Critical Review of Referred patients in Tertiary Level Hospital

  • Chandra Bai Liaquat university of medical and health science jamshoro
  • Farhana Sheikh Liaquat University of Medical and Health Sciences
  • Anila Mahmood Assistant Professor department of OBGYN LUHMS Jamshoro
  • Farkhunda Khurshid Liaquat University of Medical and Health Sciences
  • Saira Saeed Assist Professor OBGYN Al. Tibri medical college and hospital, Isra University Karachi campus , Gadap town Karachi
Keywords: Referred cases, surgical morbidity


Objective: Primary objective is to determine frequency of moribund patients received in tertiary level hospital after primary surgery somewhere else. Secondary objective were to determine type of surgery and severity of morbidity with which patient presented.
Methodology: This Prospective Descriptive study was carried out in department of obstetrics and Gynaecology unit IV of Liaquat university hospital Jamshoro from first January 2019 to 31 December 2020.Data collected on a structured proforma. Variable analyzed were demographic profile,incidence of morbidity,typeof intervention, level of health care provider and type of complications.
Results: Total admission in study period was 5027, out of which 143 patients were admitted with primary surgery or intervention outside the tertiary level hospital giving frequency 2.84%. Common procedures performed were normal vaginal delivery and its complications followed by caesarean section.84.63% cases were dealt by qualified person. Complications with which patients presented were septicemia, hemorrhage, suboptimal surgery and fistula.
Conclusion: Knowledge of incidence of moribund condition and its related mortality is vital in designing preventive strategies.

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