In 2017/18, about 711,000 hospital admissions in England had obesity recorded as the first or second reason for admission
, up from 617,000 the year before.
In Pakistan exact epidemiological data is lacking, but in our daily practice we stroke is the commonest reason for admission
in neurology and medical wards5.
The authors of the study reviewed the EHR (Cemer PowerChart) and, using a uniform data collection form, recorded the initial admission diagnosis, reason for admission
, LOS, readmission prediction score, and whether the patient died or was discharged on the index admission.
They know who is in the ED or is hospitalized, their reason for admission
, and such critical details as the patient's room number, which nurse care managers can spend inordinate amounts of time tracking down.
Table 1: Demographic data for renal transplant recipient participants ID Months Age (years) Gender Reason for admission
post-transplant 1 13 62 F Pneumonia 2 5 42 M Infection 3 4 53 M Infection 4 5 63 F Diarrhoea & vomiting 5 10 31 M Renal biopsy 6 2 54 F Elevated creatinine 7 36 57 M Pneumonia 8 48 65 F Gastroenteritis 9 60 55 F Perforated bowel 10 74 58 M Colonoscopy 11 72 61 F Fractured arm 12 24 57 F Urinary tract infection ID Length of stay (days) 1 4 2 18 3 8 4 10 5 1 6 2 7 5 8 4 9 7 10 1 11 56 12 5
The records of 59 patients were reviewed for gestational age, comorbidities, duration of ICU stay (as calendar days), diagnosis during and reason for admission
, obstetric diagnosis and specific intensive care interventions.
Cardiac disease in pregnancy was the most common reason for admission
in our patients, with mixed mitral disease as the predominant lesion, followed by peripartum cardiomyopathy.
The main reason for admission
of LSPs was management of paediatric illness, including sepsis, pneumonia and congenital heart disease, whereas SSPs were more commonly admitted for postoperative care, trauma-related injury and poisoning (Tables 1 and 2).
On the other hand, patients admitted for caustic intoxication received a diagnostic category weight suitable for other symptoms (i.e., respiratory failure or major organ system involved as the principal reason for admission
The patients in this study were young (32.93+-16.61) as compare to earlier studies where mean ages were (61.06 +- 15.42 years, 63.9 +- 17.6 years) respectively.19,20 The young aged patients in this study could be owing to organophosphate poisoning, the commonest reason for admission
Often, the main reason for admission
stemmed from behaviour that was considered challenging within their residential care.