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  1. Fulltext Review of the burden of esophageal cancer in Malaysia
    Siti-Azrin AH, Wan-Nor-Asyikeen WA, Norsa'adah B
    Asian Pac J Cancer Prev, 2016;17(8):3705-9.
    PMID: 27644604
    Esophageal cancer is one of the top leading causes of cancer-related deaths in Malaysia. To date, neither the prevalence nor incidence of esophageal cancer nationally have been recorded. Esophageal cancer remains a major and lethal health problem even if it is not common in Malaysia. The late presentation of esophageal cancer makes it a difficult and challenging medical problem. Therefore, more governmental and non-governmental organizations of Malaysia should emphasize primary and secondary prevention strategies.
    Matched MeSH terms: Malaysia/epidemiology
  2. Fulltext Acute kidney injury following coronary artery bypass graft surgery in a tertiary public hospital in Malaysia: an analysis of 1228 consecutive cases
    Hiew KC, Sachithanandan A, Muhammad Nor MA, Badmanaban B, Jasid AM, Ismail F, et al.
    Med J Malaysia, 2016 Jun;71(3):126-30.
    PMID: 27495886 MyJurnal
    Acute kidney injury (AKI) following cardiac surgery is well established but the reported incidence is variable due to varying definitions and criteria. Furthermore there is a paucity of such data from Southeast Asia.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  3. Fulltext Community-acquired bacteremia in Paediatrics: Epidemiology, aetiology and patterns of antimicrobial resistance in a tertiary care centre, Malaysia
    Nor Azizah A, Mohd Nor F, Mohamad M, Zainal Abidin AS, Ariza A, Mohd Nor NS, et al.
    Med J Malaysia, 2016 Jun;71(3):117-21.
    PMID: 27495884 MyJurnal
    Bacteremia continues to be one of the major causes of morbidity and mortality despite the existence of numerous antimicrobial agents. this study aimed to provide a Malaysian perspective on paediatric community-acquired bacteraemia based on the documentation of epidemiology and antimicrobial profile of the isolated pathogens.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  4. Fulltext Continuity theory of ageing and leisure participation among elderly attending selected health clinics in Selangor
    Minhat, H.S., Rahmah, M.A., Khadijah, S.
    International Medical Journal Malaysia, 2013;12(2):51-58.
    MyJurnal
    Leisure participation in old age is often a continuation of their participation at younger age. This study aims to explore the association between current and former leisure participation of the elderly. Methods: A cross-sectional survey was conducted among 268 persons aged 60 years and above, purposively selected from eight health clinics in Selangor. Current leisure participation was measured using a validated Leisure Participation Questionnaire (LPQ), specific for Malaysian elderly. The LPQ consists of 25 activities, categorized into recreational (physical), cognitive, social and productive activity. Frequency of participation in each activity was measured on a 6-point scale. Leisure participation at younger age only involved their general participation in leisure. The most common daily leisure activities were having conversations while relaxing (78.7%) and watching television (74.6%), while the least were from playing golf (0.01±0.12) and performing musical instruments (0.04±0.36). More than half (64.9%) reported being actively involved in any leisure
    activity at younger age. Results: The study found there was a significant association between former and current leisure participation, especially for cognitive (t=-2.45, p=0.015), social (t=-2.68, p=0.008) and productive (t=-2.89, p=0.004) activities. However, only productive activity involvement was predicted by their leisure participation while younger (B=1.304, p=0.027). Conclusion: The findings suggest the importance of considering active intervention programmes at younger age to ensure better leisure participation of the elderly, especially in recreational physical activity.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  5. Fulltext Psycho-behavioural factors contributing to truancy among malay secondary school students in Malaysia
    Shamsul Azhar Shah, Azura Abdullah, Azimatun Noor Aizuddin, Mohd Rohaizat Hassan, Nazarudin Safian, Rozita Hod, et al.
    ASEAN Journal of Psychiatry, 2012;13(2):128-137.
    MyJurnal
    Objective: Truancy is a disciplinary problem, which frequently occurs among school students and it has many contributory as well as inter-related factors. It is a growing problem in this country and it often becomes a prelude to other delinquent behaviours. The study objective is to determine the prevalence of truancy as well as factors related to it including psycho-behavioural factors. Methods: A cross-sectional study involving 556 Malay student’s selected using multi-stage sampling was conducted. Results: The overall prevalence of truancy is 30.2%. The predictors to truancy are age, students who frequenting entertainment centre, students who have not completed Quran recital, coping strategies using problems solving methods and time spent watching television/video. There is a significant association between truancy and psycho-behaviour such as watching video/internet pornography, frequenting entertainment centre, smoking, motorcycle racing and dating a special friend. Conclusion: Truancy is a social issue, which must be given serious attention by all concerned components of the society.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  6. Prevalence of hypotension and its association with cognitive function among older adults
    Momtaz YA, Hamid TA, Haron SA, Bagat MF, Mohammadi F
    Aging Ment Health, 2018 04;22(4):447-452.
    PMID: 28060530 DOI: 10.1080/13607863.2016.1268093
    BACKGROUND AND OBJECTIVE: The negative effect of hypertension has overshadowed possible health problems associated with hypotension. The purposes of this study were to describe the prevalence of hypotension in older adults and to determine the association between hypotension and cognitive function, after adjusting for possible covariates.

    METHODOLOGY: The data for the study consisting of 1067 community-dwelling older adults were obtained from a national survey entitled "Identifying Psychosocial and Identifying Economic Risk Factor of Cognitive Impairment among Elderly", conducted in Malaysia. The hypotension was considered as blood pressure <120/75 mm Hg, measuring by standard mercury manometer. Data analysis was performed using the SPSS Version 22.0.

    RESULTS: The mean age of the respondents was 68.27 (SD = 5.93). Mean score of cognitive function as measured by MMSE was 22.70 (SD = 4.95). The prevalence of hypotension was 29.3%. The prevalence of cognitive impairment for hypotension group was 25.6%. Results of multiple linear regression analysis revealed that hypotension is negatively associated with cognitive function (Beta = -0.11, p

    Matched MeSH terms: Malaysia/epidemiology
  7. Fulltext Prevalence of menopausal symptoms, its effect to quality of life among Malaysian women and their treatment seeking behaviour
    Abdullah B, Moize B, Ismail BA, Zamri M, Mohd Nasir NF
    Med J Malaysia, 2017 04;72(2):94-99.
    PMID: 28473671
    INTRODUCTION: This study aimed to determine the prevalence of menopausal symptoms, its effect to the quality of life and their treatment seeking behaviour in a multiracial community in Malaysia.

    METHODS: This is a cross-sectional study involving postmenopausal women in Klang Valley, Malaysia. Data was obtained by face-to-face interview using standardised questionnaires on sociodemographic data, Menopause Rating Scale questionnaire, effect to quality of life and treatment sought.

    RESULTS: A total of 258 women, including Malays (82%), Indians (14.1%) and Chinese (3.9%) were recruited. The median age was 58 (range 45-86) years old. Joint and muscular discomfort (73.3%) and fatigue (59.3%) were the most prevalent symptoms. Significant association with ethnicity were demonstrated with Malays was found to have 3.1 times higher incidence of sexual problems than Indians, (Odds Ratio (OR) 3.103; 95%CI 1.209, 7.967) and Indian had 2.6 times higher incidence of irritability compared to Malays (OR 2.598; 95%CI 1.126, 5.992). Fifty-two percent of women felt that menopausal symptoms affected their quality of life but there were only 2.7% who were severely affected. There were 24.8% of women who sought treatment and only 20.3% of those who took hormone replacement therapy. There was no significant association found between their treatment seeking behaviour in association with ethnicity, age, parity, marital and occupational status.

    CONCLUSION: Menopausal symptoms were prevalent among menopausal women, although only a small group of women who were severely affected. There was a lack of tendency in seeking treatment for menopausal symptoms among the women.
    Matched MeSH terms: Malaysia/epidemiology
  8. Fulltext Prevalence of anaemia in pregnancy and influencing factors in Johor Bahru. [Prevalen anemia semasa mengandung dan faktor-faktor mempengaruhinya di Johor Bahru]
    Siti Khatijah AR, Rosnah S, Rahmah MA
    Malaysian Journal of Public Health Medicine, 2010;10(1):70-83.
    MyJurnal
    Introduction: Anemia in pregnancy is still a public health problem in developing countries including Malaysia. Early screening of pregnant mothers who have risk factors of anemia could help identifying these potential anemic mothers and hence targeted for intervention.
    Methodology: A cross sectional study IN 2008 was conducted among pregnant women who attended government health clinics in Johor Bahru district to assess the prevalence of anemia in pregnancy and factors associated with it using a structured questionnaire.
    Result: Prevalence of anemia in pregnancy (Hb<11.0 g/dl) was 36.6% and majority in mild category (Hb 9-<11 g/dl). The associated factors of anemia in pregnancy were birth spacing, dietary intake with high iron content and iron pill consumption. Multivariate analyses revealed that iron pill intake was the most important factor influencing anemia in pregnancy.
    Discussion and conclusion: Even though Johor Bahru is a big town with good health facilities, the prevalence of anemia in pregnancy was quite high. Results were compared with previous studies. Emphasis on compliance to iron pills is very important in prevention and treating anemia in pregnancy
    Key Words: anemia in pregnancy, birth spacing and iron pill intake
    Study site: Four urban and two rural klinik kesihatan, Johor, Malaysia
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  9. Fulltext Traditional male circumcision in a rural community in Kedah, Malaysia
    Khan AR, Teh SP, Narayan KA
    International e-Journal of Science, Medicine & Education, 2009;3(2):19-23.
    MyJurnal
    Background: Circumcision though not mentioned in the Quran is believed to be a compulsory practice among the Muslims. In Malaysia, although there are several methods of circumcision available and traditional circumcision is still popular.
    Methods: A cross-sectional survey was carried out in a small fishing village of Kedah to study the methods of circumcision available to the villagers. This was followed with an in-depth interview conducted with ‘Tok Mudim’, a practitioner of traditional method of circumcision.
    Results: Forty three of the eligible 71 subjects participated in the study giving the response rate as 60.5%. The most common age for circumcision was 9 years old. Despite private clinics being the most common place of circumcisions, there was an increasing number of boys going to the ‘Tok Mudim’ for circumcision. A Mass Circumcision Ceremony is traditionally practiced. The ‘Tok Mudim’ described the procedure in detail and was of the opinion that the reason traditional method is still popular was because of the fear of injections and impotency among the parents. Most common complication faced by the ‘Tok Mudim’ was bleeding and infection.
    Discussion and Conclusion: Till the community shifts entirely to using modern medicine, there is a need to integrate traditional practitioners into the system. Training the ‘Tok Mudim’ to use modern instruments and aseptic techniques should be considered.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  10. Fulltext Clients satisfactions in ISO certified health clinic in Klinik Kesihatan Bandar Baru Bangi, Selangor and its associated factors
    Aniza I, Suhaila A
    Malaysian Journal of Community Health, 2011;17(1):18-25.
    MyJurnal
    Background: All healthcare services are moving towards quality management system including ISO 9000 due to pressure from various stakeholders involves and also to improve healthcare quality. The objective of this study was to measure the satisfaction level among the outpatients in ISO Certified Klinik Kesihatan Bandar Baru Bangi, Selangor. Also to identify the relations of patient’s satisfaction with the sociodemographic factors and service dimensions such as general satisfactions, technical quality of clinic staffs, interpersonal aspect of clinic staffs, time with doctors, communications with clinic staffs and availability/accessibility of clinic.
    Methodology: A cross sectional study was carried out from February 2008 to Jun 2008 and a total of 240 respondents in the clinic were selected using universal sampling. Only those who are Malaysians aged 18 and above and complied with the inclusions criteria’s were selected as the respondents to fill up the Patient’s Satisfaction Questionnaire III.
    Results: The study found that the satisfaction level of the respondents in Klinik Kesihatan Bandar Baru Bangi, Selangor were remarkable with 78.8%.It has been shown that the predictor factors of total patient’s satisfaction were general satisfaction (AOR=5.06, CI= 1.51-16.96), technical quality of clinic staff (AOR = 3.09, CI= 1.13-8.43), interpersonal aspect of clinic staff (AOR = 2.96,CI= 1.04-8.42), availability/accessibility of clinic (AOR = 9.38, CI= 9.37-87.95) and communication of clinic staff ( AOR=17.90, CI=3.74-85.73) with the R2 = 67.7%.
    Conclusion: The satisfaction level among the respondents in Klinik Kesihatan Bandar Baru Bangi, Selangor were remarkable with percentages of 78.8%. The study has shown that service dimensions factor influenced the patient’s satisfaction such as general satisfaction, interpersonal aspect of staff, communication of staff, technical quality of clinic staff and availability/accessibility of clinic. It could have also been contributed by the implementation of ISO and it can only be confirmed by carrying out a comparison study of patient’s satisfaction in clinics with and without ISO certification.
    Study site: Klinik Kesihatan Bandar Baru Bangi, Selangor, Malaysia
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  11. Fulltext Carbimazole-induced aplastic anaemia - a case report
    Vijay AP, Lim SS, Tan ATB, Rokiah P, Chan SP
    JUMMEC, 2009;12(2):92-95.
    MyJurnal
    Antithyroid drugs have been used for more than 50 years for the management of hyperthyroidism. Most patients tolerate treatment well, but some may develop rare life threatening side effects such as agranulocytosis and aplastic anaemia. Clinical experience with the latter condition is extremely limited. We report on a case of carbimazole-induced aplastic anaemia caused by hypocellular bone marrow and associated plasmacytosis in a thyrotoxic patient chronically treated with carbimazole. This resolved after substitution with propylthiouracil. The clinical course was complicated by neutropaenic septicaemia and atrial fibrillation.
    Study site: University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  12. Fulltext A cross-sectional study comparing customer satisfaction between rural and urban primary care clinics in Hulu Langat district and the influencing factors. [Kajian keratan rentas perbandingan kepuasan pelanggan di antara klinik-klinik kesihatan primer luar bandar dan bandar di daerah Hulu Langat dan faktor-faktor yang mempengaruhi]
    Azimatun, N.A., Salmiah, B., Ahamad, J.
    Malaysian Journal of Public Health Medicine, 2012;12(2):52-67.
    MyJurnal
    Improvement in the service quality system of health clinics in Malaysia had increase with the increase of national development. However, customer dissatisfaction towards regular service still has become an issue in the provision of health service in clinics throughout this country. This study aims to identify factors that influence customer satisfaction such as sociodemographic factors of patients, the location of clinic (rural or urban) and the most important SERVQUAL dimensions in determining customer satisfaction. This study conducted in October and November 2008 in Hulu Langat District. SERVQUAL questionnaires were used. Probabilistic sampling was used for the selection of respondents and the number of samples for each clinic was based on the workload of the clinic. Overall, the results showed that there are differences in levels of customer satisfaction between urban clinic (25.8%) and rural (30.7%). The most critical service quality dimensions for urban clinics are the responsiveness and reliability dimensions with a mean value of -0.7018 and -0.7434. Responsiveness, existence and reliability are the weakest quality service dimensions (mean -0.6317, -0.6718 and -0.6028) in rural clinics. It was found that customers’ ethnicity and education affect customer satisfaction in both the urban and rural clinics. Gender and type of work are factors that affect customer satisfaction only in urban clinics. Overall customer satisfaction at health clinics in Hulu Langat District is low. The difference between urban and rural clinics show the customers' needs in the area is different.
    Key words: Customer satisfaction, SERVQUAL, health clinics, services.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  13. Fulltext Factors related to alcohol drinking among the adolescents in federal territory, Kuala Lumpur
    Wan Rozita WM, Kaur H, Amal NM, Lim KH
    Malaysian Journal of Public Health Medicine, 2005;5(1):23-26.
    MyJurnal
    Misuse of alcohol among adolescents, particularly schoolchildren has become one of the public health concerns in Malaysia due to its serious effects and an increased risk of alcohol related injuries, especially motor vehicle injuries. This is the most common type of youthful fatal injury in Malaysia. However the availability of data on the extent of alcohol abuse particularly among school children in this country is limited. Therefore, we conducted this study with the objectives of identifying the prevalence of alcohol drinking among school children in Kuala Lumpur, factors rekited to alcohol drinking among the adolescents and to assess health status of their parents through the presence of any related alcohol diseases and the habits of alcohol drinking among their parents.
    In this baseline study a two stage stratified sampling design was used to recruit 8532 eligible students from the selected secondary schools in Kuala Lumpur. The prevalence of alcohol drinking was 9.0% (771 / 8532) . Significant factors identihed related to alcohol consumption were akoholic father (OR=1.29), akoholic mother (1 .55) ; elder siblings consume alcohol (2 .49) and the Chinese ethnic group (1 .55) . The study revealed that factors which signihcantly contributed to the habit of alcohol drinking were related to whether their parents consumed alcohol or not or either their eMer siblings were ako taking alcohol. Therefore, the, results from this study could be used as a baseline data to describe the level of alcohol consumption among adolescents particularly school children. Ehfective public health interventions that focus on the familial context of adolescents' drinking habits may be developed.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  14. Fulltext Knowledge and practice of Malay children and adult towards food allergy in Negeri Sembilan. [Tahap pengetahuan dan amalan pengambilan makanan terhadap alergi makanan di kalangan kanak-kanak dan dewasa Melayu di Negeri Sembilan]
    Nur Zakiah Mohd Saat, Sazlina Kamaralzaman, Nurul Izzati Abu, Norjan Yusof
    Jurnal Sains Kesihatan Malaysia, 2010;8(2):51-57.
    MyJurnal
    A cross-sectional study was conducted among 200 Malays in Kuala Pilah, Tampin, Bahau, Gemencheh and Seremban towards food allergy in Negeri Sembilan. Questionnaire were used to determine demographic data, allergy symptom, practice and knowledge of respondents towards food allergy. Majority of the respondents that have food allergy were children 44% and shrimp was the most common allergen among children (25%). Family history is found to be associated with the age group and place of residents (p < 0.05). Common symptom that manisfested by respondents includes rashes (35%). Furthermore, the study showed that the respondents were concerned about their food allergy and 96% of the respondents reduced the intake of food that caused allergy. The level of knowledge related to food allergy was found to be associated with age group (p < 0.05). In conclusion, the study found that shrimp is the most common food allergy for all age group. Response towards food allergy is that they reduce the intake of food that cause allergy and the knowledge
    towards food allergy is associated with age group. Therefore, early screening should be conducted to identify types of alergy so that appropriate treatment can be given to the patients. Health education on allergy is also important to improve knowledge and patients’ compliance towards treatment.
    Keywords: Food; allergy; Malay; attitude; knowledge
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  15. Fulltext Do pregnant women in Penang smoke? A cross sectional study among antenatal mothers attending Penang government health clinic in the year 2002
    Mohd Yusoff Hasim, Rokiah Mohd, Rafidah Md Noor, Azizah Abd. Manan, Abd. Jamil Ahmad, Munsyi Abdullah, et al.
    Malaysian Journal of Public Health Medicine, 2003;3(1):36-41.
    MyJurnal
    Health impact related to smoking is a critical public health predicament especially in pregnancy. However there is not much data available to describe the magnitude of the problem. Hence this study was conducted to determine the prevalence of smoking and its socioeconomic factors among antenatal mother and their opinion related to tobacco control measures. A cross sectional study was carried out involving newly registered antenatal mothers attending all government health clinics in Penang. Prevalence of ever smoking among antenatal mother is 1.4%, of which 42.4% is still smoking at first antenatal visit. It was found that single mothers are more likely to smoke (OR, 14.23: C12.52-53.27). It was also noted that spouse smoking (OR, 5,14: CI 1.95-17.09), primigravida (OR, 2.7: C1 1.3-5.62), age group less than 30 years old (OR, 2.41; CI 1.03-6.09) and living in urban area (OR, 2.33; CI 1.01 — 6.47) have a higher risk to indulge in smoking behaviour. Muslim OR 0.29; C1 0.14 - 0.60) and Malay (OR 0.22; CI 0.10 - 0.47) pregnant mothers are noted to be less likely to smoke as compared to non Muslim and non Malay. More than 85% of them agreed with the tobacco control measures regardless of their smoking status. Most of respondents agreed the influential people in community L;11T · such as medical personnel, teachers and parents should not smoke.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  16. Fulltext Gastrointestinal involvement in Henoch Schonlein purpura: a case report
    Siti Kamariah CM, Rohaizan Y
    International Medical Journal Malaysia, 2009;8(2):37-38.
    MyJurnal
    Henoch-Schonlein purpura or anaphylactoid purpura is a systemic vasculitis of unknown cause that affects small vessels and mainly involves the skin, joints, gastrointestinal tract and kidneys. Gastrointestinal involvement occurs in more than half of patients and is thought to be related to edema and intramural haemorrhage. Radiologically the gastrointestinal findings are mainly those of bowel ischemia with thumbprinting and bowel wall oedema. Although this disease is usually treated conservatively, aggressive intervention is occasionally performed because of acute abdominal symptoms due to complications, such as perforation, intussusception and obstruction. This report illustrates a case of Henoch-Schonlein purpura with acute abdominal symptoms due to intussusception.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  17. Fulltext Intention to seek medical consultation for symptoms of upper respiratory tract infection – a cross-sectional survey
    Tan CE, Mohd Roozi AH, Wong WHR, Sabaruddin SAH, Ghani NI, Che Man Z
    International Medical Journal Malaysia, 2015;14(2):9-16.
    MyJurnal
    Introduction: The common cold is the commonest reason for primary care encounters worldwide. This paper aims to describe the reasons that influence patients to seek medical consultation for the common cold.
    Methods: This was a cross-sectional survey conducted among adult patients of an urban teaching primary care clinic. An adapted bilingual survey form was administered by the researchers to obtain data regarding their decision to seek medical consultation for a cold and the reasons for their decision. Quantitative analyses were done to describe the close-ended responses. Open-ended responses were analysed using a qualitative approach and
    the frequencies of the themes were reported. Results: A total of 320 respondents participated in this study, with a response rate of 91.4%. They were predominantly females (59.4%), Malay (70.9%), and had tertiary education (65.9%). More than half of the patients (52.5%) said they would seek consultation for cold symptoms. Fever was the commonest symptom (57-61%) which compelled them to seek consultation. The commonest reason for seeking consultation was to get medications (41.7%), whereas the commonest reason not to seek consultation was the practice of self-medication (44.2%). Ethnicity was found to be significantly associated with the decision to seek doctor’s consultation.
    Conclusion: Colds are usually self-limiting and do not result in complications. Empowering
    patients by providing appropriate self-care knowledge can help to reduce the burden of primary care services.
    Patients should be taught about red flag symptoms as well as drug safety for medications commonly taken for
    colds.
    Keywords: Upper respiratory tract infections, patient acceptance of health care, primary health care.
    Matched MeSH terms: Malaysia; Malaysia/ethnology
  18. The treatment of an obsessive-compulsive girl in the context of Malaysian Chinese culture
    Ong SB, Leng YK
    Aust N Z J Psychiatry, 1979 Sep;13(3):255-9.
    PMID: 293181
    The case history, treatment and follow-up of a thirteen-year-old girl with obsessive-compulsive neurosis of six months duration are reported. Results show that behaviour modification techniques were effective though a second course of treatment was required. Her illness and its treatment by behaviour therapy in relation to the Malaysian Chinese culture is discussed.
    Matched MeSH terms: Malaysia/ethnology
  19. Psychological reactions in disease and their management
    Ngui PW
    Nurs J Singapore, 1978 Nov;18(2):124-6.
    PMID: 253240
    Matched MeSH terms: Malaysia/ethnology
  20. Use and toxicity of traditional and complementary medicine among patients seeking care at an emergency department of a teaching hospital in Malaysia
    Jatau AI, Aung MMT, Kamauzaman THT, Ab Rahman AF
    Complement Ther Clin Pract, 2018 May;31:53-56.
    PMID: 29705480 DOI: 10.1016/j.ctcp.2018.01.016
    OBJECTIVE: Traditional and Complementary Medicines (TCM) are widely used worldwide, and many of them have the potential to cause toxicity, interaction with conventional medications and non-adherence to prescribed medications due to patients' preference for the TCM use. However, information regarding their use among patients seeking care at emergency departments (ED) of a healthcare facility is limited. The study aimed to evaluate the TCM use among patients attending the ED of a teaching hospital in Malaysia.

    STUDY DESIGN: A sub-analysis of data from a prevalence study of medication-related visits among patients at the ED of Hospital Universiti Sains Malaysia was conducted. The study took place over a period of six weeks from December 2014 to January 2015 involving 434 eligible patients. Data on demography, conventional medication, and TCM uses were collected from patient interview and the medical folders.

    RESULTS: Among this cohort, 66 patients (15.2%, 95%CI 12.0, 19.0) reported concurrent TCM use. Sixteen (24.2%) of the TCM users were using more than one (1) type of TCM, and 17 (25.8%) came to the ED for medication-related reasons. Traditional Malay Medicine (TMM) was the most frequently used TCM by the patients. Five patients (7.6%) sought treatment at the ED for medical problems related to use of TCM.

    CONCLUSION: Patients seeking medical care at the ED may be currently using TCM. ED-physicians should be aware of these therapies and should always ask patients about the TCM use.

    Matched MeSH terms: Malaysia/epidemiology
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