CLINICAL AND SOCIO-DEMOGRAPHIC PROFILE OF PATIENTS WITH THYROID DISORDER AT SAINT PAUL HOSPITAL MILLENNIUM MEDICAL COLLEGE ENDOCRINE CLINIC

Abstract

ABSTRACT Back ground: Thyroid disorders represent an important public health problem worldwide ranking second to Diabetes as the commonest Endocrinological disorder seen in adult medical practice and presenting a myriad of devastating consequences if not treated early. Thyroid disorders have been reported in over 110 countries of the world where most are in developing countries. There are vast majority of clinical manifestation of patients with thyroid disorders ranging from primary manifestation of the illness itself to systemic complication of the disease and even death. All adult patients are at risk of developing thyroid disorder and causes may vary based on the disease type Up-to-date there is no local information on the clinical and Socio-demographic profile of patients with thyroid disorders at the endocrine clinic of SPHMMC. This study will aid in providing information that will help in the improvement of the care that we are giving to our patient Objective: Clinical and Socio-demographic profile of patients with thyroid hormone disorders at the Endocrine clinic of SPHMMC Method and Materials: The study was conducted at Saint Paul Hospital Millenium Medical College (SPHMMC) Descriptive study design was used to assess the Clinical and Sociodemographic profile of patients with thyroid disorder at the Endocrine clinic of SPHMMMC from June 2018-December 2018 by reviewing secondary data from charts. The data was analyzed using SPSS computer software version 25. Results:-The Charts of 258 patients was obtained comprising of 188(72.76%) patients with Thyrotoxicosis and 70(27.1%) patients with hypothyroidisim. 34(13.2 %) of the Thyrotoxic patients had systemic complication . The age group ranged from 15-71 with the mean age of 39.6 and Females accounted for 231(89.5%) and males accounted for the remaining 27(10.5%) of total patients. The commonest cause of thyrotoxicosis was Toxic Multinoduar Goiter(TMNG) with 129 (70.1%) of patients followed by toxic nodule (TN) 37(20.1%) .In Hypothyroid patients the commonest cause was Iatrogenic, 45(64.3%) patients, followed by Idiopathic cause for 25(35.7%) patients. The commonest presentation of patients with thyrotoxicosis was palpitation (70.74%) and those of hypothyroid was fatigue (54.5%). Conclusion and recommendation:-This study shows that the thyroid disorders at the Endocrine clinic are comprised of Thyrotoxicosis, which includes Hyperthyroidism, and Hypothyroidism. The patients included in the study have similar Socio-demographic and Clinical profile with those around the world. Further studies should be done to have more information about the disease pattern that will lead to better service provision. .