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All Journal Jurnal Anestesiologi Indonesia Jurnal Kedokteran Syiah Kuala MNJ (Malang Neurology Journal) Oceana Biomedicina Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Indonesian Journal of Anesthesiology and Reanimation (IJAR) Majalah Biomorfologi (Biomorphology Journal) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Indian Journal of Forensic Medicine & Toxicology Jurnal Neuroanestesi Indonesia Oceana Biomedicina Journal AKSONA Jurnal Widya Medika Folia Medica Indonesiana
Rehatta, Nancy Margarita
Departemen Anestesiologi Dan Reanimasi, RSUD Dr. Soetomo – Fakultas Kedokteran Universitas Airlangga Surabaya
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Comparison of Length of Stay and Deep Vein Thrombosis (DVT) Incidents in Dr. Soetomo Hospital Hanindito, Elizeus; Airlangga, Prananda Surya; Sulistiawan, Soni Sunarso; Semedi, Bambang Pujo; Andriyanto, Lucky; Utariani, Arie; Rehatta, Nancy Margarita
Folia Medica Indonesiana Vol. 54, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

Vein thrombosis may occur both in deep and superficial vein of all extremities. Ninety percent of vein thrombosis may progress into pulmonary embolism which is lethal. Deep vein thrombosis (DVT) is frequently found in critically ill patients in ICU, especially patients who are treated for a long time. This study aims to analyse the comparison between length of stay and DVT incidents in critically ill patients. A cross-sectional study was employed. We include all patients who were 18 years or older and were treated in ICU of Dr Soetomo public hospital for at least 7 days. The patients were examined with Sonosite USG to look for any thrombosis in iliac, femoral, popliteal, and tibial veins and Well's criteria were also taken. This study showed that length of stay is not the only risk factor for DVT in patients treated in ICU. In our data, we found out that the length of treatment did not significantly cause DVT. Other risk factors such as age and comorbidities in patients who are risk factors may support the incidence of DVT events. The diagnosis of DVT is enforced using an ultrasound performed by an expert in the use of ultrasound to locate thrombus in a vein. Length of treatment is not a significant risk factor for DVT. Several other factors still need to be investigated in order for DVT events to be detected early and prevented.
Clinical Profiles and Il-6 Level Analysis of Critical Covid-19 Patients Receiving Lopinavir-Ritonavir Triyono, Erwin Astha; Rehatta, Nancy Margarita; , Nabilah; Tan, Feriawan
Folia Medica Indonesiana Vol. 59, No. 2
Publisher : Folia Medica Indonesiana

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Highlights: 1. Lymphocyte, procalcitonin, D-dimer and high IL-6 levels in COVID-19 patients are associated with a poor prognosis. 2. IL-6 serial measurement for COVID-19 patients may be a potential indicator for evaluating the severity and patient outcome. Abstract The COVID-19 pandemic has affected over 760 million individuals worldwide, resulting in more than 6.8 million reported deaths. Early detection of patient deterioration can assist in predicting outcomes and prioritizing healthcare services based on evidence-based indicators. Interleukin-6 (IL-6) is a cytokine that plays a role in the inflammatory process, making it a potential parameter for assessing a patient's inflammatory state. This study aimed to analyze the characteristics, laboratory profiles, and IL-6 levels of COVID-19 patients. This study used a retrospective cohort study design with medical record data. The characteristics (n=68) and IL-6 levels (n=52) of the patients on the first, third, and sixth days of treatment were recorded consecutively. The mean age of the patients was 49 years, with the majority being male (72%) and the most prevalent comorbidity being hypertension (29%). The average duration of hospitalization was 10.94 days. Shortness of breath was the most commonly reported symptom (45.6%). The medians of neutrophil-lymphocyte ratio, C-reactive protein, procalcitonin, ferritin, and D-dimer were above normal. Significant differences were observed in lymphocytes (p=0.046), procalcitonin (p=0.023), and D-dimer (p=0.000) between survivor and non-survivor patients. Significant dynamic changes in IL-6 levels were observed from the first day to the sixth day (p=0.014) and from the third day to the sixth day (p=0.041). In conclusion, risk stratification, laboratory profiles, and IL-6 levels play a role in assessing the severity and outcomes of COVID-19 patients.
Co-Authors , Nabilah A. Himendra Wargahadibrata Abdul Kadir Munsy Agustina Salinding Ahmad, Bahtiar Amelia, Elena Ghentilis Fitri Anna Surgean Veterini Annis Catur Adi atika Atika Atiya Nurrahmah Aulia Rahmi Bambang Wahjuprajitno Benny Iswanto Pantoro Bunga Priscilla Rotua Manurung Candra Dwantara Ramadhan Cecilia Felicia Chandra Choesnan Effendi Dina Arini Izzah Eddy Rahardjo Elena Ghentilis Fitri Amelia Elizeus Hanindito Erwin Astha Triyono Feriawan Tan Fitri Amelia, Elena Ghentilis Fundhy Sinar Ikrar Prihatanto, Fundhy Sinar Ikrar Hamzah Hamzah Harijono, Bambang HENI RACHMAWATI HERAWATI, LILIK Izzah, Dina Arini Karimah, Azimatul Khoir Amaliin Lila Tri Harjana Lucky Andriyanto Maulydia, Maulydia Mohammad Hasan Machfoed Mohammad Sofyan Harahap Muhammad Hamdan Muhammad Hamdan Nabilah Nenden Suliadiana Fajarini Prananda Surya Airlangga Prattama Santoso Utomo Rachmad Suhanda Rizkiya, Putri Rochmanti, Maftuchah Rochmanti Rudi Iskandar Suryadani S.Pd. M Kes I Ketut Sudiana . Sarmanu, Sarmanu Semedi, Bambang Pujo Sinaga, Nur Flora Nita TB Siti Khaerunnisa Subijanto Marto Soedarmo Subijanto Marto Soedarmo Suksmi Yitnamurti Sulistiawan, Soni Sunarso Sulistiawan, Soni Sunarso Tan, Feriawan Tatang Bisri Tedyanto, Eric Hartono Teguh Sylvaranto Turchan, Agus Utariani, Arie Widijiati Widijiati Widjiati Widjiati, Widjiati Widodo Jatim P Widodo Jatim Pudjirahardjo Windhu Purnomo Yitnamurti, Suksmi Yoga Pamungkas Susani Yuani Setiawati