Clinical Profile, Sofa Score and Its Association with Outcome for Critically Ill Obstetric Patients Admitted in Critical Care Unit at Bugando Medical Centre, Tanzania. (Record no. 29072)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03204nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241007165924.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20241007165924.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241007171011.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241007b |||||||| |||| 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/MMED/6000530/T/21 |
| Fuller form of name | Samiah B. Nuru |
| 245 ## - TITLE STATEMENT | |
| Title | Clinical Profile, Sofa Score and Its Association with Outcome for Critically Ill Obstetric Patients Admitted in Critical Care Unit at Bugando Medical Centre, 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. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 86 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <br/>Abstract:<br/><br/>Introduction: A critically ill obstetric patient represents a challenge that usually requires a multidisciplinary approach. The ICU admission rate in developed countries has been shown to range from 0.1–1.7% and higher in developing countries. Hence, understanding these complications can help in preventing these outcomes and optimize care by assessing the severity and prognosis using a SOFA scoring system.<br/><br/>Methodology: This was a prospective cohort study involving 134 obstetric patients admitted to the critical care unit (CCU) at BMC from June 2023 to February 2024. SOFA scoring system and Criteria for CCU admission were used to identify those who are critically ill. Data were analyzed using STATA v20. Predictors were statistically significant if a p-value 0.05 in bivalent analysis is subjected to multivariate logistic regression.<br/><br/>Results: The mean age was 28.1 ± 7 years. Preeclampsia/eclampsia (56.31%) was the most common obstetric indication of admission followed by obstetric haemorrhage (36.89%). Nonobstetric causes for CCU admission included sickle cell disease, haematological malignancy and anaesthesia complications. Blood transfusion was required in 62.7%, mechanical ventilator was applied in 30.6% followed by an oxygen face mask in 20.1% and dialysis was needed in 19.4%. The mean SOFA score was 5 ± 4 points. Every increase in SOFA score (AOR=1.5;95%CI;1.2-1.8: p-value=0.000) were associated with maternal mortality. The higher the SOFA score the worse the outcome.<br/><br/>Conclusion: SOFA score is associated with maternal death: this score can be used in our setting. Early identification of the need for Critical Care Unit (CCU) care, sufficient pre-ICU resuscitation and supportive care, and timely referral of critical patients will help to improve the outcome of these patients.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Obstetrics & Gynaecology |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Edmund Ngaiza |
| Fuller form of name | Debora Forden Madyedye |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | A Dissertation Submitted in Partial Fulfillment of The Requirements for The Award of a Master of Medicine (M.MED) Degree in Obstetrics and Gynaecology of The Catholic University of Health and Allied Sciences. |
| 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 | 10/07/2024 | 20241007165924.0 | 10/07/2024 | 10/07/2024 | POSTGRADUATE DISSERTATIONS |