quality compromise for the provided services
Conclusion: high bed occupancy rate indicates a scarcity of beds in the Pediatric Ward which highlights a disparity between the supply and demands of pediatric medical services. A change in policy and increase in number of beds would help provision of quality health services to the children
RESUMO
To compare the disease patterns in two data sets of patients, five years apart, at the National Institute of Cardiovascular Diseases [NICVD], a tertiary care cardiac hospital in Karachi. The underlying objective was to determine any changes in cardiovascular disease patterns at an acute cardiac unit over a period of five years. A retrospective descriptive study was conducted on patients admitted in West Ward, National Institute of Cardiovascular Diseases [NICVD], Karachi in September, 2000 and September, 2005. Patient's record files were reviewed and the relevant information was recorded on a pro forma designed for the purpose. In September, 2000, a total of 414 patients were admitted. Of these 71.25% were males. Majority of patients [72.92%] were in the fifth decade of life or beyond. Acute coronary syndrome [ACS] was the commonest presentation, present in 39.8% of the patients. 27.3% had myocardial infarction [MI] while 10.34% were diagnosed with heart muscle diseases. The overall mortality was 3.4%. In September, 2005, a total of 446 patients were admitted. Of these, 63% were males. 71 .29% were in the fifth, sixth, and seventh decades of Life. 43.04% patients were admitted with acute coronary syndromes [ACS], 26% with myocardial infarction [MI] and 13.45% with heart muscle diseases. The overall mortality was 1.34%.The almost similar results in two. data sets of patients five years apart suggests that the cardiovascular disease burden and pattern has not changed significantly at this center. There is a preponderance of cardiovascular illnesses in males and older age groups. ACS and MI account for majority of admissions