The burden and management of self-inflicted injuries at a tertiary care hospital in Mwanza, Tanzania (Record no. 19191)

MARC details
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005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193718.0
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022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number eISSN: 1821-9241
International Standard Serial Number print ISSN: 1821-6404
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Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
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Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Alphonce B Chandika
9 (RLIN) 23222
222 ## - KEY TITLE
Key title Self-inflicted injuries, aetiology, patterns, treatment outcome, Tanzania
245 ## - TITLE STATEMENT
Title The burden and management of self-inflicted injuries at a tertiary care hospital in Mwanza, Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Tanzania Journal of Health Research &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 2018/4/5
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Volume/sequential designation Tanzania Journal of Health Research Volume 20 Issue 2
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Summary, etc. Abstract<br/><br/>Background: Self-inflicted injuries are a serious but neglected public health problem in developing countries and contribute significantly to the global injury burden. There is a paucity of published data regarding self-inflicted injuries in Tanzania. This study describes the aetiology, patterns and treatment outcome of these injuries in Mwanza, Tanzania.<br/><br/>Methods: This was a combined retrospective and prospective study of self-inflicted injury patients who were managed at Bugando Medical Centre in Mwanza between February 2007 and April 2014. Data were collected using a pretested and coded questionnaire and analysed using SPSS computer software version 17.0<br/><br/>Results: A total of 136 patients (M: F = 3.3: 1) were enrolled into the study. The median age was 30 years. Psychiatric illness (30.9%) was the most common risk factor for self-inflicted injuries. Self-poisoning (35.3%) was the most frequent mechanism of self-inflicted injuries. This was followed by cutting/stabbing and jumping from heights in 23.5% and 20.6% of patients, respectively. The trunk was the most frequent (31.9%) body region affected. Open wounds were the most (4.2%) common type of injuries sustained. The majority (72.1%) of patients were treated surgically. The complication rate was 50.7% and it was significantly associated with delayed presentation (p= 0.012). The median hospital stay was 12 days. Patients with long bone fractures and those who had surgical site infection stayed longer in the hospital (p < 0.001). The mortality rate was 22.8%. Late presentation (>24 hour), severe injuries (KTS II ≤ 6) and presence of surgical site infections were the main predictors of mortality (p<0.001).<br/><br/>Conclusion: Self-inflicted injuries are an emerging but neglected public health problem in Mwanza, Tanzania and contribute to unacceptably high morbidity and mortality. Addressing the root causes of self-inflicted injuries may reduce the incidence of these injuries in our environment.<br/>
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 15821
9 (RLIN) 22886
9 (RLIN) 22887
9 (RLIN) 22888
9 (RLIN) 22889
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Link text https://doi.org/10.4314/thrb.v20i2.6
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Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Holdings
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            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   10/12/2022   RA0390 10/12/2022 10/12/2022 RESEARCH ARTICLES
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