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Jejuno-Ileal Atresia: Faktor-Faktor yang Mempengaruhi Mortalitas Sugianto Prajitno; Ayu Anulus
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2025): November 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i4.5740

Abstract

Jejuno-ileal atresia (JIA) is one of the leading causes of neonatal bowel obstruction. Over the last decade, mortality has decreased, with recent studies reporting a mortality rate of 11%. This study aimed to evaluate factors affecting mortality among patients with JIA. A retrospective cross-sectional study was conducted on all JIA patients admitted between January 2019 and December 2024. Demographic variables including gestational age (prematurity ≤36 weeks), birth weight (low birth weight/LBW ≤2,500 grams), sepsis, and location of atresia were analyzed in relation to mortality using Chi-square and logistic regression tests. Thirty neonates (15 boys and 15 girls) were included. Primary anastomosis was performed in 18 patients (60%), while 12 patients (40%) underwent stoma formation. The mean time to achieve full enteral feeding was 10.23 days (range 6–35 days). Mortality occurred in 17 of 30 patients (56.7%), of which 9 were premature, 11 were LBW, and 13 had sepsis. Jejunal atresia was found in 8 patients with 5 deaths, while ileal atresia was present in 22 patients with 12 deaths. Sepsis showed a significant association with mortality (p= 0.030), and combined LBW and prematurity were also significantly associated (p= 0.010). Multivariate analysis revealed that LBW and prematurity were independent predictors of mortality. In conclusion, while sepsis was significantly associated with mortality in univariate analysis, LBW and prematurity emerged as significant predictors in multivariate analysis.
Co-Authors Aena Mardiah Ahmad Syauqi Mubarok Ahmad Syauqi Mubarok Ahmad Syauqi Mubarok Ajeng Wafa Awalia Akbar, Muh. Syaiful Akbar, Prima Soultoni Akhmad Azmiardi Alfian Muhajir Ananta Fittonia Benvenuto Anasulfalah, Hakim Anggun Fitri Handayani Anom Dwi Prakoso Arjita, I Putu Dedy Artha Budi Susila Duarsa Astri Yunita Atmojo, Joko Tri Aulia Rinjani Lestari Azmi, Fahriana Besar Tirto Husodo Bhisma Murti Dahlia, Yolly Danang Nur Adiwibawa Dany Karmila Dany Karmila Darmaiswara, Bagus Komang Rama Dita Dasti Anditiarina Deny Sutrisna Wiatma Duarsa , Artha Budi Susila Dwi Putri, Wanda Luthfiani Dwiyani, Lili Dzikrurrohman, Mochammad Haidyr Fachrudi Hanafi Fachrudi Hanafi Fachry Abda El Rahman Fajriah, Asruria Sani Fara Khansa Azizah Farahdila Mirshanty Gabriela Advitri Febriani Gentani Mayang Sari Handayani, Rina Tri Hendra Dwi Kurniawan Hendra Kurniawan Herliana Saputria Ningsih I Gede Angga Adnyana I Gede Ari Permana Putra I Putu Bayu Agus Saputra I Wayan Hendrawan Ida Ayu Made Mahayani Iing, Iing Ilham Muhammad Firnanda Isnaini Qoriatul Fadhilah Isnani Nurhayati Joko Tri Atmojo Juliantini, Ni Putu Liska Kadek Dwi Pramana Kadek Dwi Pramana Karmila, Dany Krisnanda Aditya Pradana Leona Puspita Gading Martaliza Lilik Hidayati, Lilik livana ph Livana Ph, Livana Lysa Mariam Made Agus Suanjaya Mahdaniyati, Aulia Mardiah, Aena Maruni Wiwin Diarti Maruni Wiwin Diarti Maruni Wiwin Diarti Medikawati, I Gusti Agung Ayu Ratna Metriani, Putu Desy Moh. Reza Aulia Rahman Muh. Syaiful Akbar Muhammad Faishal Al Firdaus Munadi Munadi Mustain Mustain Nada Witaroli Nahak, Marla Ndaru Sukma Putra Ni Nyoman Ariwidiani Ni Nyoman Ayu Laksita Jasmine Nindita Arum Veibiani Nova Rahma Widyaningrum Pebruanto, Henry Perdana Prabasari Putri Ichsani Permana Putra, I Gede Ari Prasetya, Hanung Pratiwi, Made Rika Anastasia Putra, I Gede Ari Permana Putu Prida Purnamasari Rohmi Rohmi Rozikin Rozikin Rozikin, Rozikin RR. Ella Evrita Hestiandari Ruqayyah, Siti S., Aulia Mahdaniyati Sabariah Sabariah Sabariah Sabariah sahrun, sahrun Salkamal Salkamal Samodra, Velia Maya Santy Irene Putri Santy Irene Putri Selvia Anggitasari Siti Safira Khairunnisa Sugianto Prajitno Sukandriani Utami Sulatun Hidayati Syuhada, Irwan Tri Aris Munandar Tri Yuniarti, Tri Trisakti Halimah Delimasari verra verra, verra Widianto, Aris Widiyanto, Aris Wiradharma, I Gusti Agung Gede Agung Wiwin Mulianingsih Yolly Dahlia Yudha Permana Yunan Jiwintarum Yunan Jiwintarum Zoraya, Sabrina Intan Zubaidi, Fitriannisa Faradina