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  • Lahore Medical and Dental College  (2)
  • 1
    Online Resource
    Online Resource
    Limb Salvage in Early Versus Delayed Revascularization of Acute Lower Limb Ischemia
    Lahore Medical and Dental College ; 2021
    In:  Pakistan Journal of Medical and Health Sciences Vol. 15, No. 9 ( 2021-09-30), p. 2239-2241
    Details
    In: Pakistan Journal of Medical and Health Sciences, Lahore Medical and Dental College, Vol. 15, No. 9 ( 2021-09-30), p. 2239-2241
    Abstract: Aim: To compare the limb salvage rate in early versus late presenting patients of Rutherford class IIB acute lower extremity ischemia undergoing revascularization. Study Design: Comparative/observational study Place and duration of study: Department of Surgery, CMH Peshawar from January 2019 to March 2021 Methodology: Twenty eight patients of both genders with ages 20 to 70 years presented with Rutherford class IIB acute lower limb ischemia were enrolled in this study. Patients were divided into two groups. Group I (presented after 6 hours of onset of symptoms) consisted of 20 patients and group II (presented within 6 hours of onset of symptoms) consisted of 8 patients. All the patients underwent femoral embolectomy. Limb salvage rate between both groups was examined at postoperative 3rd month. Data was analyzed by SPSS 24.0. P-value 〈 0.05 was taken as significant. Results: There were 16(80%) male and 4(20%) females with mean age 50.52±11.74 years in group I, in group II 6(75%) were male and 2(25%) were females with mean age 50.08±10.94 years. No significant difference was observed between both groups regarding age and gender with p-value 〉 0.05. In group I, limb salvage found in 19(95%) patients while in group II limb salvage found in 5(62.5%) patients, a significant difference was observed regarding limb salvage rate between both groups (p-value 〈 0.05). Mortality rate was high in group II (delayed presentation) as compared to group I (12.5% Vs 0%) with p-value 〈 0.05. Conclusion: The limb salvage rate was high in early presenting patients than late presenting patients with a significant difference. 30 days mortality rate and amputation rate were significantly high in delayed presentation as compared to early presented cases. Keywords: Acute lower limb ischemia, revascularization, limb salvage
    Type of Medium: Online Resource
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.53350/pjmhs21159
    DOI: 10.53350/pjmhs2115
    DOI: 10.53350/pjmhs211592239
    Language: Unknown
    Publisher: Lahore Medical and Dental College
    Publication Date: 2021
    Location Call Number Limitation Availability
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Primary Headache among Elderly People of Lahore
    Lahore Medical and Dental College ; 2022
    In:  Pakistan Journal of Medical and Health Sciences Vol. 16, No. 1 ( 2022-01-18), p. 236-239
    Details
    In: Pakistan Journal of Medical and Health Sciences, Lahore Medical and Dental College, Vol. 16, No. 1 ( 2022-01-18), p. 236-239
    Abstract: Background: Headache is a most common complaint seen among patients visiting neurologist and general physicians. The incidence of headache was reported between 12–50 percent among elderly people. Headache has ability to affect adversely the life quality of patients, limits community and domestic activities and hence, carries a significant disability burden. Objective: The objective of the study is to investigate the primary headache among elderly people of Lahore. Material and Methods: It was a prospective cross-sectional study conducted in Lahore General Hospital, Lahore. Patients aged 18 years and above referred to Neurology Outpatient Department of LGH for headache were included. The participants were divided into 2 groups: aged 18 to 64 years (younger patients) and aged 〉 65 years (elderly patients). Results: Among 90 younger respondents the mean age was 28.7+5.3 years while among 75 elderly respondents the mean age was 75.6+8.7 years. In younger and elderly groups, 8.9% & 38.7% patients had mild headache, 47.8% & 21 28.0% had moderate headache and 43.3% & 25 33.3% patients had severe headache, respectively. In younger and elderly groups, 54.5% & 10.7% patients had migraine without aura, 14.5% & 6.6% had migraine with aura, 11.1% & 4.0% had chronic migraine, 10.0% & 20.0% patients had infrequent and frequent episodic tension-type headache, 3.3% & 22.7% patients had chronic tension-type headache, 1.1% & 2.7% patients had cluster headache, 1.1% & 8.0% had trigeminal neuralgia, 0.0% & 2.7% had glossopharyngeal neuralgia and 4.4% & 22.6% patients had unspecified headache, respectively. Conclusion: Study concluded that among elderly patients, headache was started any time while mild headache, chronic tension-type headache, unspecified headache, throbbing/pulsating and 〈 15 headache days per month were more prevalent among elderly patients. Keywords: Primary headache, elderly, people, intensity
    Type of Medium: Online Resource
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.53350/pjmhs22161
    DOI: 10.53350/pjmhs2216
    DOI: 10.53350/pjmhs22161236
    Language: Unknown
    Publisher: Lahore Medical and Dental College
    Publication Date: 2022
    Location Call Number Limitation Availability
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    Online Resource
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