Prevalence, associated factors and short-term outcomes of electrolyte abnormalities among critically ill children admitted in the intensive care unit at Bugando medical centre Mwanza, Tanzania. (Record no. 18788)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03585nam a22003017a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MD/6000326/T/19 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MD/6000326/T/19 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240424195102.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 231123b |||||||| |||| 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 |
| 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 | Hassanati Mbabouk Salim |
| Dates associated with a name | [Male] |
| Relator term | CUHAS/MD/6000326/T/19 |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence, associated factors and short-term outcomes of electrolyte abnormalities among critically ill children admitted in the intensive care unit 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 | xiv; 95 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Source | Abstract: <br/><br/>Background: Electrolytes play a key role maintaining homeostasis along with fluids in pediatric patients. The higher and lower value of electrolytes like sodium, potassium, and chloride can affect cellular processes drastically as it may result in cardiac, respiratory, and neurological complications; hence increased morbidity and mortality of critically ill children. The aim of this study was to determine the prevalence, factors associated and short term outcome of electrolyte abnormalities in critically ill children admitted in PICU and HDU. <br/><br/>Methodology: This was a hospital-based cross-sectional study involving critically ill children who were admitted in pediatric intensive care unit (PICU) and high dependency unit (HDU) in the pediatrics department of the Bugando medical centre between September 2022 and February 2023. A data collection tool was used to record important information on the child’s history and a physical examination finding within 24 hours of admission. Blood samples were drawn for measurements of serum potassium, sodium and chloride using the chemistry analyzer Cobas Integra 400 plus. Statistical data analysis was performed using STATA version 13 and the p-value of <0.05 was used as a statistical level of significance. <br/><br/>Results: A total of 312 critically ill children at Bugando Medical Centre were enrolled. The their median age was 36[12-72] months and most of them were under five years of years of age 203(65%) and the majority was male 189 (61%). The most prevalent electrolyte derangement was hypochloremia (50.6%) followed by hypokalemia (32.4%) and both were independently associated with having severe acute malnutrition (p-value 0.04) and (p-value<0.001). Children with hyperkalemia and hyerchloremia had increased risk of dying within 48hrs while hypokalemia and hypernatremia were independently associated with prolonged stay in ICU. <br/><br/>Conclusion: Abnormalities of sodium, potassium, and chloride are very common in critically ill children, and they are mostly associated with severe acute malnutrition, being in a state of shock, having renal disease, convulsions, having sickle cell disease and diarrhea. The abnormalities were also independently associated with pronged ICU stay and death. These electrolytes should be closely monitored in ICU to reduce associated prolonged stay in ICU and mortality. <br/><br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Pediatrics and Child Health |
| 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 | 11/23/2023 | CUHAS/MD/6000326/T/1 | 11/23/2023 | 11/23/2023 | POSTGRADUATE DISSERTATIONS |