Prevalence and associated risk factors of upper gastro-intestinal bleeding among patients at Sengerema District Hospital, Mwanza, Tanzania (Record no. 22002)
[ view plain ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 03080nam a22002057a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210817b |||||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Godwin, Woisso. Thadei |
| 9 (RLIN) | 22250 |
| Dates associated with a name | CUHAS/MD/4001819/T/16 |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence and associated risk factors of upper gastro-intestinal bleeding among patients at Sengerema District Hospital, Mwanza, Tanzania |
| 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 |
| -- | Phone: +255 28 298 3384 : |
| -- | Fax: +255 28 298 3386 : |
| -- | Email: vc@bugando.ac.tz : |
| -- | Website: www.bugando.ac.tz |
| Date of publication, distribution, etc. | ©2020 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | vii; 30 Pages |
| Extent | Includes Refferences and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract: <br/><br/>Background: Acute gastrointestinal (GI) bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalization. Upper GI bleeding (UGIB) is defined as bleeding derived from a source proximal to the ligament of Treitz. The incidence of UGIB is approximately 100 cases per 100,000 populations per year. Mortality rates from UGIB are 6%-10% overall. In Tanzania, up to 42% of Schistosoma Mansoni infected patients studied zoographically were found to have formation of esophagogastric varices which may potentially bleed with high mortality. In the advanced stage, periportal fibrosis (PPF) is commonly attended by portal hypertension. In Bugando Medical Centre, upper GI bleeding is one of the most common causes of admissions of the medical and surgical wards and contributes significantly to high morbidity and mortality.<br/><br/>Objectives: To determine the prevalence and associated risk factors of upper GI bleeding among admitted patients at Sengerema District Hospital in Mwanza.<br/><br/>Methodology: This was a descriptive cross-sectional study conducted in Sengerema DDH whereby a total of 280 patients 18 years old and above were included.<br/><br/>Results: Out of 280 participants, 67 (23.9%) patients presented which history of upper gastrointestinal bleeding. Among those patients with UGIB, 35.8% had schistosomiasis, 23.9% had history of peptic ulcer diseases. Smoking was strongly associated with UGIB whereby among patients with history of cigarette smoking. 16.4% had UGIB. The long-term use of NSAIDs was also found to be the risk for UGIB whereby among 67 patients with UGIB, 32.8% had history of use NSAIDs with p=0.009.<br/><br/>Conclusion: The study shows that upper gastrointestinal bleeding was high (23.9%) among patients admitted at Sengerema DDH October 2020 to January 2021. This highlight upper gastrointestinal bleeding as a common health problem in Sengerema DDH which is related to schistosomiasis, smoking and long-term use of NSAIDs. Also, it provides an up-to-date profile of UGIB in Sengerema DDH where use of NSAIDs, cigarette smoking and schistosomiasis is endemic.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Obstetrics and Gynecology |
| 9 (RLIN) | 48284 |
| General subdivision | Internal Medicine |
| 9 (RLIN) | 15587 |
| General subdivision | Biochemistry |
| 9 (RLIN) | 15676 |
| 654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS | |
| General subdivision | Medicine / Undergraduate Dissertation |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 22214 |
| 9 (RLIN) | 26662 |
| 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 | 08/17/2021 | UD1962 | 08/17/2021 | 08/17/2021 | UNDERGRADUATE DISSERTATIONS |