Browsing by Author "Venkatesh, Sumitra"

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    Current trends and possible solutions for delay in patient discharge: observations from a tertiary care paediatric hospital in Mumbai
    (Medip Academy, 2023-07) Rao, Shirish; Kumar, Ankit; Pandit, Niraj; Jain, Nidhi; Khatri, Karthik; Bodhanwala, Minnie; Venkatesh, Sumitra
    Delay in discharge of the patient reduces bed availability in any healthcare organization. In spite of advancement in medical systems and hospital management, delay in patient discharges still exist. Hence, there was a need to evaluate factors contributing to the delay in an exclusive paediatric hospital. A study of patient discharges from a private and a general ward was undertaken at a tertiary care paediatric hospital in Mumbai, between September-October 2021. A total of 60 discharges, 30 from each ward were analysed. The time from discharge order given by the consultant to that of the patient leaving the hospital and the reasons for delay were recorded by the investigators. The hospital followed a policy of 180 min for a discharge. The mean duration of discharge in the general ward was 153.18�.60 min and whereas it was 165.41�.29 min in the private ward. However, 28% discharges in general ward and 43% discharges in private ward were delayed with a mean of 5.23�.04 and 20.66�.88 min respectively. Time taken for billing and making of discharge sheet contributed to the maximum delay in both wards. Though the mean discharge time in both wards was found to be within the standards, a significant proportion were still delayed. We suggest a multidisciplinary team consisting of administrators, nurses, resident doctors and consultants to help ease the overall burden on the healthcare system.
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    Isolated Congenital Mitral Stenosis.
    (2009-01) Venkatesh, Sumitra; Taksande, Amar; Prabhu, S S
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    Syncope in children clinicoetiological correlation
    (Medip Academy, 2019-11) Fadnis, Madhura; Prabhu, Shakuntala; Venkatesh, Sumitra; Kulkarni, Shilpa
    Background: Syncope is the abrupt cessation of cerebral blood flow leading to temporary loss of consciousness. Identification of etiology is utmost important as any syncopal event may be life threatening. Aim was to correlate the clinical and etiological causes of syncope in children and to note their investigational profile.Methods: Among 40 patients presenting with syncope and presyncope were studied. History of the event, precipitating factors were noted. They were investigated with the help of blood pressure, Electrocardiogram (ECG), 2D Echocardiogram and Electroencephalogram (EEG).Results: Out of the 40 patients of syncope 65% were above the age of 10 years with male preponderance (60%). Vasovagal syncope (57%) was the most common cause of syncope followed by orthostatic hypotension (15%), neurological (15%), and cardiac etiology (6%). In the neurological etiology the EEG showed diffuse slow background with occasional sharp bursts in right frontal area in 2 patients while in 4 patients sharp bursts were present in the centero-temporal region. 17% were classified as presyncope, 60% as mild and 22% as having severe syncope. There was a significant correlation of etiology of syncope with duration of hospitalization of more than 4 days and with recurrence of syncope. There was significant correlation of Evaluation of Guidelines in Syncope (EGSYS) score >3 with cardiogenic syncope. On follow up, neurological syncope patients had significant decrease in the number of syncopal episodes as they were immediately started on antiepileptics.Conclusions: Electrocardiogram, 2D Echocardiogram and Electroencephalogram are important tools for the early management and treatment of cardiac and neurological etiology of syncope.