Clinical Profile and Factors Associated with Early Postoperative Outcomes Among Patients with Gastrointestinal Leak at Bugando Medical Centre and Sekou Toure Regional Referral Hospital, Mwanza, Tanzania. (Record no. 29083)
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| 000 -LEADER | |
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| fixed length control field | 04358nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241008115254.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20241008115254.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241024130518.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241008b |||||||| |||| 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/6000450/T/21 |
| Fuller form of name | Mkomba Abel Kipeja |
| 245 ## - TITLE STATEMENT | |
| Title | Clinical Profile and Factors Associated with Early Postoperative Outcomes Among Patients with Gastrointestinal Leak at Bugando Medical Centre and Sekou Toure Regional Referral 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] | |
| Date of publication, distribution, etc. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 104 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Gastrointestinal leakage still remained to be the most feared and catastrophic general surgical condition worldwide. It is associated with a number of complications from local infection, sepsis and multiorgan failure. These complications in turn usually lead to prolonged hospital stay, increased cost of treatment and even death. There is limited data regarding early postoperative outcomes and their predictors in patients with Gastrointestinal leak. This study aimed to determine the clinical profile and factors associated with early postoperative outcomes among patients with GI leak at Bugando Medical Centre (BMC) and Sekou-Toure Regional Referral Hospital (SRRH) Mwanza, Northwestern part of Tanzania<br/><br/>Methods: This was a longitudinal study involving all patients presenting at BMC and Sekou Toure Regional Hospital with Gastrointestinal leak over a period of five months between February 2024 and July 2024. The study included all patients presenting with Gastrointestinal leak in the general surgical ward at Bugando Medical Centre and Sekou Toure Regional Referral Hospital (SRRH) and who consented for the study. Data collected using a pretested, structured questionnaire and analysed using STATA version 15. Before the commencement of the study, research proposal approval from the department, Ethical clearance was requested from the Joint CUHAS/BMC Research, Ethics and Review Committee.<br/><br/>Results: On univariate logistic regression age of the study participants when 30 days in hospital mortality compared those who were 50 years and more had 19.5 times more likely to succumb in hospital mortality compared to those below 30 years of age (OR = 19.5 95%CI 7.86,48.1). Among other factors high level of ASA classification (p-value 0.009), hypoalbuminemia (p value .047) and HIV prevalence (p value <0.01) were all found to be significantly associated with 30 days in hospital mortality. Among the intraoperative and postoperative factors only part of the GI involved (p=0.009), duration of surgery of more than 3 hours (p=0.026) and intraoperative contamination (p=0.001)were found to be significantly associated with 30 days hospital mortality, other factors which were found to be significantly associated with post-operative complications included drainage placement intraoperative (OR 6.6 95%CI (2.4 -18.1) p=0.038 ), NGT insertion post-surgery (OR 2.25 95%CI (0.027-4.94)) and intraoperative contamination/ spillage of GI content intra peritoneal during surgery (p=0.013).<br/><br/>Conclusion: In this analytical cross section study that involved 118 study participants admitted at BMC and SRRH. This study has provided in depth patients characteristics which affect clinical outcome of patient with GI leak. We found abnormal albumin level, electrolyte derangement and anemia are common among patients with GI leak. There is association between low albumin, HIV status, duration of surgery, ASA classification and poor early postoperative outcome.<br/><br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | General Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Phillipo Leo Challya |
| Fuller form of name | Angelo Njau |
| 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 | 10/08/2024 | 20241008115254.0 | 10/08/2024 | 10/08/2024 | POSTGRADUATE DISSERTATIONS |