Patterns and treatment outcome of paediatric neck masses at Bugando Medical Centre, Mwanza Tanzania (Record no. 18337)

MARC details
000 -LEADER
fixed length control field 02809nam a22001817a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210820b |||||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Elibariki, Marco
Dates associated with a name CUHAS/6000077/T/10
9 (RLIN) 22613
245 ## - TITLE STATEMENT
Title Patterns and treatment outcome of paediatric neck masses at Bugando Medical Centre, 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 xiii; 50 Pages
Extent Includes References and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Paediatric neck masses are one of the common surgical conditions presenting to the pediatric surgical ward and clinics in many centers worldwide and contribute significantly to high morbidity and occasionally mortality. There is paucity of information regarding pediatric neck masses in our setting. This study was conducted to establish the patterns of pediatric neck masses and to identify predictors of outcome in our local setting.<br/><br/>Methodology: This was a prospective cross-sectional hospital based study done in children aged ten years and below with neck masses for a five months period. Statistical data analysis was done using SPSS version 17.0.<br/><br/>Results: A total of 148 patients were studies. Their age ranged from 2 months to 10 years (median 3 years). The male to female ratio was 2.5:1. Inflammatory lesions were the most frequent cause of neck masses accounting for 43.9% of cases. The median duration of illness was 2 years. Except for the neck mass, 72 (48.6%) of the children had clinically stable health condition on presentation. The posterior triangle was commonly involved in 118 (79.7%) patients. Eight (5.4%) were HIV positive. The majority of patients (95.9%) were treated surgically. Postoperative complication rate was 30.4% and surgical site infection was the most frequent complication in 37.5% of cases. The median length of hospital stay was 10 days and was significantly longer in patients with malignant masses and those with surgical site infection (P < 0.001). The overall mortality rate in this study was 8.1% and it was significantly associated with malignant masses, associated pre-existing illness, late presentation, HIV positivity, low CD4 count, high ASA class and presence of surgical site infections (P < 0.001). The outcome of patients on discharge was excellent as more than 90% of patients were successfully treated and discharged well.<br/><br/>Conclusion: Pediatric neck masses are among the common surgical conditions in our setting and some of them are malignant. We advocate early surgical consultation and thorough histopathological examination of neck masses in children.<br/>
654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS
General subdivision Surgery
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 22731
9 (RLIN) 48489
9 (RLIN) 22633
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type POSTGRADUATE DISSERTATIONS
Holdings
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   PD0189 08/20/2021 08/20/2021 POSTGRADUATE DISSERTATIONS
Catholic University of  Health and Allied Sciences - CUHAS
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