Browsing by Author "Pant, Vivek"
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Publication C-reactive Protein to Albumin Ratio among Patients Admitted to Intensive Care Unit of a Tertiary Care Hospital: A Descriptive Crosssectional Study Authors(Nepal Medical Association, 2021) Gyawali, Pratiksha; Shrestha, Himal; Pant, Vivek; Risal, Prabodh; Gautam, SharadAbstract: Introduction: Sepsis is the most common cause of mortality among patients admitted to intensive care unit. There is emerging evidence on the role of C-reactive protein to albumin ratio (C-reactive protein/Albumin) in predicting outcomes in patients with critical illness and sepsis, admitted to intensive care unit. We aimed to find out the median value of C-reactive protein/Albumin ratio among patients admitted to intensive care unit of a tertiary care hospital. Methods: We conducted a descriptive cross-sectional study of 110 critically ill patients (>18 years old) admitted to intensive care unit of Dhulikhel Hospital from April, 2014 to June, 2016. The ethical approval (Reference number.51/16) was obtained from Institutional Review Committee at Kathmandu University School of Medical Sciences. C-reactive protein/albumin ratio was calculated from records of patients admitted to the intensive care unit. Convenience sampling was done. Data were entered into Microsoft Excel and analysed using Statistical Package for Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequencies and percentages for binary data. Results: Among 110 patients admitted to the intensive care unit, the median value of C-reactive protein/Albumin ratio was found to be 3.4 (Interquartile range: 3.1-4.5). Out of these patients, 44 (39.5%) patients were septic and their median C-reactive protein/albumin ratio was 3.4 (Interquartile range: 3.1-4.5). Conclusions: Our study showed higher median C-reactive protein /Albumin similar to other studies. Sepsis is a common finding among patients admitted to intensive care unit. Monitoring of C-reactive protein/albumin level in a patient admitted to intensive care unit could be useful for stratifying patients with a high risk of developing sepsis.Publication The Evolving Role of Laboratory Doctors: A Shift towards Patient Consultation(Nepal Medical Association, 2024) Pant, VivekAbstract In developing countries such as Nepal, the scarcity of doctors and their constrained consultation time often hinder comprehensive patient education regarding laboratory pre-test preparations and post-test results counselling. This study examines the potential of integrating laboratory doctors and direct patient consultations as alternatives to improve patient management. By piloting this practice at our institution, this viewpoint highlight that the laboratory doctors, with their specialized knowledge, can effectively communicate pre-test and post-test information, thereby enhancing patient understanding and compliance. This article also discusses the practical implications of this model and offer recommendations for policy adjustments to facilitate this integration.Publication Variation in Laboratory Reports: Causes other than Laboratory Error(Nepal Medical Association, 2022) Pradhan, Santosh; Gautam, Keyoor; Pant, VivekAbstract: When a sample of an individual is measured at different times at the same or different clinical laboratory, the results are always different, even the state of health of an individual is the same. This disparity in the results from clinical laboratories might confuse diagnosing, treating, and monitoring disease. Patients and healthcare professionals usually interpret these differences as laboratory errors. However, this might not always be the case, because laboratory test results are highly variable and are neither consistent nor comparable due to several reasons other than laboratory error, namely preanalytical variation, biological variation, and analytical variation.