Prevalence, Pattern, Common Precipitating Factors and Outcomes of Patients Above 18 Years Admitted with Hepatic Encephalopathy at Bugando Medical Centre Mwanza from 2009 - 2015. (Record no. 20609)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03221nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MD/4000617/T/11 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MD/4000617/T/11 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240305193824.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210805b |||||||| |||| 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 |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MD/4000617/T/11 |
| 040 ## - CATALOGING SOURCE | |
| Language of cataloging | English |
| Transcribing agency | DDC |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Kevin, Charles. Raphael |
| Dates associated with a name | CUHAS/MD/4000617/T/11 |
| 9 (RLIN) | 20475 |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence, Pattern, Common Precipitating Factors and Outcomes of Patients Above 18 Years Admitted with Hepatic Encephalopathy at Bugando Medical Centre Mwanza from 2009 - 2015. |
| 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. | ©2016 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 41 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract: <br/><br/>Hepatic encephalopathy can be defined as a neuropsychiatric syndrome caused by portosystemic venous shunting, ranging from minimal to overt hepatic encephalopathy. The prevalence of hepatic encephalopathy in our setting is lacking, and the common precipitating factors of hepatic encephalopathy and outcomes after admission are not documented. The present study was conducted to study the prevalence, common precipitating factors and the outcomes of the patients. <br/><br/>Methods: This was a hospital based retrospective study done at Bugando medical centre referral hospital in Mwanza region. The target population were all men and women patients aged above 18 years admitted with hepatic encephalopathy at Bugando medical centre Mwanza from January 2009 to June 2015. Those who met the inclusion criteria were enrolled using a detailed checklist and analysis was done using the SPSS version 17.0.<br/><br/>Results: 47.7% (n=42 patients and liver cirrhosis with type C of H.E being the major cause of hepatic encephalopathy. Hepatitis B infection 22.7% (n=22.7) and 23.9% (n=21) hepatocellular carcinoma were the most prevalent causes of liver disease. The overall prevalence of hepatic encephalopathy was 0.4% among the patients admitted in that period. The population 36.4% (n=32) and 18.2% (n=16) had West Haven Grade 3 and Grade 4 respectively. The precipitating factors were of diuretic therapy 27.2% (n=44), infections 21.6% (n=35), blood transfusion 16.7% (n=27) and upper gastro intestinal bleeding 17.3% (n=28). The primary outcome was 75% (n=66) deaths and 25% (n=22) discharged. Majority of patients 72.7% (n=64) had less than 3 months survival duration after diagnosis and 27.3% (n=24) survived more than 1 year. <br/><br/>Conclusions: Hepatic encephalopathy is common in our area with patients usually diagnosed late, this raises challenges in the overall treatment, care and patients’ outcomes. Strategies on the early detection of H.E, precipitants and treatment may help improve its outcomes. <br/><br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Internal Medicine |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 20035 |
| 9 (RLIN) | 20036 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | UNDERGRADUATE 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 | 08/05/2021 | UD0566 | 08/05/2021 | 08/05/2021 | UNDERGRADUATE DISSERTATIONS |