Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Cancer
Khonsa, Oni
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Evaluating the Implementation of an Early Palliative Care Screening Tool for Inpatients at Persahabatan Hospital: Impact on Quality of Care, Length of Stay, and Clinical Outcomes Khonsa, Oni; Meliala, Andreasta; Darwito, Darwito
Indonesian Journal of Cancer Vol 19, No 3 (2025): September
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i3.1263

Abstract

Background: Palliative care is integrated medical care that is active and comprehensive, with a multidisciplinary approach to reduce the pain of terminally ill patients at the end of their lives. Persahabatan Hospital, as a national referral Type A hospital, receives many patients in severe and complex conditions, some of whom require palliative care. Early identification of Palliative Care Screening Tool (PCST) screening can result in more effective interventions and more optimal care in improving quality of life, reducing length of stay, and intensive care unit (ICU) admission rates. This study aims to assess the early implementation outcomes of the PCST in inpatients at Persahabatan Hospital. Method: This research is a sequential explanatory mixed methods design that examines how the implementation evaluation of PCST in palliative care at Persahabatan General Hospital is conducted, utilizing both retrospective quantitative and qualitative approaches. The quantitative approach involves utilizing secondary data from medical records and the PCST at Persahabatan General Hospital in Jakarta from January to December 2023. A random sampling technique was applied to select patients diagnosed with palliative care conditions, including severe liver disease,end-stage kidney disease, chronic obstructive pulmonary disease (COPD), advanced heart failure,and other chronic illnesses. At the same time, the qualitative approach employs the focus group discussion analysis method.Results: Out of 82 patients who underwent PCST screening, 56 patients underwent early screening, and 26 patients underwent late screening. The median length of stay for patients with early screening was 4 days, whereas for those with late screening, it was 18 days (p 0.001). Early screening had a relative risk of 4.34 (1.72–26.2) for successful palliative screening compared to late screening. Based on the analysis of the focus group discussion results, the main issues in implementing early screening were a lack of understanding of the screening process and difficulties in its implementation
Haruskah Plasenta Perkreta disertai Lakuna Bizarre? Yusuf, Dwiyanarsi; Khonsa, Oni; Apriliawan, Tri; Lisnawati, Yuyun
Majalah Kedokteran Indonesia Vol 69 No 8 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.8-2019-189

Abstract

Background: Placenta percreta is a life-threatening condition that requires multidisciplinary management. The incidence of placenta percreta increases with increasing incidence of cesarean section. Antenatal diagnosis is an important point to prevent morbidity and mortality in both mother and baby. Ultrasonography (USG) is one of the relatively cheaper and easier modalities for diagnosing placenta percreta. Objective: To identify the optimal ultrasonographic criteria for the diagnosis of placenta percreta.Methods: We followed 2 cases, which performed antenatal care (ANC). Both patients then performed an ultrasound examination according to the placenta accrete index (PAI) method. The ultrasound assessment findings are then compared with intraoperative clinical findings and histological features. Results: From two cases, we did not find any Bizarre lacuna, but a thin retroplacental myometrial layer was found accompanied by loss of clear zone. The findings on ultrasonography are in accordance with intraoperative findings and histological features, where the appearance of the placenta percreta is clearly visible.Conclusion: It is different from the assessment of PAI, where the presence of lacuna is the biggest predictive factor for placenta adhesiva, in both cases, a thin myometrial layer of retroplacenta accompanied by a clear clear zone, although no lacuna was found, sufficiently describe the placenta percreta
Karakteristik Klinik dan Analisis Faktor Risiko yang Berperan pada Derajat Keparahan Invasi Plasenta Abnormal di RSUP Persahabatan pada Tahun 2015-2018 Feharsal, Yuri; Lisnawati, Yuyun; Pudyastuti, Sri; Khonsa, Oni; Apriliawan, Tri; Botefilia, Botefilia; Nurfauziah, Nadia; Agustin, Kindy
Majalah Kedokteran Indonesia Vol 69 No 6 (2019): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.69.6-2019-195

Abstract

Background: Morbidly adherent placenta is a condition which placenta adheres and invades deeply into the myometrium and, in some cases, until uterine serosa, thus contribute to peri-partum hemorrhage and significant maternal mortality.Purpose: To identify prevalence, clinical characteristics and their odds ratio to increasing se-verity of morbidly adherent placenta case in RSUP Persahabatan from 2015 to 2018.Methods: Cohort retrospective study.Results: From 2015 to 2018, prevalence of morbidly adherent placenta was around 0.8%. The risk factors which contribute to increasing severity of morbidly adherent placenta were: age above 35 years (OR 1.6, 95% CI 0.41-6.24) and history of Caesarean section more than 2 times (OR 1.63, 95% CI 0.41-6.46). The presence of increasing severity of morbidly adherent placenta were related to volume of blood loss more than 1000 ml during surgery (OR 2.13, 95% CI 0.52-8.76). Conclusion: The prevalence of morbidly adherent placenta at Persahabatan General Hospital in 2015-2018 was 0.8%. Age, history of Caesarean section more than 2 times, volume of blood loss, and duration of surgery were not statistically associated with adherent placenta case.
Co-Authors Agustin, Kindy Andreasta Meliala Botefilia, Botefilia Darwito, Darwito Lisnawati, Yuyun Nurfauziah, Nadia Sri Pudyastuti TRI APRILIAWAN, TRI Yuri Feharsal Yusuf, Dwiyanarsi