Prevalence of Malnutrition and its Association on Clinical Outcome among Adult Patients Undergoing Abdominal Surgery at Bugando Medical Centre, Mwanza Tanzania. (Record no. 28108)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 04033nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MMED/6000457/T/20 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MMED/6000457/T/20 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241024134423.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240613b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, 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 | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| 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 | |
| Dates associated with a name | CUHAS/MMED/6000457/T/20 |
| Fuller form of name | Jacqueline B. Kilasi |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence of Malnutrition and its Association on Clinical Outcome among Adult Patients Undergoing Abdominal Surgery at Bugando Medical Centre, 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] | |
| Date of publication, distribution, etc. | 2023. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Pages vix-71 |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract: <br/><br/>Background: Malnutrition is an emerging but neglected problem in hospitalized surgical patients and contributes significantly to adverse postoperative outcomes. Routine preoperative evaluation of nutritional status allows the identification of patients who are at risk of developing adverse postoperative outcomes and those who can benefit from nutritional therapy. However, at Bugando Medical Centre, patients scheduled for abnormal surgery are not routinely assessed for nutritional status. This study aimed to determine the prevalence of malnutrition and its association with early outcomes among patients undergoing abdominal surgery at Bugando Medical Centre, Mwanza, Tanzania. <br/><br/>Methods: This was a longitudinal study involving adult patients who underwent abdominal surgery at Bugando Medical Centre between January and June 2023. Nutritional status assessment was done according to the Nutrition Risk Scoring 2002 (NRS-2002) which is based on the amount of malnutrition, as defined by weight loss, food intake, and BMI, as well as on the severity of disease. A structured questionnaire was used to collect data and analysis was performed using Statistical of STATA version 15.0 software where p-value of <0.05 was used as a statistical level; of significance. <br/><br/>Results: A total of 303 patients were enrolled in the study. Their median age was 47 ± 17.5 years. There were 153 (50.5%) males and 150(49.5%) females. The overall prevalence of malnutrition was found to be 51.8% (157 303) over. Complication and mortality rates were 25.4% and 8.3%, respectively. The overall length of hospital stay ranged from 5 days to 14 days (median =9 days. Early postoperative problems were found to be statistically significantly associated with preoperative malnutrition. (OR=4.1, 95% CI [2.0-8.2], p-value< 0.001), prolonged length of hospital stays (OR=2.5, 95% CI [1.4-5.8], p-value = 0.003) and mortality (OR=4.6, 95%CI [2.5-11.2], p-value < 0.001). Furthermore, preoperative malnutrition significantly predicted surgical site infections (OR=2.2, 95% CI [1.0-4.8], p-value =0.047) and anastomotic leakage (OR=3.1, 95% [1.1-8.9], p-value =0.035).<br/><br/>Conclusion: This study demonstrated preoperative malnutrition is highly prevalent among adult patients undergoing abdominal surgery at Bugando Medical Centre and is a significant and independent factor for postoperative complications, mortality and increased length of hospital stay following abdominal surgery. This study emphasizes the need to routinely assess nutritional status using a validated tool preoperatively and drafting a nutrition care strategies to prevent malnutrition-related adverse postoperative outcomes. <br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | General Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Vihar Rajendra Kotecha |
| Fuller form of name | Philipo Leo Chalya |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | A Dissertation to Be Submitted in Partial Fulfilment of The Requirement for The Award of Degree of Master of Medicine in Surgery at Catholic University of Health and Allied Science. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | 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 | 06/13/2024 | 20240613092425.0 | 06/13/2024 | 06/13/2024 | POSTGRADUATE DISSERTATIONS |