Appropriateness and Immediate Outcome of Referrals in Pediatric Wards at Bugando Medical Centre, A Tertiary Hospital in North Western Tanzania (Record no. 19512)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03728nam a22003617a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240305193730.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 221121b |||||||| |||| 00| 0 eng d |
| 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 | |
| Language of cataloging | English |
| Transcribing agency | DLC |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Jackline Suba |
| 9 (RLIN) | 45553 |
| 222 ## - KEY TITLE | |
| Key title | Acute Illness, Appropriateness of Referrals, Outcome, Primary Health Care, Pediatric Primary Care, Referrals |
| 245 ## - TITLE STATEMENT | |
| Title | Appropriateness and Immediate Outcome of Referrals in Pediatric Wards at Bugando Medical Centre, A Tertiary Hospital in North Western Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Tanzania Medical Journal & |
| -- | Catholic University of Health and Allied Sciences [CUHAS – Bugando] |
| Date of publication, distribution, etc. | 2022/6/15 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Pages 105-117 |
| 490 ## - SERIES STATEMENT | |
| Volume/sequential designation | Tanzania Medical Journal Volume 33 Issue 3 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <br/>Abstract<br/><br/>Background: Inappropriate pre-referral care and delays in primary health care facilities contribute to poor patients’ outcomes in secondary and tertiary referral health care facilities. This study was set to determine the proportion, appropriateness and immediate outcome of referrals in paediatrics wards at Bugando Medical Centre (BMC).<br/><br/>Methods: A cross-sectional study included reffered children aged 1-59 months in BMC paediatrics wards. The minimum required sample size of 287 was determined by the Taro Yamane scientific formula, we excluded self-referral patients and those who misplaced their referral letters. Referral forms were reviewed, detailed history and thorough physical examination were done. Children were reviewed after 48 hours to determine the immediate outcome. Data were analysed using STATA version 15.1. By logistic regression we determined the association between appropriateness of referrals, clinical factors and outcomes and a p-value < 0.05 was considered to be statistically significant.<br/><br/>Results: Out of 602 admissions 55.1% (332/602) were referrals, and total of 300 children were analysed. Only (6) 2% had appropriately completed referral forms and (10) 3.3% were brought in by an ambulance. A total of 133 (44.3%) referrals were categorized as inappropriate. Deaths occurred in 34 (11.3%) [95% CI 8.2% – 15.5%]. Inappropriate referrals were not associated with increased mortality. Presence of lower chest in drawing (OR: 4.9; 95% CI: 1.7 – 13.8; p=0.003), lower limb swelling (OR: 3.6; 95% CI: 1.3 – 10.2; p=0.013), convulsion (OR: 8.1; 95% CI: 2.2 – 29.9; p=0.008), shock (OR: 9.7 95% CI: 1.8 – 52.6; p=0.008), age >2 years (OR: 5.2; 95% CI: 1.7 – 16.2; p=0.004), and inability breastfeed or drink (OR: 7.3; 95% CI: 2.2 – 23.7; p=0.001) were directly associated with mortality in the referred children.<br/><br/>Conclusion and recommendations: More than 50% of patients seen are referrals, and 34% of them end up in mortality but inappropriateness of referrals was not directly associated with mortality. The mortality in referred patients is linked to serious illness. Improving the capacity of management of paediatric emergencies in health facilities should go hand in hand with improvement of referral appropriateness in order to improve the overall outcome. <br/> |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 22795 |
| 9 (RLIN) | 23614 |
| 9 (RLIN) | 22807 |
| 9 (RLIN) | 22767 |
| 9 (RLIN) | 20565 |
| 9 (RLIN) | 22964 |
| 9 (RLIN) | 22515 |
| 9 (RLIN) | 22832 |
| 9 (RLIN) | 22050 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://doi.org/10.4314/tmj.v33i3.537">https://doi.org/10.4314/tmj.v33i3.537</a> |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | RESEARCH ARTICLES |
| 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 | 11/18/2022 | RA0720 | 11/21/2022 | 11/21/2022 | RESEARCH ARTICLES |