| dc.creator |
Nzugilwa, Petro M. |
|
| dc.date |
2020-03-05T08:03:07Z |
|
| dc.date |
2020-03-05T08:03:07Z |
|
| dc.date |
2019 |
|
| dc.date.accessioned |
2021-05-06T12:58:59Z |
|
| dc.date.available |
2021-05-06T12:58:59Z |
|
| dc.identifier |
Nzugilwa, P. M. (2019). Survival analysis of patients undergoing hemo-dialysis during 2015 – 2018 at Muhimbili hospital, Dar es salaam, Tanzania (Master’s dissertation). The University of Dodoma, Dodoma. |
|
| dc.identifier |
http://hdl.handle.net/20.500.12661/2002 |
|
| dc.identifier.uri |
http://hdl.handle.net/20.500.12661/2002 |
|
| dc.description |
Dissertation (MSc Statistics) |
|
| dc.description |
The survival patterns and their influencing covariates (factors) for hemo-dialysis patients at Muhimbili National Hospital (MNH) in Dar es Salaam Tanzania are explained in this dissertation. Number of hemo-dialysis that a patient had, alcohol intake history and blood transfusion status of patients were significant variables for failure. The study explored that, the survival times for hemo-dialysis patients at Muhimbili National Hospital follow lognormal distribution and therefore, parametric model fitted based on this distribution. The mean and median survival time of hemo-dialysis patients observed to be 468 and 260 days respectively as suggested by parametric model (log-normal). Semi-parametric method of analysis (Cox-proportional hazard model) was used to determine the covariates for failure for hemo-dialysis patients and compare hazard for different class variables. Under this model, number of dialysis and alcohol intake history were significant variables for failure of patients. Non-parametric methods such as Kaplan-Meier estimator used to obtain the mean and median survival and compare the survival for group variables. The mean and median survival from KM-estimator observed to be 221 and 206 days respectively. Log-Rank test used to assess the significance variation in survival for class variables. A Significant variation observed for cigarette smoking and HIV/AIDs status of patients. Complications and co-morbidities are also discussed. Low blood pressure, body weakness and urine syndrome are common complications. Some co-morbidities influenced some complications. For example, 37% of patients with negative blood group had more than 2 complications. |
|
| dc.publisher |
The University of Dodoma |
|
| dc.subject |
Tanzania |
|
| dc.subject |
Dar es salaam |
|
| dc.subject |
Muhimbili |
|
| dc.subject |
MNH |
|
| dc.subject |
Muhimbili National Hospital |
|
| dc.subject |
Hemo-dialysis |
|
| dc.subject |
Muhimbili hospital |
|
| dc.subject |
Hemo-dialysis patients |
|
| dc.title |
Survival analysis of patients undergoing hemo-dialysis during 2015 – 2018 at Muhimbili hospital, Dar es salaam, Tanzania |
|
| dc.type |
Dissertation |
|