Fazle Elahi Nurani1, Sojib Roy2, Kanij Mawla Khan3
1. Assistant Professor, Department of Medicine, North East Medical College Hospital, Sylhet, Bangladesh
2. Assistant Registrar, Department of Medicine, North East Medical College Hospital, Sylhet, Bangladesh
3. Medical Officer, Department of Medicine, North East Medical College Hospital, Sylhet, Bangladesh
Abstract
To assess the condition of service-delivery of any tertiary level health-care facility, we need to give equal emphasis to patients who attend the hospital outdoor-departments and patients who remain admitted at different wards. Appreciating the real-picture of morbidity at our community level would certainly enhance health-service-providers’ capacity to make a positive impression. Therefore, the aim of this study was to shed some light about the ‘unfamiliar’ disease-spectrum of our ‘familiar’ population. It was performed at the North East Medical College Hospital, from May 2013 up to April 2014, involving 1684 patients, who attended the out-patient department of the author. According to this study, the commonest symptoms were fever (15.38%), cough (14.43%), abdominal pain (14.25%), limb pain &/or weakness (12.94%), anorexia (10.03%), bowel complaint (9.79%), chest-pain (9.67%), bladder complaint (9.44%), generalized weakness (8.84%), and back-pain (7.66%). Whereas, the 5 most common diseases were hypertension (17.16%), urinary tract infection (10%), diabetes mellitus (7.72%), upper respiratory tract infection (6.17%), and ischaemic heart disease (5.64%). There was positive & significant correlation between HTN & DM, DM & IHD, and IHD & thyroid dysfunction.
Keywords: Medical college hospital, Out-patient department, Hypertension.