Browsing by Author "Basnet, Bal Mukunda"
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Publication Sociodemographic and Clinical Profiles of Patients Admitted in Tertiary Level Pediatric Hospital of Nepal: An Observational Study(Nepal Medical Association, 2025) Shrestha, Anil Kumar; Adhikari, Santosh; Gyawali, Sushil; Basnet, Bal Mukunda; Maharjan, Sobi Lal; Karmacharya, Pujash; Paudel, Deepak RajAbstract Introduction: Child health is crucial in low and middle-income countries. Pediatric healthcare in tertiary-level hospitals addresses complex medical conditions. This study aimed to describe the sociodemographic and clinical profiles of pediatric patients admitted to Kanti Children’s Hospital in Nepal. Methods: An observational cross-section study was conducted including all the inpatients under 15 years of age. The data were collected from the hospital medical record section from July 17, 2023 to July 15, 2024, after the ethical approval from Institutional Review Review Committee, (Reference number 2168). The statistical analysis included descriptive statistics to assess demographic characteristics, case types, admission patterns, and outcomes using Microsoft Excel and Statistical Package for Social Sciences (SPSS) 2024. Results: A total of 9682 pediatric cases were included, of which 6389 (65.99%) of the patients were male, with 3305 (34.13%) being aged 1 to 5 years. Among the admitted patietns 2194 (22.66%) had respiratory cause and 1520 (15.70%) had infectious disease. Mortallity rate was 203 (2.09%) and it was 82 (12.06%) in pediatric intensive care unit and 48(10.62%) in neonatal intensive care unit. Conclusions: Respiratory and infectious diseases were the most common cause of admission in pediatric settings with a higher prevalence in younger children. The majority of cases were residing outside the capital city. This study highlighted higher mortality rates in critical care units.Publication The Profile of Infantile Hypertrophic Pyloric Stenosis in a Tertiary Children's Hospital in Nepal(Nepal Paediatric Society (JNPS), 2021) Basnet, Bal Mukunda; Lacoul, Robal; Singh, Raj Kumar; Simkhada, Prashant; Chaudhary, GajendraAbstract: Introduction: Infantile Hypertrophic Pyloric Stenosis (IHPS) is the most common surgical cause of non-bilious vomiting in infancy and in the developed world. It is more common among male infants with a peak age at presentation of 4 weeks. This study aims to review the mean age at the time of diagnosis, serum electrolyte changes, ultrasonographic pyloric dimensions and surgical outcomes in IHPS at a tertiary children’s hospital in Nepal. Methods: A retrospective chart review of patients with IHPS who presented to Kanti Children’s Hospital between June 2016 and June 2020 was performed. Data on age, sex, laboratory and ultrasonographic dimensions, treatment and outcomes of treatment were collected and analysed. Results: The clinical record of 150 infants were retrieved and analysed who were diagnosed according to the clinical manifestations, laboratory and ultrasound examination from 2016 to 2020. The mean age at presentation was 46.57 ± 27.3 days with male preponderance of 84%. The proportion of IHPS cases with hyponatremia and hypokalemia was 31.3% and 18.0% respectively. The mean pyloric muscle thickness and pyloric length was 5.4 mm and 20.28 mm respectively. All cases were managed with Ramstedt pyloromyotomy with an average length of hospital stay of 5.03 days. There was no mortality and also no significant major complications. Conclusions: This study has shown that IHPS is a common condition in our setting. More attention should be paid to diagnose early. Paediatricians and general surgeons should have high index of suspicion in infants with non-bilious vomiting to avoid delay in diagnosis.