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All Journal Jurnal Komplikasi Anestesi
Sudadi Sudadi
Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta
Medicine & Pharmacology

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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).
Outcome of Traumatic Brain Injury Patients with EDH, SDH, and ICH Bleeding Undergoing Craniotomy Surgery at Dr. General Sardjito Hospital, Yogyakarta Muhammad Fiqih Hidayat; Akhmad Yun Jufan; 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.v13i3.29788

Abstract

ABSTRACT Background: Traumatic brain injury (TBI) is clinically divided into primary and secondary. CT Scan is a common examination as a diagnostic of TBI patients. Craniotomy surgery has been proven to be useful in treating TBI and reducing mortality rates. Clinical outcomes of TBI patients can be assessed using GOSE scale. Objective: To determine the differences in clinical outcomes in traumatic brain injury patients with types of brain hemorrhage who underwent craniotomy surgery. Methods: This study used a prospective observational study design with a prospective cohort study design. The sampling technique was whole sampling of traumatic brain injury patients who underwent craniotomy surgery with CT scan images of brain hemorrhage in the form of SDH, EDH, or ICH. Patient outcomes were assessed using the GOSE scale. Bivariate statistical tests used the Chi-squared test or Kruskal walls test. The test was declared significant when the p-value <0.05. Results: A total of 36 subjects met the inclusion and exclusion criteria. The majority of subjects had good which were reported for SDH (100%), EDH (84.61%), and ICH (66.6%). There was no significant relationship between age (p=0.53), gender (p=0.63), TBI CT scan appearance (p=0.34), and GCS (p=0.54) with TBI patient outcomes. Conclusion: The majority of TBI patients who underwent craniotomy had good patient outcomes. In this study, there was no statistically significant difference between the outcomes of TBI patients with EDH, SDH, and ICH bleeding who underwent craniotomy as measured by the GOSE scale. Keywords: Traumatic brain injury, Types of Brain Hemorrhage, Craniotomy, GOSE
Association between the Clinically Assessed Blink Reflex and Bispectral Index during Propofol Induction of Anesthesia at Dr. Sardjito General Hospital, Yogyakarta Christine Tirza JItmau; Akhmad Yun Jufan; 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.v13i3.30728

Abstract

Background: Assessment of anesthetic depth during induction is essential to ensure patient safety and to prevent intraoperative awareness. The Bispectral Index (BIS) is a widely used objective monitor derived from electroencephalographic activity; however, its use may be limited by cost and equipment availability. The clinically assessed blink reflex is a simple bedside sign that may serve as a practical indicator during anesthetic induction.Objective: To determine the association between the clinically assessed blink reflex and BIS values during propofol induction of anesthesia.Methods: This was a prospective observational analytic study involving 59 adult patients aged 18–65 years with American Society of Anesthesiologists (ASA) physical status I–II who underwent elective surgery under general anesthesia at Dr. Sardjito General Hospital. All patients received propofol 1.5 mg/kg for induction. The clinically assessed blink reflex and BIS were evaluated at baseline and at 15, 30, and 60 seconds after induction. In this study, the blink reflex was defined as a bedside elicited eyelid-closure response recorded as present or absent. Data were analyzed using the chi-square test or Fisher’s exact test, followed by multivariable analysis.Results: Before induction, all participants exhibited an intact blink reflex on bedside examination. At 15 seconds after induction, the blink reflex was still present in 36 patients (61.0%), decreasing to 8 patients (13.6%) at 30 seconds, and disappearing in all patients at 60 seconds.
Co-Authors Akhmad Yun Jufan Baiq Dessy Resmana Dewi Christine Tirza JItmau Djayanti Sari Muhammad Fiqih Hidayat