Assessing the Cost of Medical Intensive Care Unit at Tertiary Care Hospital in Delhi, India | Chapter 8 | Current Aspects in Business, Economics and Finance Vol. 3

 The purpose of the study was to determine how much a medical intensive care unit would cost per patient each day (MICU). It is common knowledge that the expense of critical care is high and on the rise.

From January 1 to January 31, 2014, this prospective study was carried out at a tertiary care hospital in a government setting in Delhi. By using a step-down methodology, various costs, including fixed, variable, direct, and indirect costs, were calculated over the study period.

32 patients in all were admitted to the medical ICU during the study period. 171 days on average were required for admissions. The anticipated duration of stay was 5.343 days. The wage component is 42.44 percent of the total cost. The cost of the equipment accounts for 37.00% of the total cost. While the total variable cost is 18.38 percent, the combined fixed cost is 81.62 percent. Radiology makes up 6.35 percent of variable costs, whereas medicine (4.81 percent) and research are in second and third (3.83 percent). Fixed expenditures make up a large component of the overall costs in the medical ICU. which prioritises equipment costs. The unit cost of Rs. 1132.99/- is significantly less than that discovered in previous studies because of the ICU's close vicinity and the fact that patients admitted to the medical ICU are from outside the country.

Author(s) Details:

A. K. Gadpayle,
Department of Medicine, School of Medical Science and Research, Sharda University, Greater Noida, UP  -  201306, India.

H. K. Dangi,
Faculty of Management Studies, Delhi University, Delhi, India.

Debopriya,
Department of Medicine, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi - 110001, India.

Please see the link here: https://stm.bookpi.org/CABEF-V3/article/view/7981

Drug Utilization Study in a Tertiary Care Hospital of Tribal Area in South India | Chapter 9 | Technological Innovation in Pharmaceutical Research Vol. 10

 We are confronting several difficulties such as overuse, abuse, higher expense, antibiotic resistance, and so on as a result of irrational drug use. The research was carried out in a tertiary hospital where patients were referred from nearby rural and tribal regions. The patients admitted to clinical departments were included in the retrospective analysis. A total of 200 patients were enrolled in the study, with males accounting for 41.5 percent of the total and females accounting for 58.5 percent. The majority of the patients are under the age of 30. The average number of prescriptions per patient was 4.76. The intravenous approach proved popular. In 38 percent of patients, the medicine dose was incorrect, and in 3% of cases, the frequency was incorrect. Antimicrobial agents were found to be the most regularly prescribed drug class (41.53 percent), with Ampicillin being the most usually prescribed antimicrobial agent (53.01 percent). None of the patients had their cultures and sensitivities tested. In 42 percent of cases, a single antimicrobial agent was administered, and in 38 percent of cases, a combination of two antimicrobial agents was prescribed. As a result, the drug use in the study's participants is irrational, and numerous recommendations have been made.

Author (S) Details

Ajay M. Khade
Department of Pharmacology, RIMS, Adilabad, Telangana, India.

Jyoti A. Khade
Department of Dentistry, RIMS, Adilabad, Telangana, India.

M. Shakeel M Bashir
Department of Pharmacology, RIMS, Adilabad, Telangana, India.

View Book :- https://stm.bookpi.org/TIPR-V10/article/view/2846

A Dilemma for Modern Obstetrics -Rising Incidence of Caesarean Section Rate | Chapter 8 | New Frontiers in Medicine and Medical Research Vol. 6

 The goal of this study was to look into the rate of caesarean sections (indications, ratios in emergency and elective caesarean sections), as well as the percentage of vaginal births after caesarean sections and instrumental deliveries.

Methods: A one-year retrospective study was conducted in the Department of Obstetrics and Gynecology, Unit 2, Lahore General Hospital, Lahore, from January 1, 2018 to December 31, 2018. During the study period, the data of obstetrical patients who were admitted to the unit and delivered either vaginally or through the abdominal route was recorded, and a statistical analysis of various parameters, such as caesarean section rates, indications, the ratio of emergency and elective caesarean sections, the rate of vaginal births after caesarean section (VBACS), and instrumentation was performed.

During the study period, there were a total of 18183 obstetrical patients admitted. There were 6602 deliveries in total, including 3699 vaginal births and 2765 caesarean procedures. The overall caesarean section rate was 41.88 percent, with 473 elective caesarean sections (17.1 percent) and 2292 emergency caesarean sections (82.89 percent ). The number of vaginal births was 3699 (56.02 percent), the number of VBACS was 98 (2.6 percent), the number of instrumental deliveries such as forcep deliveries was 31 (0.8 percent), and the number of ventouse deliveries was 47. (1.2 percent ). There were 38 (0.102%) twin deliveries and 59 (1.5%) assisted breech deliveries. The costs of elective and emergency caesarean sections with various indications were assessed separately.

Conclusions: In modern obstetrics, the increased prevalence of caesarean section is the most worrisome fact of the decade. A systematic assessment of caesarean sections performed in a tertiary care hospital over the course of a year revealed a high number of sections performed due to foetal distress. It is critical to establish the diagnosis in order to avoid unneeded procedures. The prior scars and indications associated with them are the most essential aspect of the study, thus the goal of concluding it is to take actions to prevent primary caesarean section. To identify the preventable causes of caesarean sections, an annual audit and surveillance of caesarean sections should be performed.

Author (S) Details

Zahra Safdar
Department of Obstetrics and Gynaecology, Lahore General Hospital, Lahore, Pakistan.

Sumera Zaib
Department of Obstetrics and Gynaecology, Lahore General Hospital, Lahore, Pakistan.

View Book :- https://stm.bookpi.org/NFMMR-V6/article/view/2766