scholarly journals TREATMENT PROFILES AND RISK FACTORS FOR CLINICAL OUTCOMES OF CONFIRMED COVID-19 AND PNEUMONIA PATIENTS AT FATMAWATI GENERAL HOSPITAL JAKARTA

2021 ◽  
pp. 154-157
Author(s):  
NOFRIA RIZKI AMALIA HARAHAP ◽  
RETNOSARI ANDRAJATI ◽  
AHMAD SUBHAN
Keyword(s):  
General Hospital ◽  
Clinical Outcomes ◽  
Study Data ◽  
Severe Illness ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Cross Sectional Design ◽  
Per Oral ◽  
Antibiotic Agents ◽  
Pneumonia Diagnosis

Objectives: This study aimed to investigate the treatment profiles and the risk factor for clinical outcomes of confirmed coronavirus disease-19 (COVID-19) and pneumonia patients at Fatmawati General Hospital Jakarta. Methods: This research was conducted using a cross-sectional design at Fatmawati General Hospital Jakarta. A total of 72 adults COVID-19 confirmed patients with pneumonia diagnosis from March to December 2020 were included in our study. Data were collected retrospectively by the patients’ medical record. Results: The percentage of critical or severe confirmed COVID-19 with pneumonia inpatients (66.7%) was higher than those who were having non-severe diseases (33.3%). 36 (50%) death were reported in our patient population. Patients received antiviral, antibiotics, and steroids during a treatment period. The most common antibiotic regimens were levofloxacin intravenous (IV) (18.8%) and azithromycin per oral (PO) (13.9%). Oseltamivir (83.3%) was the most frequently prescribed antiviral for the patients. A total of 41.7% of patients used steroids. In multivariable logistic regression analyses, the severity of COVID-19 disease was the only predictive factor of death in COVID-19 and pneumonia patients (p<0.001, OR=26.714, 95% confidence intervals: 5.526–129.135). Conclusion: Some drugs (antiviral, antibiotics, and steroids) have been prescribed to the confirmed COVID-19 with pneumonia patients. Oseltamivir and levofloxacin were the widely used antiviral and antibiotic agents in this study. The analysis showed that the disease severity was statistically associated with patient’s clinical outcomes. COVID-19 patients with the severe illness have a greater risk of death.

HUBUNGAN ANTARA UMUR IBU DAN JARAK KEHAMILAN DENGAN KEJADIAN PERDARAHAN POSTPARTUM DI RUANG KEBIDANAN RSUD KOTA PRABUMULIH TAHUN 2016

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Desti Widya Astuti Desti Widya Astuti
Keyword(s):  
General Hospital ◽  
Post Partum ◽  
District General Hospital ◽  
Study Data ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Post Partum Bleeding

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.

scholarly journals Cross-sectional observational study of epidemiology of COVID-19 and clinical outcomes of hospitalised patients in North West London during March and April 2020

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e044384
Author(s):  
Guduru Gopal Rao ◽  
Alexander Allen ◽  
Padmasayee Papineni ◽  
Liyang Wang ◽  
Charlotte Anderson ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Clinical Outcomes ◽  
Severe Infection ◽  
Older Age ◽  
Cross Sectional ◽  
North West ◽  
Icu Admission ◽  
Risk Of Death ◽  
Hospitalised Patients ◽  
Increased Risk

ObjectiveThe aim of this paper is to describe evolution, epidemiology and clinical outcomes of COVID-19 in subjects tested at or admitted to hospitals in North West London.DesignObservational cohort study.SettingLondon North West Healthcare NHS Trust (LNWH).ParticipantsPatients tested and/or admitted for COVID-19 at LNWH during March and April 2020Main outcome measuresDescriptive and analytical epidemiology of demographic and clinical outcomes (intensive care unit (ICU) admission, mechanical ventilation and mortality) of those who tested positive for COVID-19.ResultsThe outbreak began in the first week of March 2020 and reached a peak by the end of March and first week of April. In the study period, 6183 tests were performed in on 4981 people. Of the 2086 laboratory confirmed COVID-19 cases, 1901 were admitted to hospital. Older age group, men and those of black or Asian minority ethnic (BAME) group were predominantly affected (p<0.05). These groups also had more severe infection resulting in ICU admission and need for mechanical ventilation (p<0.05). However, in a multivariate analysis, only increasing age was independently associated with increased risk of death (p<0.05). Mortality rate was 26.9% in hospitalised patients.ConclusionThe findings confirm that men, BAME and older population were most commonly and severely affected groups. Only older age was independently associated with mortality.

Description of Pregnant Women's Nutritional Status Based on The Mid-Upper Arm Circumference in Sundari Medan General Hospital In 2019

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
David Franli ◽  
Makmur Sitepu ◽  
Hotma Partogi Pasaribu ◽  
Sake Juli Martina
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
General Hospital ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Energy Stores ◽  
Cross Sectional Design ◽  
Mid Upper Arm Circumference ◽  
Observational Descriptive Study

Introduction. Chronic energy deficieny (CED) is a condition of a body characterized by low body weight and low energy stores, possibly limited physical capacity due to deprivation of food over a long period time. Ministry of Health ( Kemenkes) showed that in 2015, 305 out of 100.000 death of pregnant women is realated to malnutriotion and CED. Objective. The aim of this study is to determine the overview of pregnant women nutritional status based on mid-upper arm circumference (MUAC) in Sundari Medan General Hospital. Method. The study was an observational descriptive study with a cross sectional design. The samples of this study consists of pregnant women from Sundari Medan Genaral Hospital, who had fulilled the inclusion and esclusion criteria by total sampling. Results.. Among 60 samples, the prevalance of Non-CED woman (85%) was found higher than the mild malnutrition (15%). Conclusion. Prevalance of CED pregnant women was found higher in risky age, middle educated and high income family.  

scholarly journals Response and Side Effects from Rheumatoid Arthritis Therapy at Dr. Soetomo General Hospital Surabaya 2017

2022 ◽  
Vol 13 (1) ◽  
pp. 9
Author(s):  
Ayu Imamatun Nisa ◽  
Awalia Awalia ◽  
Jusak Nugraha
Keyword(s):  
Rheumatoid Arthritis ◽  
Side Effects ◽  
General Hospital ◽  
Clinical Symptoms ◽  
Laboratory Data ◽  
Kidney Injury ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Cross Sectional Design ◽  
The Given

Introduction: Rheumatoid arthritis (RA) is an autoimmune disease which mainly attacks synovial membrane and causes systemic manifestation. During treatment, controlling disease activity is needed to prevent further complication. On the other hand, medications used in the treatment of RA may bring various side effects. It is important to evaluate side effects from the given therapy.Methods: This study aimed to evaluate response and side effects of therapy in RA patients. The samples were collected from 59 RA patients at Rheumatology Division of Outpatient Clinic in Department of Internal Medicine Dr. Soetomo General Hospital Surabaya in 2017. This study method was descriptive observational with cross sectional design using medical records.Results: Pain was reduced in 83.1% patients, Erythrocyte Sedimentation Rate (ESR) increased in 61.4% patients, and C-Reactive Protein (CRP) decreased in 50% patients. Based on the statistic analysis, ESR decreased significantly (p = 0.012) while CRP decreased not significantly (p = 0.415). The side effects were observed from clinical and laboratory data. Based on clinical symptoms, there were alopecia in 1.7% patient, dyspepsia in 78% patients, infection in 27.1% patients, and other symptoms including itchy skin, neuropathy, hyperuricemia, hyperkalemia and Acute Kidney Injury (AKI). Meanwhile, abnormalities in laboratory data include increased aspartate transaminase (AST) in 3.8% patients, increased alanine transaminase (ALT) in 26.1% patients, increased Blood Urea Nitrogen (BUN) in 7.9% patients, increased creatinine serum in 7.9% patients, decreased hemoglobin in 15.5% patients, and decreased leukocytes in 3.4% patients.Conclusion: Most patients had a good therapeutic response based on decreased pain, while ESR had a significant decrease and CRP did not have significant decrease. Side effects discovered in patients were various

scholarly journals Analysis of Factors Responsible for Preoperative Anxiety in Patients during the COVID-19 Pandemic at the Surgical Polyclinic of Sanglah General Hospital, Denpasar

2021 ◽  
Vol 1 (2) ◽  
pp. 54-61
Author(s):  
I Made Widhi Arthayasa ◽  
Ni Luh Putu Thrisna Dewi ◽  
Ni Gusti Ayu Putu Triyani ◽  
Ketut Lisna Wati
Keyword(s):  
General Hospital ◽  
Sampling Method ◽  
Preoperative Anxiety ◽  
Dominant Factor ◽  
Cross Sectional ◽  
Bivariate Data ◽  
Gender Education ◽  
Chi Squared ◽  
Cross Sectional Design ◽  
Bivariate Data Analysis

Surgery often causes anxiety in patients. Preoperative anxiety may cause delays of surgery due to physiological and psychological changes experienced by the patient. Preoperative anxiety is influenced by age, gender, education level, physical condition, and experience. The research objective was to analyze the influence of factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic. This research applied cross sectional design with 98 respondents who were selected by consecutive sampling method. Data were collected using the APAIS. Bivariate data analysis was performed using non-parametric Pearson’s chi-squared test and multivariate analysis with logistic regression. All patients experienced preoperative anxiety, most of which were in the moderate category (41.8%). Factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic were gender (p = 0.043, α = 0.05), education (p = 0.000, α = 0.05), and experience (p = 0.006, α = 0.05). The most dominant factor was experience with an odds ratio of 4.806. The influence of the three factors was 75.4% and the remaining 24.6% was influenced by other factors. Most respondents expressed their anxiety with fear and curiosity about surgical procedure so it is important for nurses to provide education about the surgery in order to reduce the level of preoperative anxiety in patients, especially female patients with lower levels of educational attainment who have never undergone surgery.

scholarly journals The Correlation Between Safety Climate With Unsafe Act In Apartment Building Construction Workers Pt. Multikon 2020

2021 ◽  
Vol 4 (2) ◽  
pp. 122
Author(s):  
Rahmah Amalina
Keyword(s):  
Safety Climate ◽  
Study Data ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Safety Communication ◽  
Work Accident ◽  
Work Accidents ◽  
Cross Sectional Design ◽  
Safety Priority

Construction is one of the highest industries in contributing to work accident rates. Unsafe act is the cause of 73% of work accidents. One way to prevent unsafe act is through safe behavior implemented by management and workers themselves. This study aims to determine the correlation between the safety climate with unsafe act. This research uses quantitative analytic methods with cross sectional design study. Data was analyzed using chi-square with a sample of 88 people selected by purposive sampling method. The results showed that the proportion of respondents who frequently perform unsafe acts was 33%. In bivariate analysis showed there were a relevant relationship between the dimensions of management safety empowerment (OR 2.455; 95% CI 1.06-5.87), worker’s safety priority and risk non-acceptance (OR 2.679; 95% CI 1.05- 6,83) and the dimensions of safety communication, learning and trust in co-worker’s safety competence (OR 2,500; 95% CI 1.05-5.91) with unsafe act. Workers who have a good perception of a safety climate rarely take unsafe actions.

scholarly journals Hubungan Pengetahuan Kesehatan Gigi dan Mulut dengan Status Kesehatan Gingiva pada Penyandang Tunanetra di Panti Tunanetra Manado

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Shinta Takahindangen
Keyword(s):  
Oral Health ◽  
Visually Impaired ◽  
Health Knowledge ◽  
Dental Health ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Visually Impaired People ◽  
Impaired People ◽  
Cross Sectional Design

Pengetahuan tentang kesehatan gigi dan mulut sangat penting untuk terbentuknya tindakan menjaga kesehatan gigi dan mulut. Pengetahuan dapat diperoleh antara lain melalui indra penglihatan. Penyandang tunanetra memiliki keterbatasan dalam penglihatan yang memengaruhi kemampuan dalam memperoleh pengetahuan dan memengaruhi tindakan menjaga kesehatan gigi dan mulut mereka. Penyandang tunanetra beresiko tinggi mengalami masalah kesehatan gigi dan mulut sehingga berdampak pula pada status kesehatan gingiva mereka. Tujuan dari penelitian ini ialah untuk mengetahui hubungan pengetahuan kesehatan gigi dan mulut dengan status kesehatan gingiva pada penyandang tunanetra di panti tunanetra Manado.Penelitian ini merupakan penelitian deskriptif analitik dengan pendekatan cross-sectional study. Data diperoleh dengan menggunakan kuesioner dan pemeriksaan status kesehatan gingiva menggunakan Modifikasi Indeks Gingiva. Data diperoleh dari 39 responden pada kelompok usia 11-40 tahun dengan menggunakan teknik total sampling. Data disajikan dalam bentuk tabel distribusi frekuensi. Hasil penelitian menunjukan tidak ada hubungan bermakna antara pengetahuan kesehatan gigi dan mulut dengan status kesehatan gingiva (p = 0,614).Kata kunci : pengetahuan kesehatan gigi dan mulut, tunanetra, status kesehatan gingivaABSTRACTKnowledge of dental health are important for the formation of action in oral health behaviour. Knowledge can be obtained, among others, through the sense of sight. Visually impaired people have limited vision that affects the ability to acquire knowledge and influence the action to maintain their oral health. They are at high risk for oral health problems that impact the gingival status. The aim of this study was to determine the correlation between dental health knowledge with gingival status in visually impaired people in Residence for visually impaired people in Manado. This study is a descriptive analytic study using a cross-sectional design. Dental health knowledge were assessed using the questionnaire and their gingival status was measured by Modified Gingival Index. Data obtained from 39 respondents in the age group 11-40 years by using the total sampling. Data presented in the form of a frequency distribution table. The results of study showed that there was no statistically significant correlation between oral health knowledge and gingival status (p = 0.614).Keywords : dental knowledge , visually impaired, gingival status

scholarly journals GAMBARAN KEJADIAN ARITMIA DAN KEJADIAN MORTALITAS PADA PASIEN STEMI DI RSUD ULIN BANJARMASIN

2017 ◽  
Vol 4 (2) ◽  
pp. 100
Author(s):  
Putri Anggraini ◽  
Abdurrahman Wahid ◽  
Noor Diani
Keyword(s):  
General Hospital ◽  
Electrical Conduction ◽  
Sinus Tachycardia ◽  
Sampling Technique ◽  
Heart Rhythm ◽  
Cardiac Cells ◽  
Cross Sectional ◽  
Total Incidence ◽  
Cross Sectional Design

ABSTRAKAritmia merupakan gangguan irama pada jantung bisa cepat, lambat dan ireguler. Komplikasi dari STEMI salah satunya adalah aritmia disebabkan adanya gangguan konduksi listrik dan sel jantung pada jantung. Angka kejadian aritmia 50% yang dapat mengakibatkan kematian. Tujuan penelitian mengetahui gambaran kejadian aritmia dan mortalitas pada pasien STEMI di Rumah Sakit Umum Daerah Ulin Banjarmasin Metode penelitian ini menggunakan metode penelitian deskriptif  dengan pendekatan cross sectional. Penelitian ini adalah pasien STEMI yang mengalami komplikasi aritmia dari 4 september 2015 – 31 desember 2015 dengan tekhnik pengambilan sampel yang digunakan adalah nonprobability sampling dengan jenis sampling aksidental. Instrumen yang digunakan lembar EKG dan lembar observasi. Hasil penelitian kejadian aritmia berjumlah 11 responden (65%), tidak aritmia 6 responden (35%). Kejadian mortalitas didapatkan 2 responden (12%). Rata – rata umur responden 57 tahun. Jenis kelamin laki – laki terdapat 15 responden (88%), perempuan 2 responden (12%). Kesimpulan prevalensi kejadian aritmia pada pasien STEMI tinggi, ditemukan irama sinus takikardi dan sinus bradikardi dapat mengakibatkan kematian.Kata – kata kunci: aritmia, mortalitas, STEMI.ABSTRACTArrhythmias are disturbances in the heart rhythm become fast, slow or irregular. Arrhythmia is a complication of STEMI. These arrhythmias can damage electrical conduction and cardiac cells in the heart. The incidence of arrhythmias is 50%, which can lead to death. The objective to describe the incidence of arrhythmias and an overview mortality in STEMI patients at the General Hospital of Ulin Banjarmasin. The methods of study was using a descriptive with cross sectional design to STEMI patients. This study has been done since 4 September 2015-31 December 2015 using accidental sampling technique. Instruments used ECG and observation sheet. The results of this study total incidence of arrhythmias were 11 respondents (65%), non arrhythmia 6 respondents (35%). The incidence of mortality was two respondents (12%). 15 respondents (88%), 2 female respondents (12%). It can be concluded the prevalence of arrhythmias in patients with STEMI is high, found with sinus tachycardia and bradycardia may result in death.Keywords: arrhythmias, mortality, STEMI.

scholarly journals Profile of Acyanotic Congenital Heart Defect in Children at Dr. Soetomo General Hospital Surabaya Period of January – December 2016

2019 ◽  
Vol 10 (2) ◽  
pp. 79
Author(s):  
Katherine Fedora ◽  
I Ketut Alit Utamayasa ◽  
Sri Purwaningsih
Keyword(s):  
General Hospital ◽  
Congenital Heart Defect ◽  
Congenital Heart ◽  
Management Strategies ◽  
Failure To Thrive ◽  
Structural Abnormality ◽  
Cross Sectional ◽  
Outpatient Unit ◽  
Heart Defect ◽  
Cross Sectional Design

Introduction: Acyanotic congenital heart defect is a congenital structural abnormality arising from incomplete formation of the heart or major blood vessels which generally do not interfere with the amount of oxygen or blood that reaches the body's tissues so that cyanosis are rarely found in these patients. This research aims to evaluate the profile of acyanotic congenital heart defect patients in Paediatric Cardiology Outpatient Clinic Dr. Soetomo General Hospital Surabaya period of January – December 2016 based on 4 variables; gender, age, nutritional status, type of congenital heart disease and symptoms. Until 2017, the profile of acyanotic congenital heart defect in children in Outpatient Unit of Paediatrics Department Dr. Soetomo General Hospital Surabaya has not been much researched, so this research is expected to be used as learning reference for practitioners and other readers, and also as a reference in developing management strategies for children with acyanotic congenital heart defect in the future. Methods: This was a descriptive non-experimental study using cross-sectional design and was performed by evaluating medical record of acyanotic congenital heart defect patients in Department of Paediatrics Dr. Soetomo General Hospital Surabaya period of January – December 2016 and analysed using Microsoft Excel. Results: The results of this study revealed that majority of acyanotic congenital heart defect patients were female (53.85%) with age range between 0 – <5 years old. Atrial septal defect (ASD) was the most common type of acyanotic congenital heart defect (49.8%), with sign and symptom that is commonly found in patients were failure to thrive (61.94%). Majority of patients also suffered from growth disruption with most of patients aged 0 – <5 years old are severely underweight (42.46%) and most of patients aged 5 – 18 years old are having malnutrition (38.23%).

scholarly journals EFFECT OF PRECONDITIONS AND UNSAFE ACTS ON EVACUATION DURATION IN FIRE DISASTER CONDITIONS (STUDY AT THE INPATIENT BUILDING OF GENERAL HOSPITAL R. KOESMA TUBAN

2021 ◽  
Vol 16 (2) ◽  
pp. 196
Author(s):  
Erwin Era Prasetya ◽  
Denny Ardyanto W ◽  
Hari Basuki Notobroto ◽  
Tjipto Suwandi
Keyword(s):  
General Hospital ◽  
Quantitative Method ◽  
Analysis Of Covariance ◽  
Test Results ◽  
Cross Sectional ◽  
Exercise Habits ◽  
Inpatient Ward ◽  
Fire Disaster ◽  
Cross Sectional Design ◽  
In Fire

ABSTRACTHospital fires have the potential to cause fatalities and huge material losses,  there were 22 hospital fires covered by newspapers in India in 2011-2012 with 102 dead. Buildings are considered safe if all occupants building threatened by fire must be able to exit and assembly point before available safe egress time. This study aimed to analyze the effect of preconditions and unsafe acts (violations of evacuation procedures) on evacuation duration in fire disaster conditions in the inpatient building of general hospital R. Koesma Tuban. This study was an observational study, a quantitative method and cross sectional design, which were carried out in April-July 2019. Analysis of Covariance test results stated preconditions (age, sex, exercise habits, location of inpatient ward, distance traveled) affect the duration of evacuation (p <0.05) while preconditions (interaction between workers and readiness of workers) don’t affect the duration evacuation (p> 0.05). Violation of evacuation procedures has the potential to influence the duration of evacuation (p = 0.054). The conclusions this study are age, gender, exercise habits, location of the inpatient ward, and distance traveled affect the duration of the evacuation. Keywords: Duration of evacuation, preconditions, violations of evacuation procedures, hospital

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