Pattern of rheumatic diseases and socio- economic conditions of the patients attending at OPD of Govt. Unani & Ayurvedic medical college hospital, Mirpur, Dhaka
Md. Shazzadul Alam, Mohammad Abu Bin Nyeem, Md. Abdul Mannan, BM Rabiul Islam, Razat Kishor Sinha
Rheumatic disorders are single most common cause of physical disability in the elderly and around one third of all people with physical disability have rheumatologic etiological disorder as the primary cause. So there is also a great socio economic impact of musculoskeletal disorders on the society. In the development world, it comes in the form of huge numbers of lost working days, vast amount of compensatory disability allowance cost of drugs and massive reduction of the workout owing to increased mortality and morbidity. This is retrospective observational study. In this study two hundred ninety seven patient’s information were collected from June, 2010 to May, 2011 from OPD of Govt. Unani & Ayurvedic medical college hospital records. Data collection period for this study was June, 2011 to September, 2011. The significant finding of the study was from 11 to 80 years aged patients who came to the hospital. Average age of the patients was 44 years and SD was ± 13.14. Age between 31 to 50 years people was mostly affected by musculoskeletal disorder. About 87% of them were married and maximum 37.7% had secondary level education. Non-government job holder and housewife were maximum occupation. Among 297 patients, 40% patient’s monthly income level was between tk. 6000 to 10000. In this study, 67% of the respondent deals with single family and maximum 46% were ill health. Among 297 patients, there are 74 patient’s had come with compliance of affected joints are hot, redness & swelling around joint margins, 45 patients had come with morning stiffness in the joint, 47 patients had come with the compliance of rheumatoid nodules, 31 patient’s had come with great toes are affected, 33 patients had come with fever, 87 had come with swelling around joint margin, maximum 164 patients had come with muscle weakness of the patient, 46 patients had come with muscle wasting of the patient and 221 patients had come with the compliance pain occur laboring, heavy lifting, bending, twisting, driving or pain worse on movement. Among the patients, low back pain and osteoarthritis is the leading problem and 86% patients RA test result negative. Middle aged people who are economically not sound are suffering than others. Early diagnosis and treatment is very essential for the patient so that they can lead a normal life. So raising awareness and dissemination of knowledge about rheumatic diseases among the patients can ensure early diagnosis which would help life for the patients.