Clinical Pattern and Predictors of Early Outcome of Paediatric Surgical Abdominal Emergencies at Bugando Medical Centre-Mwanza Tanzania (Record no. 19516)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03128nam 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 |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 2663-1857 (Print) |
| International Standard Serial Number | 2663-7332 (Online) |
| 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 | Peter Kibunto |
| 9 (RLIN) | 45563 |
| 222 ## - KEY TITLE | |
| Key title | Paediatric surgical abdominal emergency, laparotomy, peritonitis, intestinal obstruction, electrolyte imbalance. |
| 245 ## - TITLE STATEMENT | |
| Title | Clinical Pattern and Predictors of Early Outcome of Paediatric Surgical Abdominal Emergencies at Bugando Medical Centre-Mwanza Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Infancy & |
| -- | Catholic University of Health and Allied Sciences [CUHAS – Bugando] |
| Date of publication, distribution, etc. | 2022 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Pages 1-9 |
| 490 ## - SERIES STATEMENT | |
| Volume/sequential designation | Infancy Volume 64 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Pediatric surgical abdominal emergency is a serious condition with reported high mortality in Africa and Bugando Medical Centre in particular. This study aimed at understanding the clinical pattern and predictors of early outcome of pediatric surgical abdominal emergencies at Bugando Medical Centre. <br/><br/>Methods: A longitudinal descriptive study involving 130 patients with PSAE at BMC from November 2020 to May 2021. Patients were fully investigated and operated as per standard guidelines. Structured questionnaire was used to collect data which were analysed using STATA version 13. A p-value of less than 0.05 was considered significant. <br/><br/>Result: A Male: Female ratio of 1.7:1 was noted, the median age of patients was 3years majority presenting with abdominal distension (94.6%),<br/>abdominal pain (91.5%) and vomiting (76.2%). The leading cause of Paediatric surgical abdominal emergencies were intestinal obstruction (66.0%) and peritonitis (21.8%). Short hospital stay (61.5%) was the commonest outcome followed by prolonged hospital stay (38.5%), and death (19.6%). Adolescent age (p- value=0.022) and rural residence (p-value=0.042), were significantly associated with increased duration of hospital stay while hyponatremia (p-value= 0.001), hypokalaemia (p-value=0.001) and low haemoglobin level (p-value=0.05) were found to significantly predict mortality. <br/><br/>Conclusion: Intestinal obstructions and peritonitis are the commonest cause of PSAE at BMC, often presenting with abdominal pain and distension. Majority of patients have a short hospital stay, but adolescence and rural residence are associated with increased length of hospital<br/>stay. Electrolyte imbalance is significantly associated with mortality which was found to be decreasing but remains high at BMC |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 30377 |
| 9 (RLIN) | 45415 |
| 9 (RLIN) | 45564 |
| 9 (RLIN) | 23352 |
| 9 (RLIN) | 22050 |
| 9 (RLIN) | 22953 |
| 9 (RLIN) | 22782 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href=" 10.36349/easjms.2022.v04i02.001"> 10.36349/easjms.2022.v04i02.001</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 | RA0724 | 11/21/2022 | 11/21/2022 | RESEARCH ARTICLES |