Browsing by Author "Basnet, Lila Bahadur"
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Publication Atrial Fibrillation among Patients Admitted to the Department of Internal Medicine in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Shah, Surendra Prasad; Sah, Ram Pratap; Panthi, Sagar; Shah, Rakesh Kumar; Acharya, Rochana; Neupane, Durga; Puri, Reecha; Poudel, Sulaksha; Basnet, Lila BahadurAbstract Introduction: Atrial fibrillation is one of the commonest arrhythmias with an overall prevalence estimated to be 0.4-1% in the general population. The objective of this study was to find out the prevalence of atrial fibrillation among patients admitted to the Department of Internal Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients admitted to the Department of Internal Medicine of a tertiary care centre from 01 March 2021 to 01 March 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: IRC-478/2021). Convenience sampling method was used. Data were collected from the hospital records using a semi-structured study proforma including demography, clinical presentation, laboratory investigations, electrocardiogram, 2-dimension echocardiography, and CHA2DS2VASc score. Point estimate and 95% Confidence Interval were calculated. Results: Among 27,980 patients, atrial fibrillation was found in 185 (0.66%) (0.58-0.77, 95% Confidence Interval). Among them 66 (35.67%) were in the age group of 61-70 years and 97 (52.43%) were females. Dyspnea was present in 149 (80.54%), palpitation in 137 (74.05%) and pedal edema in 117 (63.27%). Valvular atrial fibrillation was seen in 101 (54.59%) and non-valvular atrial fibrillation was seen in 84 (45.41%) patients. Conclusions: The prevalence of atrial fibrillation was found to be similar when compared to other studies conducted in similar settings.Publication Dyslipidemia in Acute Non-cardioembolic Ischemic Stroke Patients at a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Shah, Surendra Prasad; Shrestha, Aashish; Pandey, Sirish Raj; Sigdel, Kaushal; Sah, Namrata; Panthi, Sagar; Basnet, Lila BahadurAbstract Introduction: Acute ischemic stroke is the second most common cause of death after ischemic heart disease worldwide and Nepal's top five diseases based on Disability-Adjusted Life Years. Dyslipidemia is a major risk factor for coronary heart disease but has an unclear role in the pathogenesis of ischemic stroke. The objective of this study was to find the prevalence of dyslipidemia in acute non-cardioembolic ischemic stroke patients at a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among 76 patients with acute noncardioembolic ischemic stroke admitted in the Neuromedicine unit of a tertiary care centre from August 2017 to July 2018. Ethical approval was obtained from the Institutional Review Committee of the same institute (Reference number: 478/2020). Patients underwent baseline investigations, including fasting lipid profile and Computed Tomography Scan/Magnetic Resonance Imaging head. Data were analysed using Statistical Package for the Social Sciences version 21.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The prevalence of dyslipidemia among the acute non-cardioembolic ischemic stroke patients was 35 (46.05%) (35.05–57.05 at 95% Confidence Interval) where high total cholesterol was diagnosed in 11 (31.43%), high triglycerides in 25 (71.43%), high low-density-lipoprotein in 10 (28.57%), and low high-density-lipoprotein in 11 (31.43%) patients. Conclusions: The prevalence of dyslipidemia among acute non-cardioembolic ischemic stroke patients at our tertiary care centre is higher than the similar studies done in similar settings.Publication Perception of Health Care Practitioners of Government Designated COVID-19 Hospitals of Nepal towards the Management of COVID-19 Pandemic: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2022) Panthi, Sagar; Jaishi, Amrit Raj; Gautam, Swotantra; Bhandari, Siddhartha; Bhatt, Navin; Basnet, Lila Bahadur; Sharma, Sanjib KumarAbstract: Introduction: Amidst the chaos of COVID-19, health care practitioners are persistently providing services and experiencing many challenges. This study aimed to determine the perception of health care practitioners of government designated COVID-19 hospitals of Nepal towards the management of COVID-19 pandemic. Methods: A descriptive cross-sectional study was conducted among the frontline health care practitioners working in the government designated COVID-19 hospitals in Nepal from 21st June, 2020 to 15th August, 2020. Ethical approval was obtained from the Ethical Review Board of the Nepal Health Research Council (Reference number: 347/2020 P). A total of 252 health care practitioners (doctors, nurses, and paramedics) working at the forefront in the emergency ward, general wards, intensive care units, isolation centers, fever clinics, laboratory, quarantine centers, help desks, etc. in the designated hospitals who consented to participate were included in the study. Convenience sampling was used. The data was analyzed using Statistical Package for the Social Sciences version 16.0. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: Only 41 (16.3%) (11.73-20.86 at 95% Confidence Interval) of the health care practitioners were found to have satisfactory perception towards the management of COVID-19 pandemic in Nepal. Conclusions: The satisfactory perception of the health care practitioners in our study towards the management of COVID-19 pandemic in Nepal is lower as compared to the other studies in Nepal and abroad.Publication Short and Long Term Impact on Oral Health Related Quality of Life After Maxillofacial Trauma(Nepal Health Research Council, 2023) Mahat, Arun Kumar; Panta, Niranjan; Shrewastwa, Mukesh Kumar; Puri, Reecha; Basnet, Lila BahadurAbstract Background: Maxillofacial fracture cases require detailed diagnosis, planning and timely restoration of the proper function and aesthetics of the traumatized tissues, as well as appropriate physical, psychological and social rehabilitation to achieve the best possible treatment outcome. Oral health related quality of life allows oral healthcare professionals to evaluate the efficacy of treatment protocols from patients’ perspectives and allows clinician to address and measure the clinically meaningful changes. Methods: The study was carried out in 86 patients with fracture of any one facial bone from September 2020 to March 2022 in Department of Dental Surgery, Nepalgunj Medical College Teaching Hospital, Kohalpur, Nepal. The quality of life was assessed by using Nepali version of Oral Health Impact Profile (OHIP-14) questionnaire, modified to address maxillofacial injury/treatment. Results: A total of 86 patients (male: Female ratio=40:3) were included in the study with mean age of 30.69±11.88 years. Patient with fracture of mandible and midface showed complete recovery on OHIP-14 Scale after 6 months whereas, in patient with panfacial fracture some residual effect in quality of life (0.13±0.50) was seen in two domains psychological discomfort (0.06±0.25) and social disability (0.06±0.25) even after 6 months. Conclusions: Impact of maxillofacial fracture on quality of life is long lasting and huge on patients. Referral to a psychiatrist or psychologist might be beneficial in addition to open reduction and internal fixation of maxillofacial fractures as early as possible to achieve better quality of life in maxillofacial fracture cases. Keywords: Maxillofacial fractures; OHIP-14; quality of life