1.Early diagnosis of nephropathy in patients with hypertension
Naran-Ulzii S ; Ariunaa T ; Baigalmaa E ; Ariuntsetseg N ; Enkhtuya J
Mongolian Medical Sciences 2011;172(2):45-49
Background: High blood pressure is both a cause and a complication of chronic kidney disease. As complication, high blood pressure may develop early during course of chronic kidney disease and is associated with adverse outcomes, in particular faster loss of kidney function and development of cardiovascular disease. The purpose of this study is early detection of chronic kidney disease in patients with hypertension by defining the prevalence of microalbuminuria.Methods: The study population consisted of 169 subjects with a hypertension. Individuals were considered to have hypertension if the blood pressure measured greater than 140/90 mmHg or if they were taking blood pressure lowering medications. Microalbuminuria was defined as 20 mg/l or greater. Results: We are presenting data on 169 subjects :male 38 (22.5%) female 131 (77.5%), average age 51.6±0.89 At screening, 14.8% of all participants were smokers, 62.1 % engaged in low levels of physical activity, 72.8% - were having tea with salt (table1). Microalbuminuria and renal failure, as GFR<60 ml/ min/1.73 m2, were documented in 34.3% and 16.6% of subjects, respectively. There is positive correlation between MAU and increasing-range of blood pressure (table2). Correlation was found between albuminuria and GFR(r= -0.2 p<0.01) and serum creatinine(r=0.31 p<0.01) the regression result has shown that GFR is associated with MAU and serum creatinine (table 3).Conclusions:1. In 34.3% of patient with hypertension was found nephropathies with MAU2. Microalbuminuria is increased with decline of GFR and raise of systolic blood pressure. GFR decline is with the raise of age and serum. It is important to implement in clinical practice screening of MAU hypertensive patients.3. In 2/3 of all screened subjects was found 1 and more risk factors for CVD.
2.Postpartum readmission rate
Odonzul Ts ; Batbold Ts ; Ariuntsetseg J ; Sergelen P ; Hangal Sh ; Ganbold S ; Munkh-Erdene L ; Erkembaatar T
Mongolian Medical Sciences 2020;193(3):28-34
Background:
Postpartum readmission rate has been increasing after both caesarean and vaginal delivery.
Postpartum diseases, in some cases with infection and anemia, result in hospital readmission. Also
it raises the issue associated with maternal hospital’s healthcare quality. There has lack of study
focusing on postpartum readmission. So we will study postpartum readmission rate.
Material and Methods:
112 patients who readmitted in Amgalan maternity hospital in Ulaanbaatar were involved in this study.
We used patient’s medical history to determine risk factors resulted in hospital readmission after
caesarean and vaginal therapy.
Results:
The mean age of women delivered by cesarean was 30.2±7.32 and vaginal delivery’s was 28.3±7.21.
34.8 percent of women who readmitted after vaginal delivery had 1-3 readmission days and 56.5
percent was 4-6 days and 8.7 percent was 7-10 days. Readmission day for women delivered
by caesarean was 1-3 days in 21.2 percent of these, 4-6 days in 56.1 percent and 7-10 days in
19.7 percent. The mean readmission day of women delivered by vaginal delivery was 4.73±1.61
(mean±SD) and the mean of women delivered by caesarean delivery was 5.54±2.34 (mean±SD). In
each category, there had 24.2-28.3 percent cases with lochia. Women who had caesarian delivery
were infected their scar with 24(36.3) cases. Renal urinary system infection had in 12(26.0) women
delivered by vaginal delivery.
Conclusion
58.9 percent of total readmissions cases were caesarean and 41.1 percent was vaginal delivery.
Lochia and renal urinary infection had influence in readmission after vaginal delivery. Also both lochia
and infected wound impacted on postpartum readmission after caesarian delivery.