IMPACT OF SOCIO-DEMOGRAPHIC AND CLINICAL CHARACTERISTICS ON FUNCTIONAL STATUS AND HEALTH OF PATIENTS WITH RHEUMATOLOGICAL AND AUTOIMMUNE DISEASES; PRESENTING IN RHEUMATOLOGY OPD OF A TERTIARY CARE HOSPITAL
Main Article Content
Keywords
Arthritis, Biologic therapy, Health outcomes, Patients awareness, Rheumatological disorders.
Abstract
Background: Rheumatological and autoimmune diseases affect a substantial portion of world's population and had substantial impact on functional status and health-related outcome of affected individuals.
Objectives: We investigated the influence of socio-demographic and clinical factors on the functional status and health of patients with rheumatological and autoimmune diseases.
Methods: We conducted a cross-sectional survey of 384 patients with rheumatological and autoimmune diseases to examine relationships between socio-demographic and clinical variables, functional status, and patients’ health. We collected data on structured questionnaire pertaining to socio-demographics of patients and assessment of functional health status of patients was done using DAS-28 and MHAQ scoring charts.
Results: Majority of patients (73.69%) were females (p<0.05). Age range of patients was 18-68 years with mean 58.32+9.18 years. 52 patients (13.54%) had a DAS-28 score between 2.6 and 3.2, 218 patients (56.77%) had a DAS-28 score between 3.2 and 5.1, and 98 patients (25.52%) had a DAS-28 score higher than 5.1. Between 0 and 8 MHAQ scores, there were 89 (23.17%) patients, between 9 and 16 patients had 163 (42.44%), between 17 and 24 patients had 109 (28.38%), and between 25 and 32 patients had 23 (5.98%).
Conclusion: Socio-demographic and clinical factors played significant role in determining the functional status and overall health of patients with rheumatological and autoimmune diseases. Older age, a lower literacy level, prolonged disease and occurrence of multiple clinical characteristics were associated with a abridged functional and health-status of patients’ life.
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Asif Islam
Assistant professor Medicine & Rheumatology, Ali Fatima Hospital, Lahore - Pakistan
Vivek Kumar
General Practitioner, Karachi - Pakistan
Raj Kanwal
General Practitioner, Karachi - Pakistan
Dr Aman Ullah Khan Kakar
Associate Professor of Orthopaedic Surgery at BUMHS and BMC,Quetta - Pakistan
Sadia Iram
MBBS Student, Lahore Medical and Dental College, Lahore - Pakistan
Amina Gul Shehzar Khan
TMO Orthopaedic Unit, Ayub Teaching Hospital, Abbotabad - Pakistan
Nigar Hashmi
MBBS, Karachi Institute of Medical Sciences, Karachi - Pakistan
Faiyyaz ur Rehman
Medical Officer, Emergency Medicine DHQ Hospital, Turbat Baluchistan - Pakistan
Dr Jaisingh Rajput
Independent Researcher Family Medicine, Montgomery - Alabama