000			03128nam a22003617a 4500
003			OSt
005			20240305193730.0
008			221121b |||||||| |||| 00| 0 eng d
022			_a 2663-1857 (Print)
022			_a 2663-7332 (Online)
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aPeter Kibunto _945563
222			_aPaediatric surgical abdominal emergency, laparotomy, peritonitis, intestinal obstruction, electrolyte imbalance.
245			_aClinical Pattern and Predictors of Early Outcome of Paediatric Surgical Abdominal Emergencies at Bugando Medical Centre-Mwanza Tanzania
260			_aMwanza, Tanzania: _b Infancy & _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] _c2022
300			_aPages 1-9
490			_v Infancy Volume 64
520			_aAbstract: Background: Pediatric surgical abdominal emergency is a serious condition with reported high mortality in Africa and Bugando Medical Centre in particular. This study aimed at understanding the clinical pattern and predictors of early outcome of pediatric surgical abdominal emergencies at Bugando Medical Centre. Methods: A longitudinal descriptive study involving 130 patients with PSAE at BMC from November 2020 to May 2021. Patients were fully investigated and operated as per standard guidelines. Structured questionnaire was used to collect data which were analysed using STATA version 13. A p-value of less than 0.05 was considered significant. Result: A Male: Female ratio of 1.7:1 was noted, the median age of patients was 3years majority presenting with abdominal distension (94.6%), abdominal pain (91.5%) and vomiting (76.2%). The leading cause of Paediatric surgical abdominal emergencies were intestinal obstruction (66.0%) and peritonitis (21.8%). Short hospital stay (61.5%) was the commonest outcome followed by prolonged hospital stay (38.5%), and death (19.6%). Adolescent age (p- value=0.022) and rural residence (p-value=0.042), were significantly associated with increased duration of hospital stay while hyponatremia (p-value= 0.001), hypokalaemia (p-value=0.001) and low haemoglobin level (p-value=0.05) were found to significantly predict mortality. Conclusion: Intestinal obstructions and peritonitis are the commonest cause of PSAE at BMC, often presenting with abdominal pain and distension. Majority of patients have a short hospital stay, but adolescence and rural residence are associated with increased length of hospital stay. Electrolyte imbalance is significantly associated with mortality which was found to be decreasing but remains high at BMC
700			_a Richard Kiritta _930377
700			_a Leonard Washington _945415
700			_a Geoffrey Giiti _945564
700			_aAlicia Massenga _923352
700			_a Benson Kidenya _922050
700			_aFabian Massaga _922953
700			_a Samwel Byabato _922782
856			_u 10.36349/easjms.2022.v04i02.001
942			_2ddc _cVM
999			_c19516 _d19516