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Year : 1987  |  Volume : 4  |  Issue : 1  |  Page : 30-33

Pattern of emergency urology cases in a referral hospital in north-western India (PGIMER, Chandigarh) : guidelines for future health care planning.


Department of Urology and General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh

Correspondence Address:
R K Sharma
Department of Urology and General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh

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Source of Support: None, Conflict of Interest: None


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A study was undertaken to assess the pattern of emergency urologic cases in a referral hospital in North-Western India which is situated in an endemic region for urolithiasis. All patients reporting to the surgical emergency were studied over a period of one month. 18.25 percent of the patients who attended PGI emergency required urologic care. Of these, 31.51 percent required observation in the emergency whereas 49.31 percent of patients needed admission. These emergency admissions constituted 48.84 percent of the total admissions to the urologic service of this institute during the study period. 82.19 percent of the urological patients belonged to the poorer section of the society (monthly income less than 300 rupees). 24.25 percent of patients had sustained genitourinary/spinal cord trauma. Creation of a trauma hospital/spinal cord injury centre for civilian population is likely to decrease the morbidity and morality of these patients. Provision of a separate emergency observation ward would lessen the work-load of emergency out-patients. This investigation should be carried out periodically in various regions of the country to perceive the changes in the pattern of urologic illness which are likely to occur with continuing progress being made in the medical sciences. The data collected by means of such investigation would help in hospital planning and optimum deployment of human and material resources.


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