Patterns of Admission and Factors Associated with Neonatal Mortality among Neonates Admitted at Bugando Medical Centre. (Record no. 28789)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 04251nam a22003377a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240920114510.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240920114510.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240920115103.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240920b |||||||| |||| 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 | |
| Relator term | CUHAS/MD/4002608/T/19 |
| Fuller form of name | Sofia Valentine Mubiayi |
| 245 ## - TITLE STATEMENT | |
| Title | Patterns of Admission and Factors Associated with Neonatal Mortality among Neonates Admitted at Bugando Medical Centre. |
| 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. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 35 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: The neonatal period, life is the most vulnerable period for a child’s survival, and as a result has high rates of morbidity and mortality. According to the World Health Organization, of estimated 130 million infants born each year worldwide, 4 million dies in the first 28 days of life and half of neonatal deaths occur within the first 24 hours of life. This study aims to assess the patterns of admission and factors associated with neonatal mortality in among neonates admitted at Bugando Medical Centre<br/><br/>Method: This was a retrospective cross-sectional study that was conducted at Bugando Medical Centre Data was retrieved from the Electronic Health Management System (EHMS). A structured questionnaire was used to collect social demographic and clinical information. Data was entered in Excel and analysed using SPSS version 20, and p-values <0.05 were considered statistically significant<br/><br/>Results: A total of 210 neonates were included in the study. 64.8% were born preterm, 31.9% at term and 3.3% post term. 73.8% of them had a birth weight <2500g at birth, 22.4% had a birth weight 2500-3900g, and among them 66.7% were females and 33.3% were males, 78.1% were from urban area and 21.9% were from rural areas. 76.7% of them were delivered at a tertiary hospital with the remaining being referred from either home, health centre, district or regional hospital. 63.8% of the population were admitted within 24 hours, 30% between 24 hours and 7 days, 46.7% were admitted due to respiratory distress, 19.0% due to birth asphyxia, 17.1% due to early onset sepsis and the rest due to neonatal jaundice, meconium aspiration, intrauterine growth restriction and big babies. Multiple factors associated with mortality of neonates admitted at NICU were assessed where there was a statistically significant association between gestational age and neonatal mortality (p-0.03) where preterm neonates were found to have the highest mortality rate, also there was a correlation between birth weight and higher mortality rates (p-0.04) where those born with weight <2500g have higher mortality rates compared to those with weight >2500g. Admission time also shows a potential association with neonatal mortality, with shorter admission times (within 24 hours) possibly linked to higher mortality, though this result is close to the significance threshold (p-0.05). the reason for admission is significantly associated with neonatal mortality (p-0.045), with high-risk admissions like respiratory distress, neonatal sepsis and birth asphyxia) showing a higher mortality rate compared to low-risk admissions like big baby<br/><br/>Conclusion: Respiratory distress, neonatal sepsis and birth asphyxia were the main reasons for NICU admission. Neonates often died within the first 24 hours of age so timely intervention could decrease neonatal mortality at Bugando Medical Centre<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Paediatrics and Child Health |
| General subdivision | Biochemistry & Molecular Biology |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Delfina Robert Msanga |
| Fuller form of name | Felix Abdallah Tarimo |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | Research Report Submitted for Partial Fulfillment of The Requirements for The Award of Bachelor of Doctor of Medicine at The Catholic University of Health and Allied Sciences. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | UNDERGRADUATE 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 | 09/20/2024 | 20240920114510.0 | 09/20/2024 | 09/20/2024 | UNDERGRADUATE DISSERTATIONS |