The Clinical Patterns and Short Term Treatment Outcomes of Congenital Anterior Abdominal Wall Defects, at Bugando Medical Centre, Mwanza, Tanzania. (Record no. 18680)
[ view plain ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 05482nam a22003977a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000334/T/19 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000334/T/19 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240423151754.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 230204b |||||||| |||| 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/6000334/T/19 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| Language of cataloging | English |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Hamis Paul |
| 9 (RLIN) | 48340 |
| Dates associated with a name | [Male] |
| Relator term | CUHAS/MMED/6000334/T/19 |
| 210 ## - ABBREVIATED TITLE | |
| Abbreviated title | ABBREVIATIONS |
| Qualifying information | BMC Bugando Medical Centre CAAWDs Congenital Anterior Abdominal Wall Defects CREC CUHAS BMC Research and Ethics Committee CUHAS Catholic University of Health and Allied Science ECHO Echocardiography E.H.M.S Electronic Health Management System E.M.D Emergence Medicine Department I.C.U Intensive Care Unit IPD In Patient Department IQR Interquartile Range LOS Length of Hospital Stay NICU Neonatal Intensive Care Unit PI Principal Investigator RA Research Assistant SD Standard Deviation US Ultrasound WHO World Health Organization |
| 222 ## - KEY TITLE | |
| Key title | OPERATIONAL DEFINITIONS For the purposes of this study, the following were defined as follows: - |
| Qualifying information | Clinical patterns; in this study was defined as clinical presentations and findings of Congenital Anterior Abdominal Wall Defects (CAAWDs). |
| Key title | OPERATIONAL DEFINITIONS For the purposes of this study, the following were defined as follows: - |
| Qualifying information | Short term treatment outcomes; was termed as those patients who recovered well and got discharged home, length of hospital stay, treatment complications and mortality within 30 days. |
| Key title | OPERATIONAL DEFINITIONS For the purposes of this study, the following were defined as follows: - |
| Key title | OPERATIONAL DEFINITIONS For the purposes of this study, the following were defined as follows: - |
| Qualifying information | Prolonged length of hospital stay; in this study was defined as admission in the ward for more than 14 days. |
| Key title | OPERATIONAL DEFINITIONS For the purposes of this study, the following were defined as follows: - |
| Qualifying information | Treatment complications; in this study included burst abdomen, infections including surgical site infections (SSIs) and anaemia. |
| Key title | OPERATIONAL DEFINITIONS For the purposes of this study, the following were defined as follows: - |
| Qualifying information | Congenital Anterior Abdominal Wall Defects; in this study were defined as wide range of congenital anomalies that are associated with herniation or protrusion of abdominal organs through an unusual opening on the anterior abdominal wall. |
| 245 ## - TITLE STATEMENT | |
| Title | The Clinical Patterns and Short Term Treatment Outcomes of Congenital Anterior Abdominal Wall Defects, 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. | 2022 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 102 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Congenital anterior abdominal wall defects (CAAWDs) are common, their management remain a challenge to surgeons practicing in resource-limited setting. There is paucity of information regarding CAAWDs in Tanzania and Bugando Medical Centre (BMC). This study aimed to describe the clinical patterns and short term treatment outcomes of CAAWDs at BMC.<br/><br/>Methods: This was a longitudinal prospective study of patients with CAAWDs managed at BMC between September – 2021 and February – 2022. Ethical approval to conduct the study was obtained. Data was collected using a structured, coded and pretested questionnaire and analyzed using STATA version 15.<br/><br/>Results: A total of130patients were studied. The median age at diagnosis was 13.5months, there was slight male predominance M: F 1.1: 1. Majority of patients, 65(50.0%) were aged ≤12months old. Associated anomalies were reported in 30.4% and 38.5% of cases of omphalocele and gastroschisis respectively. None of the patients had a prenatal diagnosis. More than half of patients 75(57.7%) were treated surgically. Complication rate was 40.8% and sepsis was the most frequent complication in 43% of cases. Prematurity(p=0.002), low birth weight(p<0.001), gastroschisis(p<0.001), ASA III(p=0.005), treatment modality(p<0.001) and presence of associated anomalies(p=0.034) were significantly associated with complications. The median length of hospital stay was 15 days and was significantly longer in patients with omphalocele(p<0.001), associated anomalies(p=0.001), ASA class III(p=0.032) and in patients who were treated non-surgically(p<0.001). The overall mortality rate in this study was 30.0% and it was significantly associated with prematurity(p<0.001), low birth weight(p<0.001), home delivery(p=0.025), gastroschisis(p<0.001), treatment modality(p<0.001), presence of associated anomalies(p<0.001) and ASA class III(p=0.027).<br/><br/>Conclusion: CAAWDs are common in our setting. Many patients presented late with complications that resulted in poor outcome. The outcome of non-operative treatment is poor as majority present late in poor general condition. Therefore, there is a need for increasing awareness to effect early presentation and management.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Surgery |
| 9 (RLIN) | 29082 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 23352 |
| 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 | Copy number | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 02/04/2023 | CREC/142023 | 02/04/2023 | CREC/142023 | 02/04/2023 | POSTGRADUATE DISSERTATIONS |