000 03090nam a22003017a 4500
001 CUHAS/MMED/6000202/T/16
003 CUHAS/MMED/6000202/T/16
005 20240418153139.0
008 210821b |||||||| |||| 00| 0 eng d
028 _bWurzburg Road 35, BMC Premises, Post Code: 33102:
028 _b P. O Box 1464, Mwanza – Tanzania:
028 _bPhone: +255 28 298 3384:
028 _bFax: +255 28 298 3386:
028 _bEmail: vc@bugando.ac.tz :
028 _bwww.bugando.ac.tz
035 _aCUHAS/MMED/6000202/T/16
040 _bEnglish
_cddc
041 _aEnglish
100 _aCecilia Protas
_922733
_d[Female]
_eCUHAS/MMED/6000202/T/16
245 _aClinical Profile, Treatment Modilities and Outcomes of Upper Aero-Digestive Tract Emergencies at Bugando Medical Centre Mwanza Tanzania
260 _aMwanza, Tanzania:
_bCatholic University of Health and Allied Sciences [CUHAS - Bugando]
_c2019
300 _a xiv; 57 Pages
520 _aAbstract: Background: Emergencies of the upper aero-digestive tract Emergencies are common in our setting, can be life threatening, challenging to the otolaryngologists and yet there is paucity of clinical studies on these emergencies. Objectives: To determine the clinical profile, treatment modalities and outcomes of upper aerodigestive tract emergencies at Bugando Medical Centre - Mwanza, Tanzania. Methods: A cross sectional study among 128 patients of all ages who presented at Bugando Medical Centre with a clinical diagnosis of Upper Aerodigestive Tract Emergencies from February to May 2019. Questionnaire data on socio and demography, clinical presentation, duration of symptoms, time interval between admission and intervention, type of intervention, postoperative complications and length of hospital stay. Ethical clearance was obtained from the joint CUHAS/BMC research ethics and review committee. Results: Of 487 ENT emergencies seen during study period, 128 (26.3%) patients had UADTE. Major causes of Upper Aerodigestive tract Emergencies at BMC were foreign body ingestion (43.8%), head & neck tumors (25.8%), foreign body aspiration (19.5%) and cut-throat injuries (3.9%). The most frequent presentations were dysphagia (63.3%), difficulty in breathing (47.7%) and odynophagia (43.8). Poor outcome of e treatment (esophagoscopy) was associated with younger age (0-17 years) (p=0.02), prolonged duration to treatment (p=0.04) and low blood oxygen saturation (SPO2) (p=0.04). In addition, delayed duration to treatment (p=0.01) and foreign body ingestion (p=0.001) were significantly associated with poor outcome (prolonged hospital stay). Conclusion: At Bugando Medical Centre, UADTE pose a serious burden and challenge. Peripheral hospitals should be equipped with trained health workers and basic equipment to resuscitate and manage these patients before they are referred to otolaryngologists.
600 _x Surgery (Otorhinolaryngology, Head and Neck)
_948298
700 _aJaphet M. Gilyoma
_922731
700 _a Olivia Kimaro
_922734
942 _2ddc
_cMP
999 _c18451
_d18451