ANALYSIS OF NON-COMMUNICABLE DISEASE BURDEN IN A TERTIARY CARE HOSPITAL

Abstract

D. Nehru

BACKGROUND
Non-communicable diseases(NCD), also known as chronic diseases are not detected early since they remain asymptomatic in the initial stage. On communicable disease screening, OP services are started in government healthcare setup. Objective of this study is to find out the magnitude of NCDs in the outpatient screening programme.
MATERIALS AND METHODS
The secondary data was collected from records available in NCD screening OP for a period of 4 years in Thanjavur Medical College Hospital. The data of nearly 55,207 patients screened in the NCD OP was analysed. The burden of the diseases to the healthcare setup and the risk these patients are likely to get in future were discussed in this study.
RESULTS
Out of 55,207 outpatients attending the NCD OP male patient’s outnumbered female patients. 6,642 new patients with hypertension were detected in 4 years. 1608 new diabetics were detected and referred to medicine department for imitating treatment. 10,796 patients had both diabetes and hypertension. During this study period, 788 FNAC has been done for cancer breast detection, 82 patients were referred for biopsy. 14 cases of new cancer breast were detected during the study period. Doubtful cases were subjected to mammogram and ultrasound breast. 107 cases were referred for mammogram and ultrasound breast. Among them, four new cases of cancer breast has been detected.
CONCLUSION
Most of the non-communicable diseases are not detected early, which leads to catastrophic complications like strokes, renal failure, cardiac failure, etc. Early detection by NCD screening programme can definitely pickup these cases and proper treatment can be started in time to avoid morbidity and mortality.

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