The Difference in TBSA Estimation Between Emergency Room and Burn Unit in Second Tier Hospital in Central Jakarta

Introduction: Burn TBSA estimation is essential to administer fluid resuscitation. There are some methods, including Rule of 9 and Lund-Browder Chart. This study aims to identify the difference in TBSA estimation in Emergency Room & Burn Unit. Method: We conducted a retrospective cross-sectional study in design. The Inclusion criteria are patients admitted to the Jakarta Islamic Hospital Cempaka Putih (JIHCP) burn unit between April 2015-September 2018, acute patients who have complete demographic data, complete TBSA estimation in the emergency room (ER) and burn unit (BU). Exclusion criteria are patients who do not have complete demographical data and incomplete TBSA estimation between the emergency room and burn unit. The estimation of TBSA in the emergency room is done by General Practitioner, while in the burn unit is done by Plastic Surgeon. Result: Of all 160 patients admitted, 142 patients are eligible in the inclusion criteria. Most of it was adult males with an average of 28.3 years old, suffering a grade II burn injury caused by scald. There is a higher mean of TBSA estimation in the Emergency room with 15.83 (SD 12.21) compared to the Burn Unit with 12.92 (SD 12.00). The maximum TBSA overestimation in ER reaches 24% TBSA than BU, while the minimum is 0.5%. The Maximum TBSA underestimation in ER reaches 20% TBSA than BU, while the minimum underestimation is also 0.5%. On average, ER overestimates about 6.7% TBSA and underestimates about 2.8% TBSA compared to BU. Conclusion: The emergency room tends to overestimate the TBSA, with an almost 3% difference in mean (p<0.05). There is an occurrence of a maximum 24% TBSA overestimation while averaging 6.7% TBSA.

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Epidemiology And Mortality Of Burn Injury In Ciptomangunkusumo Hospital, Jakarta: A 5 Year Retrospective Study

Jurnal Plastik Rekonstruksi ◽

10.14228/jpr.v6i1.270 ◽

2020 ◽

Vol 6 (1) ◽

pp. 234-242

Author(s):

Aditya Wardhana ◽

Gammaditya Adhibarata Winarno

Keyword(s):

Mortality Rate ◽

Length Of Stay ◽

Burn Injury ◽

Average Length ◽

Demographic Data ◽

Cross Sectional Study ◽

Inhalation Injury ◽

Payment Method ◽

Cross Sectional ◽

Burn Unit

Background : Burns is a significant cause of morbidity and mortality worldwide. Particularly in low- and middle-income countries (LMICs), burns account for an estimated 180.000 deaths every year. Burn-related mortality rates are exceptionally high in South-East Asia (11.6 deaths per 100 000 population per year) compare with much lower rates of 1.0 deaths per 100.000 people per year in high-income countries. This study aims to investigate the demographic data, etiology, and outcome of the patients treated in burn unit Ciptomangunkusumo Hospital, Jakarta, Indonesia. Method: This is a retrospective cross-sectional study, collecting epidemiologic data from the medical record through Electronic Health Record. A total of 709 patients admitted to burn unit between 2013-2017 were reviewed based on age, sex, total burn surface area (TBSA), burn grade, inhalation injury, etiology, length of stay, outcome, and payment method. Inclusion criteria are patients that were admitted to burn unit of Ciptomangunkusumo Hospital between 2013-2017, while there are no exclusion criteria in this study. Result : Admission of patients between 2013-2017 has inclined throughout the year, from 97 in 2013 to 166 in 2017. Average patient admission per year, reaching 141,8±26,761. Jakarta, and its suburb Bogor, Depok, Tangerang, and Bekasi, has dominated the proportion of referring hospital with 538(75.9%) The most amount of payment method is NHI (JKN/BPJS) with 534(75.3%) population. A total of 465 were male, and 244 were female, with a ratio of 1.9:1. The highest incidence in terms of age group is 16-35 years old (269, with the average age of patients, is 29±19. The highest incidence of burn injury is caused by a stove gas explosion with 253(35.7%), followed by flame 189(26.7%). There are 63 out of 709 patients with inhalation injury, where the incidence rate is 8.9%. Patients admitted to the Ciptomangunkusumo burn unit has an average length of stay of 15 days hospitalization. The most frequent population of extent, staying >14 days is 21-30% TBSA (88). The mortality rate in the Ciptomangunkusumo burn unit is 25.8% (183), with the highest number of death came from TBSA >40% (136). Conclusion: A total of 709 patients were admitted to the Ciptomangunkusumo burn unit in Jakarta, Indonesia, over 5 years, with an average of 141 patients per year and an increase of 171% from 2013 to 2017. Most patients were diagnosed with >40% TBSA and 2nd-3rd grade burn injury. An average of 15 days of hospitalization for patients leading up to 25.8% mortality rate, they are with septic shock as the most common condition causing death in the burn unit.

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Patient’s knowledge about HIV and willingness toward rapid HIV oral testing in dental settings, Jodhpur, Rajasthan

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184815 ◽

2018 ◽

Vol 5 (12) ◽

pp. 5349

Author(s):

Vibha Joshi ◽

Nitin Kumar Joshi ◽

Komal Bajaj

Keyword(s):

Hiv Infection ◽

Demographic Data ◽

Cross Sectional Study ◽

Policy Implications ◽

Cross Sectional ◽

Oral Test ◽

Dental Procedures ◽

Dental Patient ◽

Education Levels ◽

The Difference

Background: As various dental procedures can transmit HIV, rapid HIV oral testing facilities in dental settings could play a major role in prevention of HIV infection. Being most popular HIV testing methods worldwide, the rapid HIV oral test is not available in India and its level of acceptance in Indian dental settings is unexplored. This study conducted with the objective to assess patient’s knowledge about HIV and their willingness toward rapid HIV oral testing in dental settings.Methods: This cross-sectional study was conducted in two dental clinics selected from two different largest mixed socioeconomic housing societies of Jodhpur respectively. A semi structured questionnaire consisting of demographics, respondent’s general knowledge towards AIDS/HIV infection, willingness towards HIV rapid oral test was developed for data collection. Standard descriptive statistics were calculated and comparisons between demographic data and willingness to get tested in dental setting, awareness for HIV etc. were analyzed.Results: Total of 473 age-eligible patients were surveyed out of which 214 were males. The difference about the knowledge of HIV/AIDS between two groups of education levels (p<0.05) was statistically significant and almost 82% of these respondents were willing to have HIV oral rapid saliva testing as a part of regular dental appointment.Conclusions: It can be concluded that dental patient generally are willing for HIV rapid oral testing, but additional studies are needed to explore relevant policy implications.

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Correlation between Acute Stroke and Concentration of Creatine Kinase Myocardial Band, Troponin T, Hemoglobin, and Electroyltes

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v14i1.11846 ◽

2018 ◽

Vol 14 (1) ◽

pp. 71-80

Author(s):

Destika Fahrina ◽

Puji Pinta Sinurat ◽

Aldy Sjarifuddin Rambe

Keyword(s):

Creatine Kinase ◽

Acute Stroke ◽

Troponin T ◽

Demographic Data ◽

Cross Sectional Study ◽

Sectional Study ◽

Stroke Patients ◽

Cross Sectional ◽

The Difference ◽

Mean Concentration

Currently, there were only a few studies regarding the correlation between concentration of creatine kinase-myocardial band (CKMB), troponin T, hemoglobin, and electrolytes and acute stroke. This study aimed to understand the difference of mean concentration of CKMB, troponin T, hemoglobin, and electrolytes and their relationship with acute stroke. This was a cross sectional study using samples of 30 subjects who were selected with consecutive non random sampling. The subjects were acquired from acute stroke patients who were proven clinically and using computed tomography (CT) scan at Haji Adam Malik General Hospital. Demographic data were analyzed using descriptive statistic. The result showed that there were no difference in demographical characteristics between the subjects. In conclusion, there were no differences in mean of CKMB, troponin T, hemoglobin, and electrolytes in acute stroke. No correlation was found between acute stroke and concentration of CKMB, troponin T, hemoglobin, and electrolytes.

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The Difference of Serum Gastrin-17 Level Based on Gastritis Severity and Helicobacter Pylori Infection

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.325 ◽

2019 ◽

Vol 7 (8) ◽

pp. 1266-1269

Author(s):

Dumawan Harris Parhusip ◽

Gontar Alamsyah Siregar ◽

Leonardo Basa Dairi

Keyword(s):

Serum Gastrin ◽

Demographic Data ◽

Cross Sectional Study ◽

Mucosal Inflammation ◽

P Value ◽

Cross Sectional ◽

Significant Difference ◽

Sydney System ◽

The Difference ◽

H Pylori

BACKGROUND: Gastritis was defined as the histological presence of gastric mucosal inflammation. One of the most common aetiology was H. pylori. Gastrin-17 was a hormone that was secreted by G cells. H. pylori infection induced increased in gastrin-17 in gastritis. Therefore, this study was to investigate the relationship of gastrin-17 with gastritis severity and H. pylori infection. AIM: To determine the difference in serum Gastrin-17 level based on gastritis severity and H. pylori infection. METHODS: A cross-sectional study enrolling 45 patients with gastritis was conducted in Haji Adam Malik General Hospital between April and July 2018. Endoscopy and biopsy examinations were performed to confirm the diagnosis of gastritis. Gastritis severity was assessed using the Updated Sydney System. The presence of H. pylori infection was detected by a Campylobacter-like organism (CLO) examination. Gastrin-17 level and demographic data were also gathered. The analysis was done using Mann Whitney and Kruskal-Wallis test. P-value of < 0.05 was considered statistically significant. RESULTS: Serum Gastrin-17 level was significantly different based on gastritis severity (P = 0.001 according to neutrophils infiltration and P = 0.023 according to degree of atrophy), H. pylori infection (P = 0.038), and combined gastritis severity and H. pylori infection (P < 0.001). Serum Gastrin-17 level was higher in subjects with severe neutrophils infiltration, without atrophy, and with H. pylori infection. CONCLUSION: There was a significant difference in serum Gastrin-17 level based on gastritis severity and H. pylori infection.

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PERBEDAAN RERATA FAKTOR HEMOSTASIS PADA PREEKLAMPSIA BERAT DAN EKLAMPSIA

JOURNAL OBGIN EMAS ◽

10.25077/aoj.2.1.10-15.2018 ◽

2019 ◽

Vol 2 (1) ◽

pp. 10-15

Author(s):

Dyhan Purna Setia ◽

Ferdinal Ferry ◽

Dovy Djanas

Keyword(s):

Medical Record ◽

Cross Sectional Study ◽

Severe Preeclampsia ◽

Inclusion Criteria ◽

Exclusion Criteria ◽

Cross Sectional ◽

Hemostatic Factors ◽

The Mean ◽

The Difference ◽

D Dimer

Objective : To find the difference in mean hemostatic factors in severe preeclampsia and eclampsia.Method : The study was analytic descriptive using a cross sectional study design by looking at the subject's Medical Record according to the time and place of research. The sample is the entire medical record of pregnant women who suffer from preeclampsia and eclampsia in the obstetric and gynecology departments of Dr. M. Djamil Padang Hospital in the period 15 January 2016 to 31 December 2017. The assessment was in the form of assessed platelet levels, PT, APTT and D-Dimer. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using consecutive sampling techniques taken from the Medical Record Dr. M.Djamil Padang. Statistical analysis to assess significance using the T-Test.Result : The severity the condition of pregnancy the lower the platelet mean and PT. Significant differences were obtained between platelets in PEB and eclampsia (p> 0.05). The mean PT, APTT and D-Dimer showed no significant differences in pregnancy conditions. Statistical test with T-Test did not show significant differences in mean PT, APTT, and D-dimer between eclampsia and PEB (p> 0.05).Conclusion : There were significant differences in mean in platelets, whereas in PT, APTT, and D-dimers in PEB and eclampsia there were no significant differences.Keywords: Pregnancy, severe preeclampsia, eclampsia, platelets, PT, APTT, D-Dimer.

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Knowledge and Severity of Female Urinary Incontinence and Reasons for Not Seeking Treatment

Majalah Kedokteran Bandung ◽

10.15395/mkb.v53n3.2310 ◽

2021 ◽

Vol 53 (3) ◽

pp. 138-142

Author(s):

Hadi Susiarno ◽

Ryandra Prakasa ◽

Budi Handono

Keyword(s):

Urinary Incontinence ◽

Medical Condition ◽

Cross Sectional Study ◽

Inclusion Criteria ◽

Chi Square ◽

Cross Sectional ◽

Menopausal Women ◽

Chi Square Test ◽

The Difference ◽

Post Menopausal

Urinary incontinence (UI) is a commonly overlooked problem in women, particularly women of post-menopausal age. Despite the medical, social, and hygiene burdens conferred by UI to its sufferers, past studies have shown that only a few among women afflicted with UI sought treatment. This may be due to various reasons: lack of knowledge and awareness of UI or a wrong belief of UI as a natural part of aging. This study aimed to investigate the association between knowledge and severity of UI and reasons for not seeking treatment among post-menopausal women in Bandung, Indonesia. This was an analytic cross-sectional study conducted at the Geriatric and Gynecology Clinic, Dr. Hasan Sadikin General Hospital, in September 2013. Ninety-one women who met the inclusion criteria were interviewed to assess their knowledge of UI. The severity of UI was assessed using Urinary Distress Inventory 6 (UDI-6). Data were analyzed using the chi-square test. Sixty-five respondents (70.7%) had poor knowledge of UI. Knowledge of UI was not associated with awareness of UI as a medical condition (p=0.633). The difference in UI severity was associated with the perception of UI as a normal part of aging (p=0.008). Post-menopausal women are poorly informed regarding urinary incontinence. However, knowledge alone might not be adequate to encourage women to seek treatment. Further studies are needed to investigate women’s reasons for not seeking treatment for UI.

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Mean Blood Pressure Difference among Adolescents Based on Dyssomnia Types

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2018.068 ◽

2018 ◽

Vol 6 (2) ◽

pp. 293-296 ◽

Cited By ~ 3

Author(s):

Krisnarta Sembiring ◽

Oke Rina Ramayani ◽

Munar Lubis

Keyword(s):

Blood Pressure ◽

Sleep Disturbance ◽

Demographic Data ◽

Cross Sectional Study ◽

Mean Blood Pressure ◽

P Value ◽

Cross Sectional ◽

Significant Difference ◽

Blood Pressure Data ◽

The Difference

BACKGROUND: Dyssomnia is the most frequent sleep disturbance and associated with increased blood pressure. There has been no study determining the difference in mean blood pressure based on dyssomnia types among adolescents.OBJECTIVE: To determine the difference in mean blood pressure among adolescents based on dyssomnia types.METHODS: a Cross-sectional study was conducted in SMP Negeri 1 Muara Batang Gadis in April 2016. Samples were students having sleep disturbance based on Sleep Disturbance Scale for Children (SDSC) questionnaire. Stature and blood pressure data were collected along with demographic data and sleep disorder questionnaire. Analyses were done with Kruskal-Wallis test and logistic regression. P - value < 0.05 was considered significant.RESULTS: Seventy-six samples were obtained with mean age 13.9 (SD 1.14) years - old. Dyssomnia proportion and hypertension were 72/76 and 20/76 respectively. Mean systolic (SBP) and diastolic blood pressure (DBP) was 111.1 (SD 16.46) mmHg and 70.3 (SD 11.98) mmHg respectively. Mean SDSC score was 49.7 (SD 8.96), and the most frequent dyssomnia type was disorders of initiating and maintaining sleep. Age and sex were not the risk factors of hypertension in dyssomnia. There was a significant difference in mean SBP (P = 0.006) and DBP (P = 0.022) based on dyssomnia types. Combination dyssomnia type had the highest mean blood pressure among dyssomnia types.CONCLUSION: There is a significant difference in mean blood pressure among adolescents based on dyssomnia types.

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Pattern of burn injury among patients admitted in a Tertiary Care Hospital of Jharkhand

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20182648 ◽

2018 ◽

Vol 5 (7) ◽

pp. 3056

Author(s):

Mithelesh Kumar ◽

Erum Yasmin ◽

Chandramani Kumar ◽

Vivek Kashyap

Keyword(s):

Burn Injury ◽

Tertiary Care ◽

Total Body Surface Area ◽

Developed Countries ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Burn Unit ◽

Total Body ◽

Flame Burn

Background: Burn despite being easily preventable is a critical health problem worldwide. With effective managements there is decline in burn cases in developed countries but trend is still rising in developing countries like India. This study was conducted to know the socio-demographic profile and pattern of burn injury in patients admitted in burn unit of tertiary care hospital.Methods: A hospital based cross sectional study was conducted for a period of six months using semi-structured questionnaire for data collection. The patient or accompanying person was interviewed after taking consent. Clinical assessment was done to find% of total body surface area (TBSA) involved and most severely affected body part.Results: A total of 123 patients were admitted in burn unit. Female (72.3%) predominance was found with most common age group being 21-40 years. Majority was Hindus (72.4%), residing in rural area (79.7%) and married (60.2%). Accidental burn was in 92.7%, mostly occurring at home (91%). Flame burn was common in female and electric burn in male. Burn injury mostly involved up to 30% of TBSA (44.7%) with upper limb (39%) most severely injured. Only 35% were admitted on the same day of injury. Infection (57.7%) and amputation (7.3%) were two common complications. There were 12 (9.8%) deaths during the study period.Conclusions: Most vulnerable were female with flame burn due to unsafe cooking practices. Infection was the most common complication. Death was more in those who delayed admission in hospitals.

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The Severity of Malaria and Toxoplasmosis Co-Infections among Pregnant Women in Yaounde, Cameroon

Journal of Scientific Research and Reports ◽

10.9734/jsrr/2021/v27i530387 ◽

2021 ◽

pp. 22-32

Author(s):

Judith Lum Ndamukong-Nyanga ◽

Kitio Falone Linda ◽

Signi Todjom Chysine Lucile ◽

Demanou Teubow Dolly-Misper

Keyword(s):

Public Health ◽

Pregnant Women ◽

Severe Malaria ◽

Demographic Data ◽

Cross Sectional Study ◽

Sub Saharan Africa ◽

Cross Sectional ◽

The Public ◽

Significant Difference ◽

The Difference

Malaria and toxoplasmosis are two diseases caused by parasites of the same phylum (Apicomplexa). They have severe consequences on the health of pregnant women and their unborn babies. As such, they are of importance for the public health, especially in Sub-Saharan Africa and Cameroon. The aim of this study was to evaluate the severity of toxoplasmosis among malaria-positive pregnant women attending the Biyam-Assi District Hospital. It was a cross-sectional study that took place from May to November 2019 involving 232 pregnant women who voluntarily accepted to take part in the study. Demographic data was collected using structured questionnaires and blood was collectd by finger prick. Thick blood films were prepared for the detection of malaria and the Giemsa-stained slides were read microscopically. A drop of blood was used for the detection of toxoplasmosis using the chromatographic cassette (Rapid Diagnostic Test) and the results were read after 15 minutes. The data obtained was analysed using SPSS version 24. The results showed that the prevalence of toxoplasmosis was 22.84 %. This prevalence didn’t depend on the trimester of pregnancy (P = 0. 08). The prevalence of malaria was 38.9%. No significant difference was observed for either the prevalence or severity of malaria over the three trimesters of pregnancy (p = 0.60 and p = 0.9 respectively). The prevalence of co-infection with malaria and toxoplasmosis was 9.05%. Women without toxoplasmosis were more prone to severe malaria (20.29 %) than their counterparts who had toxoplasmosis (4.78 %) and the difference between these two groups was statistically significant (p = 0.02). The severity of toxoplasmosis was not influenced by the presence of Plasmodium (p = 0. 20). It was concluded that the occurrence and severity of toxoplasmosis in pregnant women does not depend on their malaria serological status. However, the presence of severe malaria in pregnant women depends on their toxoplasmosis status. Indeed, women already infected with T. gondii are less susceptible to malaria than their counterparts who are negative for toxoplasmosis. These findings suggest that T. gondii in a person confers some form of reistance to infections with Plasmodium. It was recommended that the Public Health Ministry in Cameroon could include screening for toxoplasmosis among the routine test for pregnant women in order to improve on the health of mother and baby.

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GAMBARAN GANGGUAN KADAR NATRIUM SERUM PADA PASIEN STROKE DI RSUP PROF. DR. R.D. KANDOU MANADO

JURNAL BIOMEDIK (JBM) ◽

10.35790/jbm.5.2.2013.2589 ◽

2013 ◽

Vol 5 (2) ◽

Author(s):

Mieke A. H. N. Kembuan

Keyword(s):

Acute Stroke ◽

Public Health Problem ◽

Cross Sectional Study ◽

Negative Influence ◽

Inclusion Criteria ◽

Stroke Patients ◽

Cross Sectional ◽

Chronic Disability ◽

The Mean ◽

The Difference

Abstract: World-wide, stroke is a main public health problem. It is one of the leading causes of chronic disability and death. Both hyponatremia and hypernatremia have a negative influence on the outcome of strokes. Hyponatremia is associated with increased mortality and complication rate, meanwhile hypernatremia is often found in the treatment of cerebral oedema in strokes. There are scarce data about natrium level disorders in acute strokes, especially from developing countries. This study aimed to describe the incidence of natrium disorders among acute stroke patients, and the difference of means of natrium based on the severity of the stroke and on GCS at admission. This was a hospital-based cross-sectional study. Samples consisted of 82 patients that met the inclusion criteria. The data of natrium levels were obtained from the hospital medical records. The results showed that the incidence of natrium disorders among acute stroke victims was 30%. The mean natrium level was 138.01 Meq/L (95% CI, 135.83-140.20). The incidence of hyponatremia was 28% while hypernatremia was 2%. There was no difference of mean-natrium-levels based on the severity of strokes (P > 0.05) and of GCS (P > 0.05). Conclusion: The incidence of natrium disorders among acute stroke patients was high but there was no difference between mean natrium levels based on the severity of strokes and of GCS. Keywords: natrium, natrium level disorders, acute stroke. Abstrak: Stroke termasuk dalam masalah kesehatan utama di masyarakat dan merupakan penyebab utama kecacatan kronik dengan angka mortalitas tertinggi ke-2 di seluruh dunia. Baik hiponatremia maupun hipernatremia memberikan pengaruh negatif terhadap keluaran stroke. Hiponatremia meningkatkan angka kematian dan komplikasi, sedangkan hipernatremia sering terdeteksi bersamaan dengan penanganan edema serebral pada stroke. Data mengenai insidens gangguan kadar natrium pada stroke akut masih sangat kurang, terutama dari negara-negara berkembang. Penelitian ini bertujuan untuk mendapatkan insidens gangguan kadar natrium pada pasien stroke akut dan deskripsi perbedaan rerata kadar natrium pada berbagai derajat defisit neurologi dan GCS saat masuk rumah sakit. Penelitian ini bersifat potong lintang berbasis rumah sakit dengan jumlah sampel sebanyak 82 dan kriteri inklusi tertentu. Hasil penelitian memperlihatkan angka insidens gangguan kadar natrium pada stroke akut sebesar 30%. Rerata kadar natrium 138.01 Meq/L (95% CI, 135,83-140,20). Hiponatremia didapatkan pada 28% kasus sedangkan hipernatremia pada 2% kasus stroke akut. Tidak terdapat perbedaan bermakna antara rerata kadar natrium berdasarkan beratnya stroke dan GCS (P > 0,05). Simpulan: Insidens gangguan kadar natrium pada stroke akut tinggi. Tidak terdapat perbedaan bermakna antara rerata kadar natrium berdasarkan beratnya stroke dan GCS. Kata kunci: natrium, gangguan kadar natrium, stroke akut.

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