Short-Term Outcomes and Associated Factors Among Patients Undergoing Colorectal Surgery at Bugando Medical Centre, Mwanza, Tanzania. (Record no. 29112)
[ view plain ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 03976nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20241010113008.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OCoLC |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20241010113552.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 241010b |||||||| |||| 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/6000265/T/18 |
| Fuller form of name | Daniel P. Sulusi |
| 245 ## - TITLE STATEMENT | |
| Title | Short-Term Outcomes and Associated Factors Among Patients Undergoing Colorectal 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. | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 103 Pages |
| Extent | Includes References |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <br/>Abstract:<br/><br/>Background: Colorectal surgery was a commonly performed surgical procedure in the care of a wide range of colorectal conditions worldwide, its attendant morbidity and mortality has been the subject of many studies. There is a paucity of published data regarding this subject in Tanzania and Bugando Medical Centre (BMC) in particular. This study describes the short-term outcomes and associated factors among patients undergoing colorectal surgery at BMC.<br/><br/>Methods: The study was a prospective longitudinal study involving adult patients who consented to underwent colorectal surgery at BMC from January 2023 to June 2023<br/><br/>Results: A total of 92 patients were studied. Out of these, 54(58.7%) were male and 38(41.3%) were female with a male to female ratio of 1.4:1. The age ranged from 18 to 84 years with a median age of 40[33.5-60]. The most common indication for colorectal surgery was obstruction and Sigmoidectomy was the most common surgical intervention accounting for 62.9% of all cases. Complication and mortality rates were 34.8% and15.2% respectively. Advanced age (pvalue=0.009), low hemoglobin levels (p-value=0.012), emergency surgery (p-value=0.016), time interval from diagnosis to surgery (p-value= 0.016), prolonged duration of surgery (pvalue=0.015), perforated/gangrenous colon (p-value =0.014) and surgery in contaminated/septic peritoneal cavity (p-value <0.001) were found to be significantly associated with early postoperative complications. The overall length of hospital stays were 46 days significantly to patients with co-morbidities (p-value=0.015), low hemoglobin levels (p-value=0.025), emergency surgery (p-value=0.037), perforated/gangrenous bowel (p-value=0.017) .Age (P value=0.002), comorbidities (P value= 0.009), Time interval from diagnosis to surgery (P value=0.018), perforated bowel (P value < 0.001), indication of surgery (P value = 0.017), and surgical procedure (P value < 0.001) were found to be significantly associated with mortality<br/><br/><br/>Conclusion: Findings from the study showed that colorectal surgeries were associated with higher postoperative complications34.8% associated with advanced ages, presence of comorbidities, emergency surgery and surgery performed in gangrenous/perforated large bowel. Mortality post colorectal surgery was 15.2%associated with advanced age, prolonged from diagnosis to surgery, emergency surgery and surgery in gangrenous/perforated large bowel. The hospital stays longevity was46days associated with the presence of comorbidity, low hemoglobin level, emergency surgeries and gangrenous or perforated large bowel surgeries done patient who had low hemoglobin levels.<br/><br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | General Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Samwel Mutalemwa Byabato |
| Fuller form of name | Phillipo 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 | 10/10/2024 | 20241010113008.0 | 10/10/2024 | 10/10/2024 | POSTGRADUATE DISSERTATIONS |