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Mupangati, Yudo Murti
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Depressive Symptoms as a Predictor Factor of All-Cause Mortality within Six Months in Elderly Hemodialysis Patients Perdhana, Langgeng; Chasan, Shofa; Mupangati, Yudo Murti; Nuraini, Siti
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 4
Publisher : UI Scholars Hub

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Introduction. Depression is a mental disorder that is often found in the elderly and hemodialysis patients, resulting in bad effects on patients. There is no study on the relationship between depression and all-cause mortality risk in elderly hemodialysis patients in Indonesia. This study aimed to determine the role of depression as a predictor factor of all-cause mortality within 6 months in elderly hemodialysis patients. Methods. A prospective cohort study was conducted from February to August 2020 at the hemodialysis unit of Roemani Muhammadiyah Hospital, Semarang. The inclusion criteria were elderly patients (aged ≥60 years), undergoing hemodialysis ≥3 months, hemodialysis frequency twice a week, willing to participate in this study, able to communicate well, and has no history of mental disorders include a history of psychotic disorders and mental disorders due to substance use. Meanwhile, patients whose data were incomplete, transferred to another hemodialysis unit, HBsAg +, hemoglobin level /dl. FRAILTY score >2, and had other stressors not related to hemodialysis or chronic kidney disease (CKD) such as social, family, and work factors were excluded from this study. Depression was assessed using the Beck Depression Inventory-II questionnaire. The collected data was then analyzed using Kaplan Meier and Cox Regression.Results. Of 32 respondents, most of them were male (81.3%). The mean age was 67.2 (SD 7) years. There were 6 (18.7%) respondents categorized into a depression group and 26 (81.3%) respondents into a non-depression group. Cox Regression analysis showed that depression was a predicting factor of all-cause mortality within six months in elderly hemodialysis patients (p value=0.012, and Hazard ratio=10.149). Conclusion. Depression is a predictor factor of all-cause mortality within six months in elderly hemodialysis patients.
Assessing the Inter-observer Agreement of Electrocardiography Interpretation in the Elderly Surgical Patients: A Cross-Sectional Study Mupangati, Yudo Murti; Setyawan, Henry; Soejono, Czeresna Heriawan; Gasem, Muhammad Hussein; Riwanto, Ignatius
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.969

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Background: Electrocardiography (ECG) is an essential objective diagnosis tool, specifically for the elderly who are about to undergo surgery. From the examination results, it is possible to determine the presence of a heart condition that could impair the surgical outcome. Furthermore, the examination is slightly influenced by the subjectivity of observers. Purpose: To evaluate the inter-observer agreement on the reader of a 12-lead ECG on elderly patients subjected to elective surgery. Method: A consequential ECG examination was conducted on elderly patients who underwent elective surgery at Dr. Kariadi Hospital  Semarang between July and November 2021. Two junior internist observers were independently involved in reading the ECG results in different places. The inter-observer reliability analysis used kappa statistics to determine consistency between observers. Result: Analysis was carried out on 193 patients aged  60-87 years old, with a prevalence of abnormal ECG was 33.7%. Kappa Conformity Value was 0.864 (95 % CI: 0.790-0.938,  p<0.001). Conclusion: The value of agreement between junior internists in ECG interpretation among elderly surgical patients is good (kappa value  >0.8). Even though the observers are junior internist, the result of the interpretation with a high kappa is considered to have reliable validity.
Status Gizi sebagai Faktor Risiko Mortalitas di Rumah Sakit pada Pasien Lanjut Usia Pasca Reseksi Tumor Kolorektal Wulandari, Ayu Fitri Sekar; Budiono, Parish; Mupangati, Yudo Murti
Jurnal Penyakit Dalam Indonesia
Publisher : UI Scholars Hub

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Introduction. Malnutrition in elderly patients, particularly those with colorectal cancer, increases morbidity, mortality, and length of hospital stay due to metabolic dysregulation and hypermetabolic perioperative response, affecting wound healing, infection risk, postoperative complications, and nutritional deficits. This study aimed to analyze whether nutritional status is a risk factor for in-hospital mortality in elderly patients after colorectal tumor resection. Methods. A case-control matching study was conducted on elderly patients who underwent colorectal tumor resection, using secondary data from elderly inpatients at Dr. Kariadi General Hospital from January 2020 to April 2024. The collected data were analyzed using bivariate analysis with the Chi-square test and multivariate analysis with logistic regression. Results. The study involved 48 elderly patients who died during treatment and 48 elderly patients who survived until the end of treatment. Nutritional screening assessed with Skrining Gizi Kariadi (SGK) was not associated with in-hospital mortality after colorectal tumor resection [p=0.306; OR 1.952 (95% CI 0.694-5.491)]. However, nutritional assessment based on American Society for Parenteral and Enteral Nutrition (ASPEN) criteria was associated with in-hospital mortality after colorectal tumor resection [p<0.001; OR 5.800 (95% CI 2.345-14.344)]. The results of the multivariate analysis also revealed a significant link between nutritional status based on the ASPEN criteria (p=0.028) and a higher risk of in-hospital mortality in elderly patients after colorectal tumor resection. Conclusion. Nutritional status, based on ASPEN criteria, is a risk factor for in-hospital mortality in elderly patients after colorectal tumor resection.
Co-Authors Chasan, Shofa Czeresna Heriawan Soejono Gasem, Muhammad Hussein Henry Setyawan Susanto Henry Setyawan Susanto Ignatius Riwanto, Ignatius Parish Budiono Perdhana, Langgeng Siti Nuraini Wulandari, Ayu Fitri Sekar