scholarly journals Positive Cumulative Fluids Balance Related to Mortality Events in Sepsis Patients Treated at Intensive Care Unit, Dr. Mohammad Hoesin General Hospital Palembang

2022 ◽  
Vol 2 (2) ◽  
pp. 190-204
Author(s):  
Zulkifli ◽  
Fredi Heru Irwanto ◽  
Legiran ◽  
Nadia Maharni
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
Fluid Balance ◽  
Roc Curve ◽  
Sepsis Patient ◽  
Chi Square ◽  
Positive Balance ◽  
Chi Square Analysis ◽  
The Relationship

Introduction. Sepsis is a syndrome that describes physiological dysfunction, pathological, and biochemistry caused by infection. Fluid balance is an indicator that can monitor input and output. This study was aimed to evaluate the relationship between positive cumulative fluid balance and the mortality rate of sepsis patients treated in the intensive care unit. Method: This study design is a retrospective study. The inclusion criteria consist of patients diagnosed with sepsis written in the medical record, 18-65 years old, and patients admitted in intensive care unit dr Moh. Hoesin General Hospital. Data were analyzed using SPSS 22.0 with the normality of data distribution, independent sample t-test, Mann-Whitney analysis, chi-square, Fisher’s Exact to measure the relationship, and using Medcalc version 14 application to measure cut-off value, ROC curve AUC, cross-sectional point, sensitivity, and specificity. Result. The result showed that characteristic between age (p=0,491), gender (p=0,703) did not differ significantly between survived and non-survived patient. Length of stay (p=0,002), balance (p=0,000), and ward unit (p=0,014) has a significant different between survived and non survived patient. In chi square analysis, p value=0,000with odds ratio 7,083. Cut-off value of ROC curve is -97 mL with AUC 0,844, sensitivity 76,1% and specificity 79,3%. Conclusion. Cumulative positive balance patient in the sepsis patient correlates with increased mortality in a sepsis patient in Dr. Mohammad Hoesin General Hospital Palembang.

scholarly journals HUBUNGAN MOTIVASI PERAWAT DENGAN KEPATUHAN PERAWAT DALAM PENERAPAN UNIVERSALPRECAUTION DI RSU RAJAWALI CITRA YOGYAKARTA

2018 ◽  
Vol 7 (2) ◽  
pp. 86-93
Author(s):  
Yunita Andika Mau ◽  
Agus Sarwo Prayogi
Keyword(s):  
Data Analysis ◽  
General Hospital ◽  
Nosocomial Infections ◽  
Sampling Technique ◽  
Universal Precaution ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Analysis ◽  
The Relationship ◽  
Moderate Relationship

Background: The nurse is the hospital's most frequent source of contact with the patient, so as to prevent nurses and patients from the risk of contracting nosocomial infections the need for nurse motivation to improve adherence in the application of universal precautions. Objective: To know the relationship between nurse motivation and nurse compliance in the application of universal precaution in Rajawali Citra Yogyakarta general hospital. Method: Type of research using descriptive quantitative with cross sectional approach. Number of samples of 45 nurses with total sampling technique. Data analysis using Chi-Square analysis. Results: The results showed that there was a correlation between nurse motivation and nurse compliance in the application of universal precaution at RSU Rajawali Citra Yogyakarta p = 0,000 (α0,05) with correlation coefficient strength that is equal to 0,547 or medium relationship. Conclusion: There is a correlation between nurse motivation and nurse compliance in the application of universal precaution in RSU Rajawali Citra Yogyakarta with moderate relationship.

scholarly journals Hubungan Kesadaran Individu Dengan Penerapan Patient Safety di Rumah Sakit Umum Daerah S. K. Lerik Kupang

2018 ◽  
Vol 16 (1) ◽  
pp. 59-65
Author(s):  
Kori Limbong
Keyword(s):  
Patient Safety ◽  
General Hospital ◽  
Total Population ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Poor Individual ◽  
Good Individual ◽  
Chi Square Analysis ◽  
The Relationship

Patient safety (patient safety) is one of the dimensions of quality that is currently the center of attention for healthcare practitioners on a national and international scale. This study aims to determine the factors associated with the application of patient safety in the inpatient room of the S.K Regional General Hospital. Lerik Kupang. This study uses a cross-sectional method with a correlation descriptive design. The population is all nurses in the inpatient unit of the S.K General Hospital. The number of 40 people with physical samples is the total population that meets the inclusion criteria of 34 people. The analysis used is the percentage for univariate and chi-square analysis to see the relationship between individual awareness and the application of patient safety by nurses in the inpatient room of the S.K Regional General Hospital. Lerik Kupang. The results showed that 20 respondents (59%) had poor individual awareness and the remaining 13 (38%) had good individual awareness in applying patient safety, 20 (59%) said that the application of patient safety in inpatient rooms was not good and the remaining 13 (38 %) said that the application of patient safety is good. From the results of chi-square analysis shows that there is a significant relationship between individual awareness with the application of patient safety at the S.K Regional General Hospital. Lerik Kota Kupang with a p-value of 0.003.

Preferences and Predictions Regarding Palliative Care in the Trauma Intensive Care Unit

2021 ◽  
pp. 000313482110335
Author(s):  
Katherine M. Kelley ◽  
Daisy Proksch ◽  
Sasha White ◽  
Jay Collins ◽  
Michael Martyak ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
End Of Life ◽  
Trauma Patients ◽  
Chi Square ◽  
Comfort Care ◽  
Exact Test ◽  
Trauma Population ◽  
Chi Square Analysis

Introduction In the older intensive care unit (ICU) trauma population, it is common to have to make decisions about end-of-life. We sought to demonstrate uncertainty of patients and providers in this area. Methods Our study is a prospective observational study of trauma patients 50 years and older admitted to the ICU. Patients or surrogates completed a survey including questions regarding end-of-life. Team members were surveyed with their expectation for patient outcome and appropriateness of palliative or comfort care. Patients were followed up for 6 months. Chi-square analysis and Fisher’s exact test were performed. Results 100 patients had data available for analysis. Surveys were completed by the patient for 39 while a surrogate completed the survey for 61 patients. There was a significant increase in uncertainty if a surrogate answered or if there had been no prior discussions about end-of-life. Nurse, resident, and attending predictions about hospital survival were similar with all groups predicting survival in 82%. 6-month survivors were only predicted to be alive 75% of the time. Ideas about comfort care were similar but there was more variation regarding a palliative care consult with nurses saying yes in 27% of surveys while physicians only said yes in 18%. Conclusions The significantly higher rates of uncertainty for both surrogates or in cases where no prior discussion had been had highlight the importance of having more conversations about end-of-life and documentation of advance directives prior to traumatic events. The difference in team member ideas about palliative care demonstrates a need for improved team communication.

scholarly journals HUBUNGAN ANTARA LAMA RAWAT DENGAN TINGKAT KECEMASAN KELUARGA PASIEN DI RUANG INTENSIVE CARE UNIT RSUD DR SOEKARDJO KOTA TASIKMALAYA

2019 ◽  
Vol 7 (1) ◽  
pp. 33-38
Author(s):  
Ida Rosidawati ◽  
Siti Hodijah
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Research Result ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Chi Square Test ◽  
Chi Square Analysis

Intensive Care Unit (ICU) is a unit care of critical patients with mood in fast. The activity in an ICU is always busy and limited time visit, which find the family difficult to communicate with patient,while critically ill patients are usually treated for a long time, this can trigger families to experienced anxiety. The purpose of this research is to determine the relationship between length of stay and the level of anxiety family patients who being treated in dr. Soekardjo Tasikmalaya Hospital. This method of this research is used quantitative correlative with cross sectional approach. The sample of this research is family of patients who were waiting in the ICU room as many as 16 persons by using accidental sampling for two weeks. The data collected by using HARS scale and Chi Square analysis. The research result showed that patients with new length of stay (mean = 3.81) as many as 7 people, families of patients not experiencing anxiety as many as 5 people (71%) and families who experienced anxiety as many as 2 people (29%). While patients with long duration of care (≥ mean = 3.81) as many as 9 people, the patient's family all experienced anxiety (100%). Chi-square test result showed p-value of 0.005 α 0.05. The conclusion of the results of this study is that there is a relationship between length of stay with the level of anxiety of the patient's family, so it is recommended that the nurse or other medical team always coordinate with the family regarding the actions taken to the patient.Keywords: Intensive Care Unit (ICU), Long Care, Anxiety, Family Patients

scholarly journals Correlation of SOFA Score and Hormone Value for Predicting 28-days Mortality for Septic Patients

2022 ◽  
Vol 2 (2) ◽  
pp. 243-252
Author(s):  
Zulkifli ◽  
Agustina Br Haloho ◽  
Ziske Maritska ◽  
Dipta Anggara
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Organ Dysfunction ◽  
Sofa Score ◽  
Sepsis Patient ◽  
Pearson Correlation ◽  
Old Patients ◽  
Medium Strength ◽  
History Of ◽  
Chi Square Analysis

Introduction. Sepsis is a group of symptoms of organ dysfunction that can be life-threatening because of dysregulation of body response toward ongoing infection. Organ dysfunction in sepsis can be measured by Sequential Organ Failure Assessment (SOFA) and T3 hormone. The study was aimed to identify the correlation of T3 in predicting mortality of 28 days patients in Intensive Care Unit RSMH Palembang. Method. This study design is cohort prospective. The inclusion criteria consist of a patient diagnosed with sepsis and septic shock in the Intensive Care Unit, 18-64 years old. Patients with a history of thyroid disease, pregnant or post-pregnancy, the patient admitted in referral from other hospitals, and patients with a history of psychiatry medication and thyroid medication were excluded. Data collected is the patient whose stay in Intensive Care Unit RSMH followed in 28 days from January 2021 until the sample was fulfilled (39 samples). Analyzing data was SPSS version 23 with chi-square analysis and Fisher's Exact to identify the relationship. Pearson correlation to identify correlation coefficient, and Medical application to measure AUC, cutoff value, sensitivity, and specificity. Result. The result showed that age (p=0,445). gender (p=1,00), need of ICU (p=0,228), isolation-nonisolation ward (p=0,437) didn't have any significant relationship toward mortality. SOFA score correlate statistically with positive correlation and medium strength (0,633) toward mortality of sepsis patient  (p=0,000). T3 hormon correlate positively with medium strength (0,514) toward mortality of sepsis patient (p=0,001). T3 hormone toward SOFA correlate negatively (-0,365) with significant correlation (p=0,22). T3 hormone has AUC 0,291 with sensitivity 3,3% and specificity 67,7%. Conclusion.  T3 hormone has a significant negative correlation to mortality in sepsis patients but cannot be used to predict mortality with a low AUC value (0,291).

PERSEPSI PETERNAK PADA KEPEMIMPINAN PENDAMPING DAN HUBUNGANNYA DENGAN PRODUKTIVITAS USAHA TERNAK DI PAGUYUBAN AL-AWWALIYAH, PASIRWANGI, GARUT, JAWA BARAT

2019 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Dwi Indah Sulistiani ◽  
Ujang Maman ◽  
Junaidi J
Keyword(s):  
Data Analysis ◽  
Secondary Data ◽  
Primary Data ◽  
Leadership Qualities ◽  
Chi Square ◽  
Education Experience ◽  
Spss Software ◽  
Chi Square Analysis ◽  
And Behavior ◽  
The Relationship

Objective of this research; 1) determine the perception of ranchers against the properties and behavior of the leadership of the companion in the Society of Al-Awwaliyah 2) analyze the relationship between productivity breeder with productivity of livestock in the Society of Al-Awwaliyah 3) identify the relationship perceptions of ranchers against the leadership companion with productivity of livestock in the Society of Al-Awwaliyah , The data used in this study are primary and secondary data. Primary data were obtained from questionnaires which stem from ranchers while secondary data sourced from literature in the form of books and articles. Data processing was performed using Chi-square analysis using SPSS software version 21. One of the factors relating to the productivity of ranchers is the perception of ranchers against the leadership of their companion. Leadership companion views of the nature and behavior of which is owned by a companion. Productivity ranchers indirectly related to the productivity of the cattle business. Characteristics breeder visits of age, years of education, experience ranchers, and businesses in addition to ranchers. The results of data analysis showed that there is a significant relationship between business other than ranchers with ranchers productivity. The relationship between the perception of the nature of the companion breeder with productivity ranchers produce Pearson Chi-Square value is 9.751 and Asymp. Sig. (2-sided) of 0.002. This is due to interest ranchers against leadership qualities possessed by a companion who produce prolific ranchers. Ranchers consider that a companion of his leadership qualities are ideal as a companion.

scholarly journals Lung ultrasound presentation of COVID-19 patients: phenotypes and correlations

2021 ◽  
Author(s):  
Gianmarco Secco ◽  
◽  
Marzia Delorenzo ◽  
Francesco Salinaro ◽  
Caterina Zattera ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Lung Ultrasound ◽  
Structure And Function ◽  
General Ward ◽  
Prognostic Role ◽  
Interstitial Syndrome ◽  
Lung Structure ◽  
And Function ◽  
The Relationship

AbstractBedside lung ultrasound (LUS) can play a role in the setting of the SarsCoV2 pneumonia pandemic. To evaluate the clinical and LUS features of COVID-19 in the ED and their potential prognostic role, a cohort of laboratory-confirmed COVID-19 patients underwent LUS upon admission in the ED. LUS score was derived from 12 fields. A prevalent LUS pattern was assigned depending on the presence of interstitial syndrome only (Interstitial Pattern), or evidence of subpleural consolidations in at least two fields (Consolidation Pattern). The endpoint was 30-day mortality. The relationship between hemogasanalysis parameters and LUS score was also evaluated. Out of 312 patients, only 36 (11.5%) did not present lung involvment, as defined by LUS score < 1. The majority of patients were admitted either in a general ward (53.8%) or in intensive care unit (9.6%), whereas 106 patients (33.9%) were discharged from the ED. In-hospital mortality was 25.3%, and 30-day survival was 67.6%. A LUS score > 13 had a 77.2% sensitivity and a 71.5% specificity (AUC 0.814; p < 0.001) in predicting mortality. LUS alterations were more frequent (64%) in the posterior lower fields. LUS score was related with P/F (R2 0.68; p < 0.0001) and P/F at FiO2 = 21% (R2 0.59; p < 0.0001). The correlation between LUS score and P/F was not influenced by the prevalent ultrasound pattern. LUS represents an effective tool in both defining diagnosis and stratifying prognosis of COVID-19 pneumonia. The correlation between LUS and hemogasanalysis parameters underscores its role in evaluating lung structure and function.

Coronary Care in a General Hospital

1971 ◽  
Vol 16 (3) ◽  
pp. 173-182 ◽  
Author(s):  
Gavin Shaw ◽  
Bernard Groden ◽  
Evelyn Hastings
Keyword(s):  
Myocardial Infarction ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
First Year ◽  
Duration Of Stay ◽  
Before And After ◽  
The Mean ◽  
Coronary Care ◽  
Made In

The establishment, staffing and structure and observations made in the first year of the existence of coronary care in an intensive care unit in a general hospital are recorded. Two hundred and twenty eight patients were admitted during the year in whom the diagnosis of myocardial infarction was confirmed. There were 29 deaths in the unit and 14 deaths occurred in the wards of the hospital after discharge from the unit. 49.1 per cent of the patients were admitted within 4 hours of the onset of symptoms and the mean duration of stay in the unit was 86.5 hours. The type of arrhythmia detected in the unit, and the treatment given to the patients both before and after admission to the intensive care unit are described.

Secondary stroke in patients with polytrauma and traumatic brain injury treated in an Intensive Care Unit, Karlovac General Hospital, Croatia

Injury ◽  
2015 ◽  
Vol 46 ◽  
pp. S31-S35 ◽  
Author(s):  
M. Belavić ◽  
E. Jančić ◽  
P. Mišković ◽  
A. Brozović-Krijan ◽  
B. Bakota ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Traumatic Brain Injury ◽  
Intensive Care ◽  
Brain Injury ◽  
General Hospital

HUBUNGAN PENGGUNAAN KOMPUTER DENGAN KEJADIAN NYERI KEPALA TIPE TEGANG PADA PEKERJA

2020 ◽  
Vol 9 (1) ◽  
pp. 27-38
Author(s):  
Suryanti Suryanti ◽  
Andi Ipaljri
Keyword(s):  
Sampling Technique ◽  
The United States ◽  
Chi Square ◽  
Cross Sectional ◽  
Tension Headaches ◽  
Technological Developments ◽  
Tension Type Headaches ◽  
Chi Square Analysis ◽  
Relationship Of ◽  
The Relationship

In the current era of globalization, humans always interact with technological developments. One result of the development of technology is the use of computers. The use of computers that are not under the ergonomic position causes effects on health, one of them is tension-type headaches. In the United States, 1-4% of patients coming to the Emergency Care Unit complain of headache, 90% of them are tension-type headaches. The proportion of migraine and other headache syndromes in the hospital. Harapan Bunda in 2011 and RS. Camatha Sahidya in Batam in Batam was 5% and 0.7% respectively. Whereas the incidence of tension headaches in 5 puskesmas in Batam in 2014 ranged from 0.5% - 1.3%. The proportion of tension headaches at the BIP Clinic in the January-April 2018 period is 1.5%. Tension-type headaches that occur continuously can cause barriers to daily activities. The purpose of this study is to determine the relationship of computer use with the incidence of tension-type headaches in workers. This research uses a descriptive-analytic method with a cross-sectional approach. The sampling technique is purposive sampling. Of 97 respondents who visited the clinical BIP that met the criteria, it was found that computer user respondents experienced tension-type headaches of 18 people (42.9%) and not tension-type headaches of 24 people (57.1%). Whereas the respondents who were not computer users experienced tension-type headaches of 10 people (18.2%), and non-tension-type headaches of 45 people (81.8%). Bivariate chi-square analysis showed that p = 0.008 (p <0.05). This means that Ha is accepted and H0 is rejected.

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