Browsing by Author "Panthi, Sagar"
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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 Intestinal Obstruction among Patients Admitted in the Department of Surgery of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Poudel, Sajana; Panthi, Sagar; Gautam, Swotantra; Bhandari, Siddhartha; Bhattarai, Bharosha; Pokharel, Sandip; Sedhai, Swastika; Ghimire, Manoj; Khanal, Bhawani; Joshi, Brikh RajAbstract Introduction: Although intestinal obstruction is a very common surgical emergency, there is a dearth of evidence regarding its prevalence at our institute. The objective of this study is to find out the prevalence of intestinal obstruction among patients admitted to the Department of Surgery of a tertiary care centre. Methods: A descriptive cross-sectional study on a total of 6735 admitted patients' in Department of Surgery a tertiary care centre was conducted from 1st January, 2014 to 31st March, 2015. Data were collected retrospectively with ethical approval from Institutional Review Committee (Reference number: 106/071/072). All patients admitted to the surgery ward of the hospital with an age of 18 and above were included in the study. Convenience sampling was used. The data were recorded and analyzed using Microsoft Excel and Statistical Package for Social Sciences version 16.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of the 6735 admitted cases, the prevalence of intestinal obstruction among the admitted patients in the surgery department of the tertiary care centre was found to be 100 (1.48%) (1.19-1.77 at 95% Confidence Interval). The most common presentations were pain in the abdomen 93 (93%), vomiting 74 (74%), and abdominal distension 55 (55%). Conclusions: The prevalence of intestinal obstruction in our study was lower than the similar studies done in similar settings.Publication Myositis Ossificans in the Shoulder – A Case Report(Rapti Academy of Health Sciences (RAHS), 2024) Neupane, Bikash; Panthi, Sagar; Shrestha, Rishishwor; Sherchan, Rupesh Man; Sharma, Nischal; Shrestha, Shrawan; BC, BomAbstract: Myositis ossificans is a non-neoplastic, rare medical condition characterized by heterotopic bone formation in non-skeletal muscle or soft tissues. It is an idiopathic disorder in which trauma plays a significant contributing role, typically appearing 4 to 12 weeks after the injury. While the elbow is the most common site, myositis ossificans can occur anywhere in the body and is particularly common in young athletes, especially males in their second to third decades of life. This case study reports the observation of a 27-year-old male who presented with a shoulder mass 9 years after trauma sustained while playing volleyball. The condition was diagnosed as myositis ossificans in the shoulder, around the deltoid muscles. Excision of the mass was performed after confirmation through MRI scans and biopsy.