Browsing by Author "Gurung, Subash"
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Publication Characteristics of Spinal Cord Injury Presenting to Tertiary Care Center in Gandaki province of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Baral, Yadu Nath; Yadav, Rajesh Kumar; Baral, Sushila; Paudel, Srijana; Yadav, Yoveen; Gurung, Subash; Ghimire, Kathit Raj; Pokharel, Jhapindra; Gurung, AshimAbstract Introduction: Spinal cord injury is one of the common injury which causes damage to the spinal cord due to trauma, diseases or degenerations leading to disability and decreasing life expectancy. The study aims to find the characteristics of spinal cord injury presenting at a tertiary care centre. Methods: A Descriptive hospital based cross-sectional study was conducted at Pokhara, Gandaki Province, from 28th March to 25th September, 2023. 139 participants were interviewed for the study. Structured interview schedule and validated questionnaires were used for data collection. Ethical approval was taken for the study (Reference number: 151/079). Results: A total of 139 cases were observed; most common affected age group was between 25-55 years with a mean age of 48.68 years. Most (66.9%) of the spinal cord injury patients were not enrolled in health insurance program. Most 107 (77.0%) common cause for spinal cord injury was falls from height. Age, gender, occupation and duration of stay in the hospital were statistically significant with mode of treatment. Conclusions: Spinal cord injury mostly traumatic commonly due to fall from height affecting mainly male population residing in rural areas at their fourth decade of life who are mainly involve in manual work and agriculture. Spinal cord injury is a major health problem at global and local level causing major morbidity.Publication Is Venous Thromboembolism Prophylaxis Needed in Patients Undergoing Knee Arthroscopy? A Prospective Observational Study(Nepal Health Research Council, 2023) Joshi, Amit; Rijal, Nishchal; Gurung, Subash; Basukala, Bibek; Sharma, Rajiv; Bista, Rohit; Singh, Nagmani; Pradhan, IshorAbstract Background: Although rare, deep vein thrombosis is a potentially life-threatening complication of knee arthroscopy. There are scanty literature analysing deep vein thrombosis after arthroscopy in Nepal. This study aimed to identify the prevalence of deep vein thrombosis in patients undergoing knee arthroscopy without chemoprophylaxis postoperatively at 2 weeks and 6 weeks, respectively. The study also aimed to estimate the risk of deep vein thrombosis in these patients by using Caprini Risk Assessment Model. Methods: This prospective observational study was conducted at AKB center, B&B Hospital, Gwarko, Lalitpur, over a period of 16 months. All patients who underwent arthroscopy knee surgeries fulfilling the inclusion criteria were included in the study. The primary outcome measure was the prevalence of deep vein thrombosis as diagnosed by compression color-coded ultrasonography of the popliteal vein and calf vein at 2 weeks and 6 weeks postoperatively. The secondary outcome measure was the prevalence of deep vein thrombosis in the risk groups according to Caprini Risk Assessment Model. Results: Out of 612 patients who underwent arthroscopic knee surgeries during the study period, 2 patients (0.33%) developed deep vein thrombosis at 6 weeks follow-up as diagnosed with ultrasonography of the popliteal and calf veins. The prevalence rate in high-risk group was 0.33% (1 in 307) and in very high-risk group was 5.88% (1 in 17). Conclusions: There was a low prevalence of deep vein thrombosis without chemoprophylaxis following knee arthroscopy in our study. There was higher prevalence of deep vein thrombosis in very high-risk group patients, so close monitoring of such patients during follow-up is recommended. Keywords: Caprini Risk Assessment Model; deep vein thrombosis; knee arthroscopy; prevalence. Author Biographies Nishchal Rijal, Department of Orthopaedics, B and B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal Subash Gurung, Department of Orthopaedics, B and B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal Bibek Basukala, Department of Orthopaedics, B and B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal Rajiv Sharma, Department of Orthopaedics, B and B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal Rohit Bista, Department of Orthopaedics, B and B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal Nagmani Singh, Department of Orthopaedics, B and B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal Ishor Pradhan, Department of Orthopaedics, B&B Hospital Pvt Ltd., Gwarko, Lalitpur, Nepal