Djayanti Sari
Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta

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Perioperatif Operasi pada Fetus Yusuf Raksawardana; Djayanti Sari; Pinter Hartono
Jurnal Komplikasi Anestesi Vol 12 No 3 (2025)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v12i3.27659

Abstract

Anesthetic risk is inversely proportional to age, with neonates having a higher risk of mortality and morbidity compared to adults. Understanding these differences is essential for appropriate perioperative evaluation, preparation, planning, and anesthetic management in neonatal and fetal surgery. Advances in prenatal diagnostic techniques have improved the accuracy of fetal anomaly detection, enabling timely surgical intervention when indicated. Fetal surgery includes minimally invasive procedures, open fetal surgery, and ex utero intrapartum treatment (EXIT) procedures. Surgical intervention is considered when congenital abnormalities threaten fetal survival or lead to severe postnatal morbidity.
HUBUNGAN ANTARA KOMORBIDITAS DAN KUALITAS HIDUP PASIEN GERIATRI YANG MENJALANI ANESTESI DI RSUP DR. SARDJITO Baiq Dessy Resmana Dewi; Djayanti Sari; Sudadi Sudadi
Jurnal Komplikasi Anestesi Vol 13 No 3 (2026)
Publisher : This journal is published by the Department of Anesthesiology and Intensive Therapy of Faculty of Medicine, Public Health and Nursing, in collaboration with the Indonesian Society of Anesthesiology and Intensive Therapy , Yogyakarta Special Region Br

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jka.v13i3.29408

Abstract

Background: Geriatricians undergo an aging process involving molecular and cellular changes that lead to physiological changes. These changes have led to the emergence of comorbidities suffered by 44% of geriatricians in Indonesia, such as hypertension, diabetes mellitus, chronic pulmonary obstruction, and others. Changing conditions during old age and comorbid factors affect a person's quality of life, especially in the geriatric population. This is a challenge for medical practitioners who will carry out anesthesia procedures. Quality of life is an important measure in assessing the success of patient treatment, especially geriatric patients with comorbidities undergoing anesthesia and operative procedures.Objective: To determine the association between comorbid conditions and the quality of life of geriatric patients undergoing anesthesia procedures at Dr. Sardjito Hospital.Methods: A retrospective observational study was conducted on secondary data of geriatric patients who underwent anesthesia at Dr Sardjito Hospital, Yogyakarta, in February-April 2021. Quality of life was measured using the Indonesian WHOQoL-BREF instrument, while comorbidity was measured using the Charlson Comorbidity Index (CCI) instrument. Association between CCI and WHOQoL-BREF was analyzed using the chi-square test, while multivariate analysis was carried out using logistic regression. ROC analysis was also carried out to determine the optimal cut-off point for the CCI score in predicting poor quality of life.Results: The ROC graph shows that the cut-off score CCI=1 with a sensitivity of 64.4% and a specificity of 58.0% can predict WHOQoL-BREF <60, but with poor discrimination ability (AUC 0.612; 95% CI 0.515 – 0.709).