Gambaran Pasien yang Menjalani Prosedur Bedah Emergensi di RSUP Prof. Dr. R. D. Kandou Manado Periode Januari - September 2019

Abstract: Emergency surgery is performed to avoid further complications of the disease or to save the patient's life. Albeit, there are lack of data in various health centers in Indonesia regarding the evaluation of emergency surgical patients, This study was aimed to obtain the profile of patients undergoing emergency surgical procedures in the Emergency Department of Surgery at Prof. Dr. R. D. Kandou Hospital Manado from January to September 2019. This was a retrospective and descriptive study using patients’ medical records. The results showed that there were 540 patients in this study. Most of the patients were adult age group (18-59 years) as many as 343 patients (63.5%), males 366 patients (67.8%), and non-traumatic cases 436 patients (80.4%). The most common cases of trauma was epidural hemorrhage as many as 23 patients (4.3%) meanwhile the most common non-traumatic cases was chronic kidney disease as many as 122 patients (22.6%). According to the type of surgery, CDL insertion and laparotomy were performed on 131 patients each (24.3%). In conclusion, most patients undergoing emergency surgical procedures were 18-59 years old, males, and non-traumatic cases.Keywords: emergency surgery, traumatic cases, non-traumatic cases Abstrak: Bedah emergensi dilakukan dalam keadaan sangat darurat untuk menghindari komplikasi lanjut dari proses penyakit atau untuk menyelamatkan jiwa pasien. Data mengenai pasien bedah emergensi di berbagai pusat kesehatan di Indonesia masih sangat kurang. Penelitian ini bertujuan untuk mendapatkan gambaran pasien yang menjalani prosedur bedah emergensi di IGD Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Januari sampai September 2019. Jenis penelitian ialah deskriptif retrospektif, menggunakan data rekam medik pasien. Hasil penelitian menunjukkan bahwa dari 540 pasien, didapatkan pasien terbanyak dari golongan usia dewasa (18-59 tahun) yaitu 343 pasien (63,5%), jenis kelamin laki-laki 366 pasien (67,8%), dan kasus non-trauma 436 pasien (80,4%). Kasus trauma terbanyak yaitu epidural hemorrhage pada 23 pasien (4,3%) sedangkan kasus non trauma terbanyak chronic kidney disease pada 122 pasien (22,6%). Menurut jenis tindakan operasi yang terbanyak ialah insersi CDL dan laparotomy, masing-masing 131 pasien (24,3%). Simpulan penelitian ini ialah pasien yang menjalani prosedur bedah emergensi terbanyak ialah usia 18-59 tahun, jenis kelamin laki-laki, dan jenis kasus non-trauma.Kata kunci: bedah emergensi, kasus trauma, kasus non-trauma

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Gambaran Anemia pada Subjek Penyakit Ginjal Kronik Stadium 4 dan 5 di Poliklinik Ginjal-Hipertensi RSUP Prof. Dr. R. D. Kandou

e-CliniC ◽

10.35790/ecl.v8i1.27097 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Yordhan Tamsil ◽

Emma Sy. Moeis ◽

Frans Wantania

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Medical Records ◽

Iron Status ◽

Descriptive Study ◽

Transfusion Therapy ◽

Female Age ◽

Stage 4 ◽

Almost All ◽

Age Range

Abstract: Anemia is a complication of chronic kidney disease (CKD) that often occurs. Moreover, it can occur earlier than other complications of CKD in almost all patients with late stage kidney disease. This study was aimed to obtain the profile of anemia in subjects with stage 4 and 5 of chronic kidney disease. This was a retrospective and descriptive study using medical records of patients with CKD associated with anemia for two years. The results showed that of 428 CKD patients, 131 suffered from anemia (30.60%). The majority of patients were female (54.19%), age range 60-69 years (44.27%), non-dialysis stage 5 of CKD patients (74.04%), had sufficient iron status (79.38%). However, 15,26% of the 131 patients got blood transfusion therapy. In conclusion, the majority of CKD patients were stage 5 ND, female, age range of 60-69 years, had sufficient iron status, and were not treated with blood transfusion.Keywords: chronic kidney disease, anemia Abstrak: Anemia merupakan komplikasi penyakit ginjal kronik (PGK) yang sering terjadi, bahkan dapat terjadi lebih awal dibandingkan komplikasi PGK lainnya dan hampir pada semua pasien penyakit ginjal tahap akhir. Penelitian ini bertujuan untuk mengetahui gambaran anemia pada subyek penyakit ginjal kronik stadium 4 dan 5 di Poliklinik Ginjal-Hipertensi RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah metode deskriptif retroskpektif dengan mengunakan data rekam medik pasien PGK dengan anemia selama dua tahun. Hasil penelitian memperlihatkan dari 428 pasien PGK didapatkan 131 pasien dengan anemia pada PGK (30,60%). Mayoritas pasien ialah jenis kelamin perempuan (54,19%), usia 60-69 tahun (44,27%), dan PGK derajat 5 non-dialisis (74,04%), memiliki status besi cukup (79,38%). Terdapat 15,26% dari pasien yang mendapatkan terapi transfusi darah. Simpulan penelitian ini ialah pasien terbanyak dengan derajat 5 ND, jenis kelamin perempuan, rentang usia 60-69 tahun, dengan status besi cukup, dan tidak mendapat terapi transfusi darah.Kata kunci: penyakit ginjal kronik, anemia

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Beberapa Faktor Risiko Kejadian Penyakit Ginjal Kronik (PGK) Stadium V pada Kelompok Usia Kurang dari 50 Tahun (Studi di RSUD dr.H.Soewondo Kendal dan RSUD dr.Adhyatma,MPH Semarang)

Jurnal Epidemiologi Kesehatan Komunitas ◽

10.14710/jekk.v3i1.3099 ◽

2018 ◽

Vol 3 (1) ◽

pp. 1

Author(s):

Ariyanto Ariyanto ◽

Suharyo Hadisaputro ◽

Lestariningsih Lestariningsih ◽

Mateus Sakundarno Adi

Keyword(s):

Risk Factors ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Herbal Medicine ◽

Energy Drink ◽

Regression Result ◽

Age Group ◽

Case Control Studies ◽

Ckd Stage ◽

Energy Drink Consumption

Background: Chronic Kidney Disease (CKD) stage V is an end-stage chronic kidney disease characterized by glomerular filtration rate less than 15 mL /min /1.73 m2 and require dialysis therapy. The purpose of this study to prove risk factors the occurrence of CKD Vin the age group of less than 50 years. Method: This study was a mixed method, case-control studies design were inforced with indepht interview. Total respondents were 124 (62 cases and 62 controls) that taken by consecutive sampling. Research instrument was a questionnaire interview. Data analysis using univariate, bivariate (chi-square) and multivariate (logistic regression). Result: The variables that proved to be a risk factor for CKD V in the age group of less than 50 years were supplement energy drink consumption > 4 times/week (p=0.038; 95%CI = 1.063-7.944; OR=2.905), smoking ≥ 10 ciggarets/day (p=0.011; 95%CI=1.384-11.920; OR=4.061), and herbal medicine consumption > 4 times/week (p=0.007; 95%CI=1.431-9.949; OR=3.773). Variables that not proved were the consumption of coffee, supplements of vitamin C, soft drinks, alcohol, and NSAIDs. Qualitative results stated that the respondents consumed energy drink supplements to increase their stamina, smoke because it has become a habit, and consume herbal medicines because seen more natural and cure the sciatica fastly.Conclusion: Risk factors for the occurrence of CKD V in the age group of less than 50 years were the supplement energy drink consumption> 4 times/week, smoking ≥ 10 ciggarets/day, and the consumption of herbal medicine> 4 times/week.

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Beberapa Faktor Risiko Kejadian Penyakit Ginjal Kronik (PGK) Stadium V pada Kelompok Usia Kurang dari 50 Tahun (Studi di RSUD dr.H.Soewondo Kendal dan RSUD dr.Adhyatma,MPH Semarang)

Jurnal Epidemiologi Kesehatan Komunitas ◽

10.14710/j.e.k.k.v3i1.3099 ◽

2018 ◽

Vol 3 (1) ◽

pp. 1

Author(s):

Ariyanto Ariyanto ◽

Suharyo Hadisaputro ◽

Lestariningsih Lestariningsih ◽

Mateus Sakundarno Adi

Keyword(s):

Risk Factors ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Herbal Medicine ◽

Energy Drink ◽

Regression Result ◽

Age Group ◽

Case Control Studies ◽

Ckd Stage ◽

Energy Drink Consumption

Background: Chronic Kidney Disease (CKD) stage V is an end-stage chronic kidney disease characterized by glomerular filtration rate less than 15 mL /min /1.73 m2 and require dialysis therapy. The purpose of this study to prove risk factors the occurrence of CKD Vin the age group of less than 50 years. Method: This study was a mixed method, case-control studies design were inforced with indepht interview. Total respondents were 124 (62 cases and 62 controls) that taken by consecutive sampling. Research instrument was a questionnaire interview. Data analysis using univariate, bivariate (chi-square) and multivariate (logistic regression). Result: The variables that proved to be a risk factor for CKD V in the age group of less than 50 years were supplement energy drink consumption > 4 times/week (p=0.038; 95%CI = 1.063-7.944; OR=2.905), smoking ≥ 10 ciggarets/day (p=0.011; 95%CI=1.384-11.920; OR=4.061), and herbal medicine consumption > 4 times/week (p=0.007; 95%CI=1.431-9.949; OR=3.773). Variables that not proved were the consumption of coffee, supplements of vitamin C, soft drinks, alcohol, and NSAIDs. Qualitative results stated that the respondents consumed energy drink supplements to increase their stamina, smoke because it has become a habit, and consume herbal medicines because seen more natural and cure the sciatica fastly.Conclusion: Risk factors for the occurrence of CKD V in the age group of less than 50 years were the supplement energy drink consumption> 4 times/week, smoking ≥ 10 ciggarets/day, and the consumption of herbal medicine> 4 times/week.

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302 Adverse Clinical Outcomes in Patients with Chronic Kidney Disease and Metabolic Acidosis: A Longitudinal Analysis from Electronic Medical Records of >50,000 Patients

American Journal of Kidney Diseases ◽

10.1053/j.ajkd.2019.03.304 ◽

2019 ◽

Vol 73 (5) ◽

pp. 722

Keyword(s):

Chronic Kidney Disease ◽

Metabolic Acidosis ◽

Kidney Disease ◽

Clinical Outcomes ◽

Electronic Medical Records ◽

Longitudinal Analysis ◽

Medical Records

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Pharmacotherapy assessment in chronic kidney disease: validation of the pair instrument for use in Brazil

Brazilian Journal of Nephrology ◽

10.1590/2175-8239-jbn-2019-0205 ◽

2020 ◽

Author(s):

Alessandra Batista Marquito ◽

Hélady Sanders Pinheiro ◽

Natália Maria da Silva Fernandes ◽

Rogério Baumgratz de Paula

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Clinical Judgment ◽

Medical Records ◽

Chronic Renal Disease ◽

Drug Related Problems ◽

Longitudinal Observational Study ◽

Clinically Significant ◽

Validated Instrument ◽

Level Of Agreement

Abstract Individuals with chronic kidney disease (CKD) use polypharmacy, which, in combination with renal impairment, exposes them to the risk of drug-related problems (DRPs). There are no available tools in Brazil to systematically assess the pharmacotherapy and management of DRPs in this population. Therefore, the objective of this work was to validate the PAIR instrument (Pharmacotherapy Assessment in Chronic Renal Disease) for use in Brazilian Portuguese. This is a retrospective longitudinal observational study. Medical records from 100 CKD patients under conservative treatment, between 2016 and 2017, in a nephrology clinic, were analyzed. PAIR was applied by pharmacists in two consultations of the same patient, with an interval of 6 months. Reliability, conceptual validity, responsiveness of the instrument and prevalence of DRPs in the studied sample were assessed. A mean of 1.26 ± 0.96 DRPs/patient was identified. Inter-rater reliability coefficients (k) ranged from 0.58 to 0.94 and from 0.79 to 1.00 for test-retest, revealing moderate to perfect level of agreement. In conceptual validity, a mean of 1.60 ± 1.24 DRPs/patient was identified by the nephrologist through clinical judgment, compared to 1.33±0.76 DRPs/patient identified by the pharmacist using PAIR (p = 0.07). Therefore PAIR allowed the identification of clinically significant DRPs. In responsiveness, a mean of 1.26 ± 0.96 DRPs/patient was identified at the first consultation and 1.11 ± 1.02 DRPs/patient at the subsequent consultation (p = 0.17) by the pharmacist using PAIR. The number of DRPs between the periods did not change. As a conclusion, the PAIR allowed the identification of clinically significant DRPs in CKD, constituting a new validated instrument to be used in Brazil.

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Clinico-biochemical profile of chronic kidney disease patients in elderly age group in a tertiary care centre

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20194997 ◽

2019 ◽

Vol 7 (11) ◽

pp. 4227

Author(s):

Atul V. Rajkondawar ◽

Amit Yele

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Elderly Patients ◽

Tertiary Care ◽

P Value ◽

Age Group ◽

Elderly Age ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Significant Difference

Background: Chronic kidney disease (CKD) remains one of the major health problems in India. Renal function steadily deteriorates as age advances and advancing age has been indicted to have adverse implications in the disease progression to end stage renal disease (ESRD). With the present study, clinico-biochemical profiling of chronic kidney disease patients in geriatric age group as well as comparison with non-elderly patients was undertaken.Methods: In this cross-sectional observational study, 100 patients of CKD admitted in the tertiary care study centre were enrolled consecutively and assessed for symptoms, signs and biochemical parameters over two years. Study subjects were divided into two groups:- Group 1: Elderly patients- aged 60 years or more, and Group 2: Non-elderly patients- less than 60 years of age. Relevant comparisons were drawn statistically and tested for significance.Results: Pallor and pedal edema were observed to be the commonest clinical features across groups. Elderly group shows higher prevalence of severe anaemia (mean hemoglobin- 7.4 gm%). Higher prevalence of clinical and biochemical derangement was found in patients with relatively lower GFR. Elderly age group also had more prevalence of electrolyte abnormalities compared with non-elderly population, with statistically significant difference observed for hyponatremia (p value- 0.023), hypoproteinemia (p value- 0.0078) and blood urea level (p value- 0.0054).Conclusions: Understanding beforehand the biochemical abnormalities associated with old age in CKD patients helps in appropriate modifications in patient management.

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EVALUASI PENGGUNAAN TERAPI ANTIHIPERTENSI PADA PASIEN GAGAL GINJAL KRONIK DENGAN HEMODIALISIS

Media Ilmu Kesehatan ◽

10.30989/mik.v8i1.249 ◽

2019 ◽

Vol 8 (1) ◽

pp. 1-8

Author(s):

Nadia Husna ◽

Niken Larasati

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Antihypertensive Therapy ◽

Medical Records ◽

Channel Blocker ◽

Antihypertensive Drugs ◽

Financial Burden ◽

Hospitalization Rate ◽

Stage Renal Disease ◽

End Stage

Background: End Stage Renal Disease (ESRD) occurs when Glomerular Filtration Rate (GFR) falls below 15 ml/minute/1.73m2. This condition leads to Renal Replacement Therapy (RRT) intervention namely dialysis and kidney transplantation. The intervention inclines morbidity and hospitalization rate which means more physical and financial burden to patients as the consequences. One of the physical side effects that becomes a major cause of increasing cardiovasculer mortality is hypertension. Objective: The purpose of this study was to analyze the rationale of antihypertensive therapy in haemodialysis patients. Methods: A descriptive, purposive, non experimental study gathering medical records of 97 hemodialysis with antihypertensive therapy patients of PKU Muhammadiyah Gamping hospital who were admitted from June until August 2018 was held in this study. Results: Majority of patients were female (63,92%), aged between 41-75 years (83,50%), and diagnosed with chronic kidney disease (CKD) (95,58%), received three combination of antihypertensive drugs (38,14%) using Calcium Channel Blocker namely amlodipin (20,86%). The analysis of antihypertensive therapy including accurate drugs, patients, and dosage were 83,51%, 100%, and 97,72% respectively. Conclusion: The use of antihypertensive drugs in CKD patient in PKU Muhammadiyah Gamping was approprite Keywords: Antihypertension, chronic kidney disease, evaluation, hemodialysis, hospital.

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The impacts of parenteral vitamin B1, B6, B12 on hemoglobin levels in chronic kidney disease patients undergoing hemodialysis

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i4.3171 ◽

2020 ◽

Vol 11 (4) ◽

pp. 5426-5430

Author(s):

Rizaldy Taslim Pinzon ◽

Radian Adhiputra Antonius ◽

Vanessa Veronica ◽

Yosua Pither Parianto

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Medical Records ◽

Sampling Methods ◽

Chronic Renal Disease ◽

Vitamin B1 ◽

Secondary Data ◽

Hemoglobin Level ◽

Oxidative Decarboxylation ◽

Vitamin B

Chronic kidney disease is a disorder of renal function and structure. The glomerular filtration rate was below the normal value and less than 60 ml/minute /1.73 m2 for more than 3 months. Patients with chronic kidney disease have erythropoietin in small amounts, and cause anemia. Vitamin B1 acts as oxidative decarboxylation reactions, B6 necessary to heme synthesis, and B12 converts homocysteine to methionine. This study aims to measure the impacts of parenteral vitamin B1, B6, B12 on hemoglobin level in chronic renal disease patients undergoing hemodialysis at Bethesda Hospital Yogyakarta and Panti Rapih Hospital Yogyakarta. The design of this study was one group pretest-posttest using secondary data from lab results from medical records. Data were collected from 117 patients using consecutive sampling methods at Bethesda Hospital Yogyakarta and Panti Rapih Hospital Yogyakarta in March 2019. The treatment given was parenteral vitamin B1, B6, B12 twice a week with a dose of 2 ml. Vitamin B was given intravenously after each hemodialysis. Hemoglobin levels were measured 3 times on 1st visit (before vitamin B administration), 2nd visit (after vitamin B administration), and 3rd visit (after vitamin B administration). There were significant differences of hemoglobin levels on 2nd visit compared to 1st visit (p = 0,000); 3rd visit compared to 1st visit (p = 0,000) and 3rd visit compared to 2nd visit (p = 0.010). Parenteral vitamin B1, B6, B12 gave significant impacts on hemoglobin level and was safe for chronic kidney disease patients undergoing hemodialysis.

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Chronic Kidney Disease Prediction based on Blood Potassium Levels using Machine Learning

International Journal of Innovative Technology and Exploring Engineering - Special Issue ◽

10.35940/ijitee.b7113.129219 ◽

2019 ◽

Vol 9 (2) ◽

pp. 4194-4199

Keyword(s):

Machine Learning ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Medical Records ◽

Research Study ◽

Machine Learning Algorithms ◽

Disease Prediction ◽

Blood Potassium ◽

Gain Access

Machine learning is an artificial intelligence(AI) technology that provides the systems with the knowledge and capability to learn and evolve automatically from specifically programmed experiences. This focuses on designing computer programs that are able to gain access and use information on their own. Kidney damage or decreased activity for more than three months is known as chronic kidney disease.This illness occurs when the kidneys can no longer expel extra water or waste from human blood. The goal of this research study is to prepare a predictive modeling for chronic kidney disease data to analyze the different open source python module and output the results predicted by machine learning algorithms and determine the accuracy by comparing different algorithms such as KNN and Logistic Regression which are primarily used for classification of data. This algorithm makes predictions on a dataset collected from the patient's medical records. It gives us the clarity that if someone has chronic kidney disease or not primarily based on a person's blood potassium levels present in their body.

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