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All Journal Jurnal Kedokteran Diponegoro MEDISAINS Bioscientia Medicina : Journal of Biomedicine and Translational Research Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Bioscientia Medicina : Journal of Biomedicine and Translational Research Jurnal Penyakit Dalam Indonesia
Parish Budiono
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Journal : Jurnal Penyakit Dalam Indonesia

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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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Abstract

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 Adeodatus Yuda Handaya Adianto Nugroho Agung Ari Wibowo Ahsanu Taqwim Hidayat Akhiar Mar&#039;i Ani Margawati Arifin, Fransicus Azhar, Abu David Setiadarma Eriawan Agung Nugroho, Eriawan Agung Erwin Kresnoadi Ignatius Riwanto, Ignatius Iwan Kristian Kusumo, M. Hidayat Budi Kusumo, M. Hidayat Budi Mamiek Dwi Putro mulyawan, Made Mupangati, Yudo Murti Neni Susilaningsih Niam, Mohammad Rivai, M Iqbal Sigit Adi Prasetyo, Sigit Adi Taufik Eko Nugroho Warsinggih, Warsinggih Widianto, Perwira Wulandari, Ayu Fitri Sekar Yan Wisnu Prajoko