Surgimed Hospital

This quantitative study evaluated the diagnostic accuracy, clinical impact, and role of Point-of-Care Ultrasound (POCUS) in rapid decision-making within emergency and trauma care settings. A prospective observational design was conducted in the emergency department and critical care units of a tertiary-level hospital, involving a consecutive sample of 120 adult patients presenting with traumatic injuries or critical medical conditions. POCUS examinations were performed by trained clinicians using standardized protocols, and findings were compared with reference standards including computed tomography, surgical findings, or definitive clinical diagnoses. Diagnostic accuracy was assessed using sensitivity, specificity, positive predictive value, and negative predictive value, while chi-square and independent samples t tests were applied for statistical analysis. Results demonstrated high diagnostic accuracy of POCUS, with sensitivity of 92.9% and specificity of 83.3% (p < .001). Patients assessed with POCUS experienced significantly reduced clinical decision-making time compared to those managed without POCUS (p < .001). Additionally, POCUS-guided management was significantly associated with improved early patient stabilization outcomes (p < .001). These findings support the effectiveness of POCUS as a reliable bedside diagnostic tool that enhances rapid clinical decision-making and improves short-term outcomes in emergency and trauma care settings.

This paper examines reasons why surgical drains are used during abdominal surgery and the complexities associated with its use, as well as the determination of the occurrence of the most common postoperative complications and how they relate to patient demographics. A 100 sample of abdominal surgery patients was observed with the use of descriptive statistics, Chi-square tests, ANOVA to define the pattern and connections in the data. It was established that drains were predominantly used in a case of exploratory laparotomy and colectomy and such issues as delayed wound healing, infection and pain at a site of the drain were reported in a significant number of cases. chi-square analysis revealed a significant association between type of surgery and complication, ANOVA analysis revealed no demographic restrictions in terms of age, residence variances. Our findings correspond with other researches that indicate that decision-making to use drains should be duly considered in terms of the character of an operation and patient-specific characteristics These results show that there is a potential that evidence-based utilization of drains can assist patients to avoid any unnecessary risks, and recover quicker, with a patient-centered dispatch of drains. The paper will also be of high interest to the health care provider and the surgeon as this will assist them to make better decisions concerning the use of the surgical drain hence maximizing on the positive effect of the postoperative care and minimize risk of subsequent complications.

Introduction: Urinary tract infection (UTI), a common childhood bacterial infection, presents with nonspecific symptoms like fever, vomiting, irritability, and abdominal pain. Early diagnosis is crucial to prevent complications. Pyuria as a marker for UTI varies in diagnostic accuracy based on urine concentration. This study assesses pyuria's diagnostic accuracy in detecting pediatric UTIs, using urine culture as the gold standard across varied urine concentration groups. Methodology: This study at Mayo Hospital Lahore from January 23, 2025 to May 23, 2025 enrolled 190 children aged 2–12 suspected of UTI. Urine was sampled using midstream catch or Foley catheter. Urinalysis and culture were done for all samples, categorizing based on gravity and adjusting pyuria thresholds. Diagnostic measures were calculated for sensitivity, specificity, PPV, NPV, and overall accuracy. Results: Among 190 children (53.7% male, 46.3% female; mean age 7.29±3.22 years), fever was the most common symptom (62.1%). Urine culture was positive in 56.8% cases, with pyuria also positive in 56.3%. Pyuria had 87.1% sensitivity, 84.1% specificity, 87.8% PPV, 83.1% NPV, and overall accuracy of 85.7% compared to urine culture. Pyuria showed better performance in males and older children (7–12 years). Conclusion: Pyuria, adjusted for urine concentration, is highly accurate in detecting pediatric urinary tract infections, making it a useful initial screening tool. Nonetheless, urine culture confirmation remains crucial for accurate diagnosis and proper management.

Background Subclinical hypothyroidism is a common endocrine disorder during pregnancy, associated with adverse maternal and fetal outcomes. This study aimed to evaluate the frequency of subclinical hypothyroidism among pregnant women who presented to our hospital between 2020 and 2022. Methods A retrospective chart review was conducted on 589 pregnant women using convenience sampling. Only women who underwent thyroid function testing and had no known thyroid disease were included. Data on age, weight status, history of miscarriage, history of infertility, menstrual cycle regularity, thyroid function, and symptoms of thyroid diseases were collected. Descriptive statistics were used to analyze the data. Results The mean age of the participants was 24.8 ± 3.7 years. Among the participants, 270 (45.9%) had a normal weight, 199 (33.8%) were overweight, and 120 (20.4%) were obese. A history of miscarriage was reported by 69 women (11.7%)while 37 women (6.3%) had a history of infertility. The menstrual cycle was regular in 499 women (84.7%) and irregular in 90 women (15.3%). The results showed that 517 (87.7%) women were euthyroid, 47 (7.9%) had hypothyroidism, and 25 (4.2%) had hyperthyroidism. Of the 47 patients with hypothyroidism, 32 (68.08%) had subclinical hypothyroidism and 15 (31.91%) had overt hypothyroidism. Conclusion This study highlights the frequency of subclinical hypothyroidism among pregnant women. The findings underscore the importance of thyroid function testing during pregnancy.