COMPARATIVE ANALYSIS OF PULMONARY COMPLICATIONS IN GENERAL MEDICINE VERSUS ICU SETTINGS: A COHORT STUDY
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Keywords
Pulmonary complication, general medicine, Intensive care unit (ICU)
Abstract
Introduction: Pneumonia and other common pulmonary complications notably acute respiratory distress syndrome (ARDS) pose great hurdles both in the medical ward and during intensive care (ICU) management. Such complications positively correlate with hospital length of days and chances of dying. However, while most existing studies have focused on individual risk configurations, there is less available research on the scope of the predisposing pulmonary complications in various clinical climates.
Objective: The present study aimed to analyze and compare the incidence and outcome of pulmonary complications in general medicine and ICU as well as the management of complications and their relevance to patient outcome.
Methods: A cohort study design was employed for patients admitted to general medicine and ICU departments over 2 years. Information on pulmonary complications incidence, management, and outcomes was captured and analyzed. The probability of obtaining a defined level of statistical inference was evaluated by applying chi-square tests for proportion comparisons and t-tests for means differences’ evaluations where p<0.05 is significant.
Results: Preliminary analyses have revealed that patients with ICU admission appear to have more frequent and severe pulmonary complications than those admitted to other medical wards. There were significant differences in mortality and recovery outcomes between the two study groups (p < 0.01).
Conclusion: This study highlights the implications for devising the most appropriate strategies to deal with pulmonary complications in various settings. The results provide very useful information on the associated severity and outcomes of these complications which warrant individualized treatment. Interventions aimed at reducing the consequences of pulmonary complications emanating from these clinical settings should be investigated in future studies.
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Dr. Hooria Bakhtawar
Demonstrator, Central Park Medical College Lahore, MBBS (PMDC, GMC, IMC registered),
Dr. Syed Naveed Tahir
Senior Registrar, FCPS pulmonology, Sahara Medical College Narowal.
Dr Waseem Ahmad Khan
MBBS, FCPS(Pulmonology), Assistant Professor Pulmonology, Sahara Medical College, Narrowal
Dr. Shahid Hamid
Assistant Professor of Medicine, University of Sharjah/Senior Specialist Medicine Dubai Hospital Dubai UAE,
Dr.Laiba Asghar Cheema
Women medical officer, MBBS, Institute H.H sheikh hamdan Cardiac center THQ Hospital Fortabbas.
Muhammad Muneeb Khan
MBBS, Wah Medical College