Predictors and short term treatment outcomes among referred emergency general surgery patients admitted at Bugando Medical Centre, Mwanza, Tanzania (Record no. 18567)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 05596nam a22004097a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000343/T/19 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000343/T/19 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240429084033.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 221208b |||||||| |||| 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 | Website: www.bugando.ac.tz |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MMED/6000343/T/19 |
| 040 ## - CATALOGING SOURCE | |
| Language of cataloging | English |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Ruzige Christian |
| Dates associated with a name | [Male] |
| 9 (RLIN) | 47109 |
| Relator term | CUHAS/MMED/6000343/T/19 |
| 210 ## - ABBREVIATED TITLE | |
| Abbreviated title | LIST OF ABBREVIATIONS AND ACRONYMS |
| Qualifying information | AICU Adult Intensive Care Unit ASA America Society of Anaesthesia BMC Bugando Medical Centre BP Blood Pressure CUHAS Catholic University of Health and Allied Science EGS Emergency General Surgery EMD Emergency Medicine Department HDU High Dependency Unit ITTS Ideal Time to Surgery IQR Interquartile Range LMIC Lower and Middle-Income Countries LOS Length of Hospital Stay MO Medical Officer PR Pulse Rate RR Respiratory Rate SOPD Surgical Outpatient Department SPO2 Oxygen Saturation SSI Surgical Site Infection STATA South Texas Art Therapy Association TACS Timing of acute care surgery TEMP Temperature WSES World society of emergency surgery |
| 222 ## - KEY TITLE | |
| Key title | OPERATIONAL DEFINITIONS |
| Qualifying information | Referred emergency general surgery patient – defined as any patient received from another facility requiring an emergency surgical evaluation and management (operative or non-operative) for diseases within the realm of general surgery at BMC. Disease conditions are summarized in Table 8. |
| Key title | OPERATIONAL DEFINITIONS |
| Qualifying information | Short-term treatment outcome –is termed as in-hospital mortality, length of hospital stay, and readmission in <30 days regarding index hospitalization. |
| Key title | OPERATIONAL DEFINITIONS |
| Qualifying information | 30-day readmission; is defined as any unplanned, distinct hospitalization within 30 days after the discharge of the index hospitalization |
| Key title | OPERATIONAL DEFINITIONS |
| Qualifying information | In-hospital mortality; is defined as the death due to any cause during the index hospitalization before discharge. |
| Key title | OPERATIONAL DEFINITIONS |
| Qualifying information | Length of stay; is defined as the interval between the date of the admission and the date of discharge. |
| Key title | OPERATIONAL DEFINITIONS |
| Qualifying information | Surgeon – is termed as a specialized surgery care provider |
| Key title | Key words: |
| Qualifying information | emergency general surgery, surgical care, referral system |
| 245 ## - TITLE STATEMENT | |
| Title | Predictors and short term treatment outcomes among referred emergency general surgery patients admitted 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. | 2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 105 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: The triad of referral delays encompassing seeking care, reaching care, and receiving care have been used to assess access to treatment both in medical and surgical care at different levels of care. However the effect of potential referral factors on the surgical treatment outcome of referred Emergency General Surgery patient admitted at BMC have not been determined, also the surgical treatment outcome of referred Emergency General Surgery patient admitted at the tertiary level hospital is insufficiently documented in Tanzania . This study was conducted to determine the factors associated with in-hospital mortality, readmission rate in 30days, and length of hospital stay among referred Emergency General Surgery patients admitted at Bugando Medical Centre a tertiary hospital in Tanzania.<br/><br/>Methods: This was the longitudinal observational study conducted at Bugando Medical Centre involving admitted patients of all age groups referred from other facilities with emergency general surgery diagnoses from June 2021 to February 2022. Permission to conduct the study was obtained from Bugando Medical Centre/Catholic University of Health and Allied Science authorities with clearance certificate number CREC/482/2021.<br/><br/>Results: A total of 280 referred emergency general surgery participants were enrolled into the study. 37.9% had more than 14 days of hospital stay with median of 10days (IQR=7-21), in hospital mortality was observed in 22.1 % and 30 days readmission was 10.7%.Length of hospital stay was significantly associated with direct surgical ward admission, general abdominal conditions and soft tissue conditions, surgical operation conducted more than 48hours of admission, duration of operation more than 2hours and more than one surgical operations at BMC. Mortality were significantly associated with age below 15 years and above 35years, Non insured patients, resuscitation status before admission at BMC, ambulance brought in patients and more than one surgical operation at a referring facility. 30 days readmission was significantly associated with age >35 years, comorbidity and operation status at referring facility.<br/><br/>Conclusion: Referred emergency general surgery patients population is disadvantaged by having prolonged length of hospital stay, significant in hospital mortality and 30days hospital re-admission, surgical care offered at referring facility and receiving facility both predict overall treatment outcome at tertiary level hospitals in Tanzania.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Surgery |
| 9 (RLIN) | 29082 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 15823 |
| 9 (RLIN) | 45564 |
| 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 | Copy number | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 12/08/2022 | CREC/482/2021 | 12/08/2022 | CREC/482/2021 | 12/08/2022 | POSTGRADUATE DISSERTATIONS |