Indications for Admission and Predictors of Outcome for Surgical Patients Admitted to the Intensive Care Unit at Bugando Medical Centre (Record no. 18244)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03165nam a22003137a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000168/T/15 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000168/T/15 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240419092334.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210819b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, BMC Premises, Post Code: 33102: |
| Source | P. O Box 1464, Mwanza – Tanzania: |
| Source | Phone: +255 28 298 3384: |
| Source | Fax: +255 28 298 3386: |
| Source | Email: vc@bugando.ac.tz : |
| Source | www.bugando.ac.tz |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MMED/6000168/T/15 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Liundi, Fausta. J |
| 9 (RLIN) | 22442 |
| Dates associated with a name | [Female] |
| Relator term | CUHAS/MMED/6000168/T/15 |
| 245 ## - TITLE STATEMENT | |
| Title | Indications for Admission and Predictors of Outcome for Surgical Patients Admitted to the Intensive Care Unit at Bugando Medical Centre |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS - Bugando] : |
| Date of publication, distribution, etc. | 2019 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 65 Pages |
| Extent | Includes Index |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Surgical patients have been reported to be a major cause of hospitalization and intensive care utilization worldwide, they also consume a significant amount of the health care budget. There is a paucity of published data on intensive care utilization and outcomes of patients admitted to ICU from our environment. This study aimed to describe the common indications and predictors of outcome of surgical patients admitted to ICU.<br/><br/>Methods: This was a descriptive prospective cross sectional study involving surgical patients admitted to the ICU from August 2017 to May 2018. Univariate and multiple logistic regressions was used to identify independent factors associated with mortality.<br/><br/>Results: A total of 199 surgical patient representing 55.7% of all ICU admission were studied. Median age of patients was 32 years and majority of the patients were males 62%. Majority of patients, 138 (69.4%) were admitted for observation or close monitoring following surgery whereas 61 (30.7%) were admitted for mechanical ventilator. The specialty of general surgery had the highest number of patients admitted to the ICU (33.7%). The median length of stay (LOS) in ICU was 18 days. High ASA class, emergency surgery, high APACHE score, high temperature and presence of postoperative complications were the main predictors of prolonged LOS (p <0.001). The overall ICU mortality was 39% and it was significantly associated with advanced age (>65 years), delayed ICU admission (>72 hours), admission systolic BP < 90 mmHg, SPO2 < 90 need for ventilator support, high admission modified APACHE II score.<br/><br/>Conclusion: Postoperative observation/close monitoring following surgery and mechanical ventilator remains the most common indications for ICU admission in our setting. postoperative general surgical patients were observed to be the highest surgical specialty utilizing the ICU bed spaces calls for strengthening surgical care in this region to reduce the burden of surgical diseases on critical care services.<br/> |
| 654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS | |
| General subdivision | Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 19950 |
| 9 (RLIN) | 22438 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 08/19/2021 | PD0019 | 08/19/2021 | 08/19/2021 | POSTGRADUATE DISSERTATIONS |