Multiple logistic regression models for under-perception, correct perception and over perception ... more Multiple logistic regression models for under-perception, correct perception and over perception of body weight. (DOCX 17 kb)
SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related docu... more SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related documents. (DOC 122 kb)
Current Research in Nutrition and Food Science Journal, 2013
Malnutrition is common in hospitalized patients and many undergo further deterioration of the nut... more Malnutrition is common in hospitalized patients and many undergo further deterioration of the nutritional level during the stay at the hospital. Patients who are malnourished on admission have a tendency to further depletion of nutrition level during the hospital stay. The aim of this study was to assess the weight changes of hospitalized patients during the hospital admission. Body weight was measured on admission and discharge for two hundred and ninety four patients in a cardiology hospital. Body mass index (BMI) cut offs were used to categorized patients to underweight (BMI<18.5kg.m-2), normal (18.5-22.9kg.m-2), overweight (23.0-24.9kg.m-2), obese (25.0-29.9kg.m-2) and very obese.Study population included 190 (64.4%) males and 105 (35.6%) females. One hundred and twenty eight (43.4%) patients lost their weight, while 131 (44.4%) and 36 (12.2%) patients had gained and had no change in their weight respectively. Of the patients who had their BMI in the underweight category (26,...
Malnutrition is highly prevalent among hospitalized patients, ranging from 30% to 50% depending o... more Malnutrition is highly prevalent among hospitalized patients, ranging from 30% to 50% depending on the patient population and the criteria used for diagnosis. Identifying early those who are malnourished and at risk of malnutrition and intervening at an early stage will improve patients overall prognosis and will reduce the costs to the state. Even though cardiac patients are at risk of malnutrition, data on the prevalence of malnutrition among cardiology inpatients is limited. The aim of the study was to assess malnutrition status of the newly admitted patients in a specialist cardiology institution in Sri Lanka by internationally recommended nutrition screening and assessment tools. During study period, 322 (61.22%) males and 204 (38.78%) females were recruited. Malnutrition status assessed by each screening tool had a wide variation. According to Mini Nutritional Assessment tool 69.6% were having possible malnutrition. Malnutrition Screening Tool 47.9% to be at risk of malnutriti...
Delays in treatment seeking and antivenom administration remain problematic for snake envenoming.... more Delays in treatment seeking and antivenom administration remain problematic for snake envenoming. We aimed to describe the treatment seeking pattern and delays in admission to hospital and administration of antivenom in a cohort of authenticated snakebite patients. Adults (> 16 years), who presented with a confirmed snakebite from August 2013 to October 2014 were recruited from Anuradhapura Hospital. Demographic data, information on the circumstances of the bite, first aid, health-seeking behaviour, hospital admission, clinical features, outcomes and antivenom treatment were documented prospectively. There were 742 snakebite patients [median age: 40 years (IQR:27–51; males: 476 (64%)]. One hundred and five (14%) patients intentionally delayed treatment by a median of 45min (IQR:20-120min). Antivenom was administered a median of 230min (IQR:180–360min) post-bite, which didn’t differ between directly admitted and transferred patients; 21 (8%) receiving antivenom within 2h and 141 (...
Background Cardiovascular diseases (CVD) are the commonest indirect medical cause of maternal dea... more Background Cardiovascular diseases (CVD) are the commonest indirect medical cause of maternal deaths worldwide, both in high-income and low and middle-income countries. To minimize the effects of CVD in pregnancy, proper risk assessment and appropriate referral is required. In Sri Lanka, cardiovascular disease complicating pregnancy is a significant cause of maternal mortality, second only to postpartum hemorrhage. Screening for CVD in pregnancy in Sri Lanka is limited to a routine clinical assessment. Evidence-based guidelines are yet to be developed, and this deficit may have resulted in a substantial underestimation of the CVD burden. This study aims to determine the burden of CVD in early pregnancy and develop a risk prediction model to be used in field pregnancy clinics in Sri Lanka to reduce CVD effects in pregnancy. Methods A prospective cohort study was carried out in the Anuradhapura district, Sri Lanka. Following registration to the antenatal care, pregnant women fulfillin...
Multiple logistic regression models for under-perception, correct perception and over perception ... more Multiple logistic regression models for under-perception, correct perception and over perception of body weight. (DOCX 17 kb)
SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related docu... more SPIRIT 2013 checklist: recommended items to address in a clinical trial protocol and related documents. (DOC 122 kb)
Current Research in Nutrition and Food Science Journal, 2013
Malnutrition is common in hospitalized patients and many undergo further deterioration of the nut... more Malnutrition is common in hospitalized patients and many undergo further deterioration of the nutritional level during the stay at the hospital. Patients who are malnourished on admission have a tendency to further depletion of nutrition level during the hospital stay. The aim of this study was to assess the weight changes of hospitalized patients during the hospital admission. Body weight was measured on admission and discharge for two hundred and ninety four patients in a cardiology hospital. Body mass index (BMI) cut offs were used to categorized patients to underweight (BMI<18.5kg.m-2), normal (18.5-22.9kg.m-2), overweight (23.0-24.9kg.m-2), obese (25.0-29.9kg.m-2) and very obese.Study population included 190 (64.4%) males and 105 (35.6%) females. One hundred and twenty eight (43.4%) patients lost their weight, while 131 (44.4%) and 36 (12.2%) patients had gained and had no change in their weight respectively. Of the patients who had their BMI in the underweight category (26,...
Malnutrition is highly prevalent among hospitalized patients, ranging from 30% to 50% depending o... more Malnutrition is highly prevalent among hospitalized patients, ranging from 30% to 50% depending on the patient population and the criteria used for diagnosis. Identifying early those who are malnourished and at risk of malnutrition and intervening at an early stage will improve patients overall prognosis and will reduce the costs to the state. Even though cardiac patients are at risk of malnutrition, data on the prevalence of malnutrition among cardiology inpatients is limited. The aim of the study was to assess malnutrition status of the newly admitted patients in a specialist cardiology institution in Sri Lanka by internationally recommended nutrition screening and assessment tools. During study period, 322 (61.22%) males and 204 (38.78%) females were recruited. Malnutrition status assessed by each screening tool had a wide variation. According to Mini Nutritional Assessment tool 69.6% were having possible malnutrition. Malnutrition Screening Tool 47.9% to be at risk of malnutriti...
Delays in treatment seeking and antivenom administration remain problematic for snake envenoming.... more Delays in treatment seeking and antivenom administration remain problematic for snake envenoming. We aimed to describe the treatment seeking pattern and delays in admission to hospital and administration of antivenom in a cohort of authenticated snakebite patients. Adults (> 16 years), who presented with a confirmed snakebite from August 2013 to October 2014 were recruited from Anuradhapura Hospital. Demographic data, information on the circumstances of the bite, first aid, health-seeking behaviour, hospital admission, clinical features, outcomes and antivenom treatment were documented prospectively. There were 742 snakebite patients [median age: 40 years (IQR:27–51; males: 476 (64%)]. One hundred and five (14%) patients intentionally delayed treatment by a median of 45min (IQR:20-120min). Antivenom was administered a median of 230min (IQR:180–360min) post-bite, which didn’t differ between directly admitted and transferred patients; 21 (8%) receiving antivenom within 2h and 141 (...
Background Cardiovascular diseases (CVD) are the commonest indirect medical cause of maternal dea... more Background Cardiovascular diseases (CVD) are the commonest indirect medical cause of maternal deaths worldwide, both in high-income and low and middle-income countries. To minimize the effects of CVD in pregnancy, proper risk assessment and appropriate referral is required. In Sri Lanka, cardiovascular disease complicating pregnancy is a significant cause of maternal mortality, second only to postpartum hemorrhage. Screening for CVD in pregnancy in Sri Lanka is limited to a routine clinical assessment. Evidence-based guidelines are yet to be developed, and this deficit may have resulted in a substantial underestimation of the CVD burden. This study aims to determine the burden of CVD in early pregnancy and develop a risk prediction model to be used in field pregnancy clinics in Sri Lanka to reduce CVD effects in pregnancy. Methods A prospective cohort study was carried out in the Anuradhapura district, Sri Lanka. Following registration to the antenatal care, pregnant women fulfillin...
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Papers by Niroshan Lokunarangoda