Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga.
Holipah
Brawijaya University
Health Professions Medicine & Pharmacology Public Health

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Association Between Admission-to-Surgery Time and Outcomes in Traumatic Brain Injury at RSSA Yuddy Imowanto; Holipah; Sri Wahyuni
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 22 No. 1 (2026): June 2026
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol22.SMUMM1.44390

Abstract

Despite evidence that streamlined trauma protocols reduce preoperative delays and improve survival, delays from emergency department admission to surgical intervention remain common and are associated with poorer outcomes. Although international guidelines recommend decompression within a four-hour “golden period,” data on adherence in Indonesia remain limited. This retrospective cohort study evaluated 91 patients with traumatic brain injury (TBI) who underwent neurosurgical intervention at Saiful Anwar Hospital, Malang, between 2023 and 2024. The association between preoperative time intervals and clinical outcomes, including mortality, Glasgow Outcome Scale at hospital discharge (GOS-HD), and length of stay (LOS), was analyzed. Admission-to-surgery time was not significantly associated with mortality (p = 0.725) or GOS-HD (p = 0.648). However, prolonged total time to surgery (p = 0.029) and extended CT-to-surgery intervals (p = 0.026) were significantly associated with increased LOS. These findings indicate that while surgical delays may not directly affect short-term survival or functional outcomes, they contribute to longer hospitalization and reduced care efficiency. Efforts to minimize post-CT delays may improve workflow and optimize trauma care delivery.
Co-Authors Sri Wahyuni Yuddy Imowanto