PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v1i1.7946
Sheikh Saadat ullah Waleem, Muhammad Waqas Ayub, Manzoor Ahmad, Shahzad Maqbool, Maqbool Raza, Ejaz Rahim
{"title":"CUSTOM MADE INTERNAL AND EXTERNAL NASAL SPLINTS : A COST EFFECTIVE ALTERNATIVE","authors":"Sheikh Saadat ullah Waleem, Muhammad Waqas Ayub, Manzoor Ahmad, Shahzad Maqbool, Maqbool Raza, Ejaz Rahim","doi":"10.51253/pafmj.v1i1.7946","DOIUrl":"https://doi.org/10.51253/pafmj.v1i1.7946","url":null,"abstract":"Objectives: To evaluate the usability and effectiveness of tailor made internal and external nasal splints after nasal surgery. Study Design: An observational study. Place and Duration of Study: Combined Military Hospital Kohat, from Nov 2015 to Aug 2017. Methodology: the study was carried out on 523 patients who underwent nasal surgery by the same team of surgeons. Custom made free of cost internal and external nasal splints were used as required. Complications pertaining to the use of nasal splints were recorded. Results: The custom made splints were found to be an excellent and cost effective alternative of commercially available expensive splints. The benefits and pitfalls were comparable. Conclusion: Where these free of cost splints does the job they as well save a lot of money and can be used as an effective alternative to commercially available splints.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90444627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v1i1.7936
Muhammad Atif Najam, Urwa Sarwar, Maqbool Raza, Khalid Azam Khan, H. Saleem, Najam-Us-Saqib Niazi, M. Rashid, Naeem Riaz
{"title":"TOTAL ENDOSCOPIC STAPES SURGERY. OUR TECHNIQUE AND EXPERIENCE OF 45 CASES","authors":"Muhammad Atif Najam, Urwa Sarwar, Maqbool Raza, Khalid Azam Khan, H. Saleem, Najam-Us-Saqib Niazi, M. Rashid, Naeem Riaz","doi":"10.51253/pafmj.v1i1.7936","DOIUrl":"https://doi.org/10.51253/pafmj.v1i1.7936","url":null,"abstract":"Objective: To assess the hearing results of transcanal endoscopic stapedotomy \u0000Study Design: Descriptive study. \u0000Place and Duration of Study: Pakistan Naval Ship Hafeez Islamabad Pakistan, from Jun 2016 to Jun 2020. \u0000Methodology: All patients with surgically confirmed otosclerosis were included in the study. All patients were operated with 0-degree 3mm, 14cm rigid endoscope under general anesthesia. Preoperative and post operative air bone gap was noted along with demographic data, middle ear anomalies (persistent stapedial artery, dehiscent facial nerve, anteriorly placed facial nerve, floating foot plate) and injury to chorda tympani. Postoperative air bone gap (A-B Gap) was documented 12 weeks after surgery. All patients were followed up for 6-12 months \u0000Results: Mean age of patients was, 37 years and standard deviation was 12.34 (range 27-52 years). Out of total 45 cases 13 were males (29%) and 32 females (71.%). Four (8.8%) patients had dehiscent facial canal and 1 (2.2%) patient had persistent stapedial artery. Average preoperative A-B gap was 35 db and Average Postoperative A-B Gap was 7 db. Chorda tympani was preserved in all cases. One patient (2.2%) complained of altered taste which resolved after 3 months. Four patients had Postoperative vertigo that lasted 2 days on average. \u0000Conclusion: Endoscopic trans canal Stapes surgery is scarless safe effective procedure demonstrable hearing benefits in all patients with minimum complications. The Technique is single handed and has steep learning curve.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85451036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v1i1.7947
Syed Muhammad Asad Shabbir Bukhar, Z. Hassan, K. Butt, Naeem Riaz, Chaudhry Muhammad Bilal Akram, A. Shah
{"title":"THYROID SURGERY: A COMPARISON OF COMMON COMPLICATIONS BETWEEN EXPERTS AND SURGEONS IN TRAINING","authors":"Syed Muhammad Asad Shabbir Bukhar, Z. Hassan, K. Butt, Naeem Riaz, Chaudhry Muhammad Bilal Akram, A. Shah","doi":"10.51253/pafmj.v1i1.7947","DOIUrl":"https://doi.org/10.51253/pafmj.v1i1.7947","url":null,"abstract":"Objective: To determine the frequency of common complications of thyroid surgery by two types of surgeons. \u0000Study Design: Comparative cross sectional. \u0000Place and Duration of Study: Combined Military Hospital Rawalpindi & Combined Military Hospital Peshawar, from Jan 2013 to Dec 2017. \u0000Methodology: This study was conducted to assess the role of surgical skills in complications of thyroid surgery. Surgeons performing surgery for more than 5 years were considered expert and less than 5 years of experience were considered trainee for this specific surgery. Complications by both were analyzed by SPSS-21 and descriptive statistics were applied. \u0000Results: A total of 482 surgeries were performed. Out of 407 were female and 75 were males. Mean age was 43.55 ± 10.9 years. Expert surgeons performed 300 cases and 16 (5.3%) experienced some complication in 6 months of follow up.182 cases were performed by surgeons with lesser experience and 14 (7.5%) cases developed complications over the period of follow up. Recurrent laryngeal nerve paralysis occurred in 2 (0.67%) of experienced surgeons cases while 6 cases (3.2%) of less experienced surgeons had the similar complication. \u0000Conclusion: While the overall complication rates are not much different between experienced and lesser experienced surgeons, the rate of recurrent laryngeal nerve paralysis is significantly more, though still within the acceptable international complication rate for this particular surgery.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79859690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v71isuppl-3.7915
Saleem Asif Niazi, Shahzad Maqbool, Yousra Riaz, Z. Khan, Shafaq Zaman, Rubab Akhtar
{"title":"EFFICACY OF PERMEATAL ENDOSCOPIC MYRINGOPLASTY IN INACTIVE (MUCOSAL) CHRONIC OTITIS MEDIA","authors":"Saleem Asif Niazi, Shahzad Maqbool, Yousra Riaz, Z. Khan, Shafaq Zaman, Rubab Akhtar","doi":"10.51253/pafmj.v71isuppl-3.7915","DOIUrl":"https://doi.org/10.51253/pafmj.v71isuppl-3.7915","url":null,"abstract":"Objective: To determine the efficacy of permeatal ednoscopic myringoplasty, in inactive (mucosal) COM regarding, graft take and hearing improvement. \u0000Study Design: Quasi-experimental study. \u0000Place and Duration of Study: ENT Department, Pak Emirates Military Hospital, Rawalpindi, from Aug 2019 to Feb 2020. \u0000Methodology: This was conducted on a sample size of n=100. Patients having inactive (mucosal) COM with dry central small, medium and large perforations were included. Patients were divided in to three groups on the basis of age, group A 15-30 years, group B 31-45 years and group C 46-60 years. All the patients underwent per-meatal endoscopic myringoplasty, without raising the tympano-meatal flap, under general anesthesia. Patients were followed up over a period of six months. Graft take was assessed by microscopy. Hearing was assessed by Pure Tone Audiometry (PTA) with improvement in air bone gap to 15db as primary end point. Data was collected on structured performa. Data was analyzed using SPSS version 17. \u0000Results: In this study, 33 (33%) were males and 67 (67%) were females. Age ranged 15-60 years. Out of 5 patients lost to follow up. A total of 95 completed their follow up. Based on age of the patients, in group A, successful graft take was 100%. In group B, it was 91% & in group C it dropped to 46%. On the basis of tympanic membrane perforation size, the graft success rate in small perforations was 94.8%; in medium sized perforations it was 86.8% and in large sized perforations of tympanic membrane it was........","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83106656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v71isuppl-3.7926
Syed Muhammad Asad Shabbir Bukhari, S. Aslam, Naeem Riaz, Asim Abbas, Maqbool Raza, Ghulam Fareed
{"title":"ENT SURGEONS AS MASTER TRAINERS OF CRICOTHYROIDOTOMY WILL SAVE PRECIOUS LIVES IN EMERGENCIES","authors":"Syed Muhammad Asad Shabbir Bukhari, S. Aslam, Naeem Riaz, Asim Abbas, Maqbool Raza, Ghulam Fareed","doi":"10.51253/pafmj.v71isuppl-3.7926","DOIUrl":"https://doi.org/10.51253/pafmj.v71isuppl-3.7926","url":null,"abstract":"Objective: To train young doctors and paramedical staff on needle cricothyroidotomy and surgical cricothyroidotomy and provision of kits in trauma centers, main operation theatres and medical reception centers of the hospitals. \u0000Study Design: Quasi experimental study. \u0000Place and Duration of Study: Combined Military Hospital Peshawar and Pakistan Naval Ship Shifa, Karachi Pakistan, from Nov 2017 to Oct 2020. \u0000Methodology: Doctors and paramedical staff were selected on volunteer basis. Small groups were trained in 2-3hours. The participants were shown two videos of two procedures in Urdu language first and then were trained on mannequin. \u0000Results: A total of 345 participants including 205 males and 140 females were trained with mean age was 28.2667 ± 6.24 (SD) years. Out of 61 residents, 54 medical officers, 143 house officers, 35 nurses and 52 paramedical staff were participants. \u0000Conclusion: ENT surgeons must arrange mannequins and conduct training sessions of small groups after every 1 to 2 months.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89954007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v71isuppl-3.7918
K. Mahmood, S. Feroz, I. Udaipurwala, Aaqil Anwar, Owais Khan Tareen, Z. Nisa
{"title":"POST-TRAUMATIC STRESS DISORDER IN COVID-19 PCR POSITIVE PATIENTS; ITS FREQUENCY AND PSYCHOSOCIAL RISK FACTORS HAVE BEEN OBSERVED IN ENT AND NEUROLOGY OUTPATIENT’S CLINICS","authors":"K. Mahmood, S. Feroz, I. Udaipurwala, Aaqil Anwar, Owais Khan Tareen, Z. Nisa","doi":"10.51253/pafmj.v71isuppl-3.7918","DOIUrl":"https://doi.org/10.51253/pafmj.v71isuppl-3.7918","url":null,"abstract":"Objective: To find out the occurrence and psychosocial risk factors of post-traumatic stress disorder in COVID-19 polymerase chain reaction (PCR) positive patients presented to ENT and neurology clinics of a tertiary care hospital. \u0000Study Design: Cross-sectional study. \u0000Place and Duration of Study: Creek General Hospital, Karachi, Pakistan, from Sep to Dec 2020. \u0000Methodology: Total 60 patients with positive COVID-19 PCR test were included. After taking written and informed consent, they were evaluated using a semi-structured questionnaire. Questionnaire comprises of four main parts; first part includes demographic data, second part includes information about the course of COVID-19 in patient and other members of family, third part comprised of reasons of anxiety during COVID-19 and fourth part consist of Impact of Event Scale-revised (IES-R). Data was entered and analyzed through SPSS-23. \u0000Results: Out of total 60 patients, 36 (60%) had post COVID stress disorder. Females were affected more than the males (63% vs. 57%), above 50 years of age were affected more than below 50 years of age (81% vs 52%), singles were affected more than married (72% vs 38%) and lower socio-economic status were affected more than higher (65% vs 50%). \u0000Conclusion: PTSD was observed as long-term psychiatric problem leading to significant morbidity and mortality in patients with COVID-19 infection.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82768207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v1i1.7935
Muhammad Atif Najam, Urwa Sarwar, Maqbool Raza, Khalid Azam Khan, H. Saleem, Najm u Saqib Niazi, M. Rashid, Naeem Riaz
{"title":"ENDOSCOPIC CARTILAGE TYMPANOPLASTY. OUR TECHNIQUE AND EXPERIENCE OF 157 CASES","authors":"Muhammad Atif Najam, Urwa Sarwar, Maqbool Raza, Khalid Azam Khan, H. Saleem, Najm u Saqib Niazi, M. Rashid, Naeem Riaz","doi":"10.51253/pafmj.v1i1.7935","DOIUrl":"https://doi.org/10.51253/pafmj.v1i1.7935","url":null,"abstract":"Objective: To assess the graft take rate and hearing gain in trans-canal endoscopic tympanoplasty Study \u0000Design: Descriptive study. \u0000Place and Duration of Study: Pakistan Naval Ship Hafeez, Islamabad Pakistan, form Dec 2015 to Jun 2018 \u0000Methodology: All patients with dry central perforations of >3 months history were included in the study. All Patients with perforations of pars tensa were booked for endoscopic cartilage tympanoplasty. All perforations were divided into four types small, medium, large and subtotal or total based on size of the tympanic membrane perforations. Small perforations involving <25% area of Pars Tensa. Medium perforation are Perforations involving 25-50% of Tympanic membrane. Large perforations include Perforations involving 50-75% of pars tensa. Subtotal or total perforations are defined as perforations with >75% perforation of the tympanic membranes. Wet Ears and perforations involving the Pars Flacida were excluded from the study. Preoperative Audiogram was carried out for all patients and A-B Gap were noted for all groups separately so as the demographic data including age and gender. Success was defined as complete closure of Tympanic membrane perforation at 3 months. All patients were operated with 0 Degree 3mm, 14cm rigid endoscope under general anesthesia. \u0000Results: Mean age of patients was. 37 years and standard deviation was 12.34 (range 12-58 years). Out of total 157 cases 81 patients male were males (51%) and 76 patients were females (49). Out of 157 ears operated 146 Perforations healed completely an overall success rate of 92%. Patients with small perforations had 100 percent success.....","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85571582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v71isuppl-3.7937
Z. Hussain, F. Majeed, Maqbool Raza, Aaisha Shahbaz, Atif Rafique, N. Farhan
{"title":"INCIDENCE OF RECURRENT LARYNGEAL NERVE PALSY IN CERVICAL ANASTOMOSIS AFTER ESOPHAGECTOMY FOR CARCINOMA ESOPHAGUS","authors":"Z. Hussain, F. Majeed, Maqbool Raza, Aaisha Shahbaz, Atif Rafique, N. Farhan","doi":"10.51253/pafmj.v71isuppl-3.7937","DOIUrl":"https://doi.org/10.51253/pafmj.v71isuppl-3.7937","url":null,"abstract":"Objective: To study the incidence of Recurrent Laryngeal Nerve Palsy (RLNP) in cervical anastomosis after esophagectomy for carcinoma of the esophagus. \u0000Study Design: Prospective observational study. \u0000Place and Duration of Study: Military Hospital’s Thoracic surgery departments, Combined Military Hospital Rawalpindi, Combined Military Hospital Lahore and Combined Military Hospital Multan, from Jan 2010 to Sep 2020. \u0000Methodology: Designated proformas were used to collect data. Histopathologically proven, operable cases of carcinoma esophagus with normal phonation were included, all of which underwent cervical anastomosis. All cases of benign pathologies and per-operative macroscopically advanced loco-regional disease were excluded. Recurrent laryngeal nerve (RLN) was identified in all cases and follow-up of 6 months for recovery period was executed. \u0000Results: 220 cases were included out of which 121 (55%) were males while 99 (45%) females. The age range was 14-81 years (mean is 38.7 ± 16.78). Out of 29 (13.6%) cases underwent minimally invasive esophagectomy (MIE) while thoracophreno laparotomy was performed in 100 (45.4%) cases, McKeown in 46 (20.9%) and Trans-hiatal esophagectomy (THE) in 45 (20.4%) patients. Recurrent Laryngeal Nerve Palsy was found in 19 patients (8.6%), tracheal injury in 3 (1.3%) and bronchial injury in 1 (0.4%) patient. Recurrent Laryngeal Nerve Palsy was transient in 14 cases and permanent damage persisted in 5 patients. \u0000Conclusion: Recurrent Laryngeal Nerve Palsy after esophagectomy is related to increased morbidity due to respiratory complications. With Sharp dissection technique, adequate surgical skill and equipment, the incidence of Recurrent Laryngeal Nerve Palsy can be decreased. In our study, it is less............","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85289777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v1i1.7932
H. Rehman, F. Wahid, B. Zada, M. Javaid, N. Haq
{"title":"MEDICAL VS SURGICAL TREATMENT FOR SYMPTOMATIC ENLARGED INFERIOR TURBINATE: A COMPARATIVE STUDY","authors":"H. Rehman, F. Wahid, B. Zada, M. Javaid, N. Haq","doi":"10.51253/pafmj.v1i1.7932","DOIUrl":"https://doi.org/10.51253/pafmj.v1i1.7932","url":null,"abstract":"Objective: To determine the nasal patency after reducing the size of hypertrophied inferior turbinate with medication and surgery. \u0000Study Design: Prospective comparative study. \u0000Place and Duration of Study: Department of Ear, Nose, Throat, Head and Neck Surgery, Medical Teaching Institute, Lady Reading Hospital, Peshawar Pakistan, from Jan to Dec 2019. \u0000Methodology: This study was conducted at the After-sample size calculation using an online sample size calculator (OpenEpi) and after obtaining informed consent patients were divided into two groups. Patients in group A were put on medicine only and in group B surgery was conducted to reduce the size of hypertrophied inferior turbinate. Data were analyzed using SPSS version 25 and p<0.05 was considered significant. \u0000Results: This study comprised of total 86 patients, in the age range 15-55 years with mean ± SD age 33.47 ± 9.57 years. Males were 47 (54.7%) and females were 39 (45.3%) with male to female ratio of 1.2:1. In group A, males were 22 (25.25%), females were 21 (24.41%), while in group B males were 25 (29.1%) and females were 18 (20.3%). There was no statistically significant difference in nasal patency between the two groups before treatment (p=0.59) and after 10 days of treatment (p=0.69). However, at the end of one month, there was a statistically significant difference in nasal patency between the medically treated and surgically treated groups of patients (p=0.023).Conclusion: Surgical treatment is significantly effective than medical treatment alone.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78828595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PAFMJPub Date : 2021-12-28DOI: 10.51253/pafmj.v1i1.7941
Maqbool Raza, M. Raza, De Emmal Asjad Cheema, M. A. Cheema, Atif Rafique, S. Khan
{"title":"EARLIEST SYMPTOMS OF PRESENTATION IN COVID-19 PATIENTS IN TERTIARY CARE HOSPITAL","authors":"Maqbool Raza, M. Raza, De Emmal Asjad Cheema, M. A. Cheema, Atif Rafique, S. Khan","doi":"10.51253/pafmj.v1i1.7941","DOIUrl":"https://doi.org/10.51253/pafmj.v1i1.7941","url":null,"abstract":"Objective: To determine the frequency of earliest symptoms of COVID-19 infection among patients with confirmed SARSCOVID-19 infection. \u0000Study Design: Cross-sectional analytical study. \u0000Place and Duration of Study: Combined Military Hospital Multan, from Jun to Dec 2021. \u0000Methodology: Data from 299 patients admitted in tertiary care settings was collected on a questionnaire. Patients regardless of gender and age who had confirmed COVID-19 infection through Real Time Polymerase Chain Reaction (RT-PCR) were included in the study. A nonprobability consecutive sampling technique was used to select samples. Data was entered and analyzed through SPSS version 22. Frequencies and percentages of various presenting symptoms were calculated. Sample size calculated at 95% level of confidence, 1% required precision, and 27% anticipated population proportion were 299. The overall difference in frequencies of symptoms in various groups was compared by using chi-square test. p-value <0.05 was taken as significant. \u0000Results: A total of 299 participants were included in this analysis. The median age for participants (interquartile range [IQR]) was 46 (36-54) years. Among 299 adults the reported symptoms were cough 238 (79.6%), fever 176 (58.7%) and, dyspnea 113 (37.8%). Only 78 (26.1%) of participants with confirmed infection reported having all three symptoms of cough, fever, and dyspnea. Other reported symptoms in patients were diarrhea 54 (18.1%), fatigue 128 (42.8%), myalgia 113 (37.8%), and anosmia 98 (32.8%). There was no significant difference in the frequency of symptoms across both genders. \u0000Conclusion: The most frequent symptoms of COVID-19 are cough, fever, and dyspnea.","PeriodicalId":19982,"journal":{"name":"PAFMJ","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74769261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}