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Research on unknown and unattended
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Transcript of Research on unknown and unattended
The prognosis of unknown and unattended during the hospital stay in neuro-surgical department,JPNATC,AIIMS and the problem faced during nursing care.
Anu Susan Mathew,Dr.Deepak AgrawalJPN Apex Trauma Center,A.I.I.M.S,New Delhi
INTRODUCTION
New Delhi
huge floating population
Accidents
7,516 road traffic accidents( 2009)
In hospitals
Many admitted as unknown and unattended
AIMS AND OBJECTIVES
Assess
Morbidity and mortality
Nursing problems faced
during hospital stay
MATERIALS AND METHODS
Retrospective analysis
Departmental case records
Computerized patient record system
January 2010 to December 2010
Analyse the problems faced by
nursing personnel
OBSERVATIONS
Number of patients for
study : 111
M/F :105/6
<18 : 7%(7)
>18 : 93%(104)
Unknown /Unattended : 95/16
86%
Average hospital stay in days
Unknown :13(1-101)
Index case : 368 days
Unattended : 21(7-120)
Mean GCS of unknown and unattended
Unknown Unattended
Admission Who D/S later 9(3-15) 12(13-15)
Who expired later 6(3-15) 8(3-15)
Discharge 13(1-15) 14(3-15)
Unknown Unattended
Went to home 42(44%) 4(25%)
Shifted to rehabilitation centre 24(25%) 10(63%)
Expired 29(31%) 2(12%)
Disposition of Unknown and Unattended
Unknown (95)
Became known : 66(69%)
Remained Unknown : 29(31%)
Unknown who became known : 66(69%)
D/S to home : 42(64%)
Shifted to rehab : 14(21%)
Expired :10(15%)
21%
Remained unknown : 29(31%)
Shifted to rehab : 10(34%)
Expired : 19 (66%)
34%
66%
In Pediatric age group (7)
Became known : 4 (57%)
Remained unknown: 3 (43%)
shifted to rehab : 1 (MR)
Expired : 2
43%
57%
A case of my study after shifted to rehabilitation
centre
During hospital stayAfter discharge
The nursing problems faced during care
VAP :19(20%)
Pressure sores : 8(8%)
Contractures :7(7%)
UTI :7(7%)
Corneal ulcers :4(4%)
Aspiration :2(2%)
CONCLUSION
Unique problem
Managing is difficult
Occupy hospital bed for long term
Require more nursing care
with higher mortality and morbidity
In spite of advancements in the field
of mass communication
almost 31% of the unknown
remain unidentified.
The prognosis of unattended is better
compared to unknown.
Review of Literature
Outcome of "unknown" head injury patients at a tertiary care
neurosurgical centre
Faiz Uddin Ahmad, Ashok Kumar Mahapatra, Veer Singh Mehta
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi