Paediatric neck masses at a University teaching hospital in northwestern Tanzania (Record no. 19168)

MARC details
000 -LEADER
fixed length control field 03302nam a22002897a 4500
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193717.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
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028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Elibariki M Lucumay
9 (RLIN) 23541
222 ## - KEY TITLE
Key title Pediatrics Neck masses Patterns Predictors Outcome Tanzania
245 ## - TITLE STATEMENT
Title Paediatric neck masses at a University teaching hospital in northwestern Tanzania
Remainder of title a prospective analysis of 148 cases
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. BioMed Central &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 03 November 2014
300 ## - PHYSICAL DESCRIPTION
Extent Pages 1-7
490 ## - SERIES STATEMENT
Volume/sequential designation BMC research notes Volume 7 Issue 1
520 ## - SUMMARY, ETC.
Summary, etc. Abstract<br/><br/>Background<br/><br/>Pediatric neck masses are one of the common surgical conditions presenting to the pediatric surgical wards and clinics in many centers worldwide. There is paucity of published information regarding pediatric neck masses in Tanzania and the study area in particular. This study determines the etiology, clinico-histopathological patterns and treatment outcome of pediatric neck masses and to identify predictors of outcome in our local setting.<br/><br/>Methods<br/><br/>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<br/><br/>A total of 148 patients were studied. Their ages 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 CD 4 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<br/><br/>Pediatric neck masses are among the most common causes of paediatric surgical admissions and pose a diagnostic and therapeutic challenge in our setting. We advocate early surgical consultation and thorough and timely histopathological examination of neck masses in children.
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 22889
9 (RLIN) 22887
9 (RLIN) 15821
856 ## - ELECTRONIC LOCATION AND ACCESS
Link text https://doi.org/10.1186/1756-0500-7-772
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Holdings
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