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Profile of Pediatric Nephrotic Syndrome in Wahidin Sudirohusodo Hospital, Makassar, Indonesia Albar, Husein; Bilondatu, Fadel
Cermin Dunia Kedokteran Vol 46, No 3 (2019): Nutrisi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.673 KB) | DOI: 10.55175/cdk.v46i3.505

Abstract

Introduction: Nephrotic syndrome is a common and important pediatric chronic renal disease, characterized by massive proteinuria, hypoalbuminemia, edema and hypercholesterolemia. This study was to assess the profile of pediatric nephrotic syndrome at Wahidin Sudirohusodo Hospital Makassar over a 7-year period. Methods: A retrospective study on hospitalized nephrotic syndrome patients at pediatric nephrology ward in Wahidin Sudirohusodo Hospital Makassar from January 2011 to December 2017. Demographic, clinical and laboratory data were extracted from medical records. Results: A total of 142 children with nephrotic syndrome who fulfilled the inclusion criteria was analyzed. Age at onset ranged from 1.4 to 17.5 years (mean 8.5 years), the majority (66.2%) was 5 year-old and above, predominantly boy (66.2%) with a boy to girl ratio of 1,95:1 and well-nourished (56.3%). Upper respiratory infections were observed in 36.6% cases. The predominant clinical signs and symptoms were edema (100%), hypertension (26.8%). Patients with relapse were 56.3%, and the mortality was 2.12%. The prevalent laboratory findings were microscopic hematuria (50.7%), massive proteinuria (100%), hypoalbuminemia (100%), hypercholesterolemia (100%), and elevated serum creatinine (9.9%). Conclusion: The profile of pediatric nephrotic syndrome at Wahidin Sudirohusodo Hospital Makassar was similar to typical children nephrotic syndrome and did not significantly differ from other studies.Introduksi : Sindrom nefrotik adalah penyakit kronis anak yang sering dan penting di seluruh dunia, ditandai oleh proteinuria masif, hipoalbuminemia, edema dan hiperkolesterolemia. Studi ini untuk menentukan profil sindrom nefrotik anak di rumah sakit Wahidin Sudirohusodo Makassar. Metode : Penelitian retrospektif 7 tahun pada pasien sindrom nefrotik di bangsal nefrologi anak rumah sakit Wahidin Sudirohusodo Makassar dari bulan Januari 2011 sampaidengan Desember 2017. Data diambil dari rekam medik terdiri dari data demografi dan temuan klinis dan laboratorium. Hasil: Total 142 pasien sindrom nefrotik anak yang memenuhi kriteira inklusi dianalisis. Umur pasien saat onset mulai dari 1,4 sampai dengan 17,5 tahun dengan rerata umur 8,5 tahun. Kebanyakan berumur 5 tahun atau lebih (66.2%) didominasi pasien laki-laki (66,2%) dengan rasio jenis kelamin 1,95:1. Status gizi baik (56,3%). Infeksi saluran napas atas ditemukan pada 36,6% kasus. Gejala dan tanda klinis utama adalah edema (100%), hipertensi (26,8%), Relaps pada 56,3% kasus dan 2,12% pasien meninggal. Temuan laboratorium utama adalah hematuria mikroskopik (50,7%), proteinuria masif (100%), hipoalbuminemia (100%), hiperkolesterolemia (100%), dan peningkatan kreatinin serum (9,9%). Simpulan: Profil sindrom nefrotik anak di rumah sakit Wahidin Sudirohusodo Makassar pada umumnya serupa dan tidak berbeda bermakna dari penelitian lain. 
PROFIL KLINIS BAYI BERAT LAHIR RENDAH DI NICU RSUD DR. HASRI AINUN HABIBIE GORONTALO Bilondatu, Fadel; Nabila Rizki Sakinah
Medika Alkhairaat: Jurnal Penelitian Kedokteran dan Kesehatan Vol 6 No 3 (2024): Desember
Publisher : Fakultas Kedokteran Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/ma.v6i3.260

Abstract

ABSTRAK Bayi berat badan lahir rendah (BBLR) merupakan masalah kesehatan yang membutuhkan perhatian khusus, oleh karena masih meningkatnya angka morbiditas dan mortalitas neonatal. Dengan memahami profil klinis BBLR maka dapat meningkatkan strategi dalam upaya penurunan angka kematian pada neonatal. Studi ini bertujuan untuk mengetahui profil klinis dan faktor penyebab BBLR yang dirawat di Unit Perawatan Intensif Neonatal (NICU) di RSUD dr. Hasri Ainun Habibie, Gorontalo. Desain penelitian menggunakan studi cross-sectional dengan menggunakan data rekam medis dari 191 bayi yang dirawat di NICU. Data tersebut meliputi berat lahir, usia kehamilan, usia ibu, dan paritas. Analisis statistik digunakan untuk mengeksplorasi hubungan antara faktor-faktor ini dan kejadian BBLR. Hasil dari studi ini melaporkan bahwa 32% termasuk BBLR dengan berat lahir ≤ 2500 gram. Hubungan yang signifikan secara statistik antara usia kehamilan dan terjadinya LBW (p < 0,001). Sebaliknya, tidak ada korelasi signifikan yang diamati antara BBLR dan faktor ibu seperti paritas dan usia. Dari hasil penelitian ini disarankan pentingnya perawatan prenatal yang terfokus dalam mencegah persalinan prematur dan menurunkan insiden BBLR secara efektif di wilayah tersebut. ABSTRACT Low birth weight (LBW) infant is a significant public health concern, often linked to increased neonatal morbidity and mortality. Understanding the clinical profile of LBW infants can inform strategies to improve neonatal outcomes. This study aims to investigate the clinical profile and associated factors of LBW infants admitted to the Neonatal Intensive Care Unit (NICU) at RSUD dr. Hasri Ainun Habibie, Gorontalo, from January to April 2024. A cross-sectional descriptive study was conducted using medical record data from 191 infants admitted to the NICU. The data included birth weight, gestational age, maternal age, and parity. Statistical analysis was used to explore the associations between these factors and the incidence of LBW. This study reported that 32% of infants had a birth weight of less than 2500 grams, classifying them as low birth weight (LBW). A statistically significant association was identified between gestational age and the occurrence of LBW (p < 0.001). In contrast, no significant correlations were observed between LBW and maternal factors such as parity and age. Gestational age emerged as a primary determinant of LBW in this study, highlighting the crucial importance of prenatal care in preventing preterm deliveries and lowering the incidence of LBW. Maternal age and parity were not found to have a significant influence, indicating the need for focused prenatal interventions to effectively address this issue in the region