Predictors of case fatality and length of hospital stay of patients with major limb trauma at Bugando Medical Centre in Mwanza, Tanzania (Record no. 18325)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02849nam a22001697a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210820b |||||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Lazaro, Kajanja |
| Dates associated with a name | CUHAS/6000079/T/10 |
| 9 (RLIN) | 22603 |
| 245 ## - TITLE STATEMENT | |
| Title | Predictors of case fatality and length of hospital stay of patients with major limb trauma at Bugando Medical Centre in Mwanza, Tanzania |
| 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. | ©2013 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | iv; 74 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Major limb trauma constitutes a public health problem of great importance worldwide and is associated with high fatality, morbidity and long-term disabilities. This study was conducted to determine the predictors of case fatality and length of hospital stay of patients with major limb trauma attending Bugando Medical Centre (BMC), Mwanza Tanzania.<br/><br/>Methods: this was a cross-section study of patients with limb trauma which was conducted at the Causality and Emergency department of BMC. The diagnosis of major limb trauma was made by clinical history, physical examination, injury severity score and radiological investigations. Patients were followed up for any in-hospital complications during the study period.<br/><br/>Results: A total of 250 patients were enrolled whereby 83.6% of the patient were between 12 and 45 years and 16.4% (41/250) were above 45 years of the enrolled patients, 70.0% (175/250) were male. Of the 250 emrolled patients, 43 patients (17.2%) died within two weeks. One hundred and fifty two patients (60.8%) had prolonged hospital stay of more than two weeks. Presence of other injuries, (OR=4.1; 95% CI=1.1-14.6; P=0.032), injury severity score of >18 (OR=3.5; 95% CI=1.1-11.4; P=0.038) and platelet count of <150x109 cell/l (OR=9.1; 95%CI=2.9-28.5, P<0.001) were independent predictors of death. Injury-treatment time interval of >24 hours (OR=5.5 95% CI [2.7-11.6], P<0.001), admission random, blood glucose level of >10 mmol/l (OR 11.4 95% CI [3.4-38.4], P<0.001) and admission white blood cell count of >11x109cells/l (OR=0.1; 95% CI=0.01-0.2, P<0.001) were independent predictors of long hospital stay.<br/><br/>Conclusion: Major limb trauma is a fatal condition with a high case fatality rate. Presence of other injuries than limb injury, injury severity score>18 and admission platelet count<150x109cells/L are independent predictors of in-hospital case fatality. Injury severity score, full blood picture, random blood glucose and injury-treatment interval are crucial parameters in all trauma patients so as to classify cases that need aggressive treatment to reduce the chances for early in-hospital deaths and prolonged hospital stay.<br/> |
| 654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS | |
| General subdivision | Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 22731 |
| 9 (RLIN) | 44521 |
| 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 | 08/20/2021 | PD0177 | 08/20/2021 | 08/20/2021 | POSTGRADUATE DISSERTATIONS |