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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal ARSI : Administrasi Rumah Sakit Indonesia
Arham, Abrar
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Medicine & Pharmacology Public Health Social Sciences

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Retrospective Study of Elective Intracranial Tumor Surgery Waiting Time at a National Referral Hospital in Indonesia Perkasa, Sayyid Abdil Hakam; Rahmah, Habibah Nurul; Arham, Abrar
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Elective surgery waiting times are a key measure of healthcare system performance and service quality. Long wait times can lower patients’ quality of life, worsen symptoms, reduce treatment effectiveness, and increase financial stress. We aimed to provide a descriptive analysis of elective surgery waiting time for Intracranial Tumors at Mahar Mardjono National Brain Center Hospital in 2023. This study is a descriptive retrospective cross-sectional study using data from Electronic Health Records (EHR). The study sample included all elective intracranial tumor surgeries performed in 2023. A total of 371 elective intracranial tumor surgeries were analyzed. The median age of patients was 45 years, with the majority being female (64.42%). Most surgeries (44.47%) had a duration of surgery between 3–5 hours with meningioma making up the majority of cases operated (46.63%). The median waiting time for elective intracranial tumor surgery was 44 days, with most patients (72.78%) waiting between 0–3 months. These findings highlight the need for strategies to reduce elective intracranial tumor surgery waiting times. Both short-term and long-term interventions should be implemented, focusing on optimizing resources and expanding surgical capacity. Future studies should examine how these strategies impact patient outcomes and hospital efficiency while identifying potential barriers to their implementation.
Carotid-Cavernous Fistula: Manifestasi Klinis dan Tatalaksana Putri, Nadira Deanda; Prasetyo, Bambang Tri; Kurniawan, Ricky Gusanto; Rilianto, Beny; Windiani, Pratiwi Raissa; Arham, Abrar
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): 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.73.2-2023-880

Abstract

Carotid-cavernous fistula (CCF) is a vascular abnormality that occurs between the internal or external carotid artery and veins within the cavernous sinus. CCFs can be classified as direct (Barrow type A) or indirect CCFs (Barrow types B, C, and D). The causes of direct CCFs are trauma and vascular rupture, whereas indirect CCFs are commonly found in patients with hypertension, connective tissue disorders, pregnancy, and dissection of the internal carotid artery. Signs and symptoms of CCF vary widely, ranging from acute-onset headache, proptosis, diplopia, ophthalmoplegia, conjunctival chemosis, orbital bruit, and blindness, but it can solely manifest as conjunctival redness. Patients with suspected CCF should undergo neuroradiology imaging, followed by endovascular intervention to close the fistula and keep the carotid artery open. With appropriate treatment, complete resolution is expected to occur in all patients.
Co-Authors Kurniawan, Ricky Gusanto Perkasa, Sayyid Abdil Hakam Prasetyo, Bambang Tri Putri, Nadira Deanda Rahmah, Habibah Nurul Rilianto, Beny Windiani, Pratiwi Raissa