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All Journal Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana Molecular and Cellular Biomedical Sciences (MCBS) Bali Journal of Anesthesiology ISM (Intisari Sains Medis) : Jurnal Kedokteran Jurnal ARSI : Administrasi Rumah Sakit Indonesia

I Nyoman Budi Hartawan

Departemen Ilmu Kesehatan Anak, Universitas Udayana, Bali, Indonesia

Author-ID : 276885

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

Published : 36 Documents Claim Missing Document

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Triiodothyronin (T3) as a parameter of mortality in sepsis patients in the PICU Sri Wahyuni Djoko; Nyoman Budi Hartawan; Bagus Ngurah Putu Arhana; Eka Gunawijaya; Anak Agung Ngurah Ketut Putra Widnyana; Dyah Kanya Wati
Paediatrica Indonesiana Vol 59 No 6 (2019): November 2019
Publisher : Indonesian Pediatric Society

Background Thyroid hormone stimulates the regulation of Î²-adrenergic receptors in order to increase the inotropic effect of the heart myocardium. Euthyroid sick syndrome is a disorder of non-metabolic thyroid function, which is characterized by a decrease in triiodothyronine (T3) levels in patients with non-thyroid systemic disease, such as sepsis. Low serum T3 hormone level is a potentially high-risk factor for mortality from sepsis. Objective To assess for a relationship between decreased serum T3 levels and mortality in pediatric sepsis patients admitted in the PICU. Methods This study used a nested case-control design. The subjects were children aged 1 month-18 years who were diagnosed with sepsis in the pediatric intensive care unit at Sanglah Hospital, Denpasar, Bali, from September 2017 to January 2019. Results A total of 90 children were included, of whom 44 died and 46 survived. Median age was 10.5 (IQR 44) months in subjects who died and 9 (IQR 50) months in those who survived. The majority of subjects in both groups had well-nourished nutritional status. Bivariate analysis revealed that significantly more subjects who died had low serum T3 (â‰¤1 ng/dL), PELOD-2 score â‰¥5, than subjects who survived. Multivariate analysis revealed that serum T3 Â£1 ng/dL (OR 55.1; 95%CI 9 to 334.8; P<0.001) and PELOD-2 score Â³5 (OR 6.5; 95%CI 1.6 to 26.7; P=0.01) were significant risk factors for sepsis mortality. Conclusion Low serum T3 level and high PELOD-2 score are risk factors for death in sepsis.

Implementation of Dengue Recurrent Shock Prediction Score in pediatric dengue shock syndrome Armand Setiady Liwan; I Wayan Gustawan; Eka Gunawijaya; Soetjiningsih Soetjiningsih; Ketut Ariawati; I Nyoman Budi Hartawan
Paediatrica Indonesiana Vol 60 No 4 (2020): July 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi60.4.2020.178-85

Background Global morbidities due to dengue viral infection increase yearly. The pediatric mortality rate from dengue shock syndrome (DSS) remains high. Early identification of the risk of recurrent shock may serve to increase awareness and reduce mortality. The Dengue Recurrent Shock Prediction Score (DRSPS) is a tool to predict recurrent shock in children with DSS, but the optimal cut-off point in our population is still unknown. Objective To assess the validity of the DRSPS by determining the optimal cut-off point that can be used in Indonesia Methods This cross-sectional prospective study was done at Sanglah Hospital, Denpasar, Bali, from January 2019. Risk of reccurent shock were classify based on DRSPS in all DSS patient, and they were observed whether they will experienced recurrent shock or not. Results Of 56 children with DSS, 27 subjects had recurrent shock and 29 subjects did not. The optimal DRSPS cut-off point was -189.9 for predicting recurrent shock, with 87.4% area under the curve (AUC), 81.5% sensitivity and 82.8% specificity. Conclusion The optimal cut-off point of DRSPS was -189.9 and it has good validity. The results of this study are expected not only to be used as the basis for further study, but to increase physician awareness in treating DSS patients.

Perbedaan pemberian cairan isotonis dan hipotonis terhadap osmolalitas plasma pada penderita gangguan intrakranial akut di RSUP Sanglah, Denpasar, Bali Wayan Sulaksmana Sandhi Parwata; I Nyoman Budi Hartawan; I Gusti Ngurah Suwarba; Ida Bagus Suparyatha; Dyah Kanya Wati
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Acute intracranial disturbance can lead to increased occurrence of cardiovascular activity that will lead to a decrease of sodium reabsorption in the kidney. The proper selection of liquid on acute intracranial disorders can help reduce damage to brain tissue. This study aims to determine differences in plasma osmolality levels in patients with acute intracranial disorders who get isotonic or hypotonic fluid.Methods: A cross-sectional observational study was carried out among 60 patients aged 1 month-12 years who experienced acute intracranial disturbance in Sanglah General Hospital during 2017. The difference in plasma osmolality in each group was tested using Mann-Whitney due to the data were not normally distributed. There was a significant difference in osmolality levels in the group receiving isotonic fluid compared with hypotonic (p <0.001)Results: Males were predominant in the isotonic group (66.7%) and hypotonic (70%). Good nutritional status was found in both groups (90%; 83.33%). Encephalitis is the most common cause of acute intracranial disturbance, namely 14 (46.67%) cases of istononic groups and 12 (40%) cases of hypotonic groups. The median value (IQR) of plasma and sodium osmolality levels that obtained isotonic fluid showed a difference in values of 139(6) mEq/L and 287(20) mOsm/kg H2O in isotonic and 132 (7) mEq/ L and 273(16) mOsm/kg H2O in hypotonic. There was a significant difference in osmolality levels in the group receiving isotonic fluid compared to hypotonic (p<0.001)Conclusion: There are differences in levels of osmolality in patients with acute intracranial disorders who get isotonic fluid compared to groups that get hypotonic fluid.

Gambaran umum berbagai faktor keterlambatan pemberian nutrisi enteral pada pasien anak di Ruang Rawat Intensif Anak, RSUP Sanglah, Denpasar, Bali Ni Luh Sri Apsari; I Gusti Lanang Sidiartha; I Nyoman Budi Hartawan; Dyah Kanya Wati; Ida Bagus Gede Suparyatha
Intisari Sains Medis Vol. 10 No. 2 (2019): (Available online: 1 August 2019)
Publisher : DiscoverSys Inc.

Background: Enteral nutrition is the primary choice in pediatric patients who do not experience gastrointestinal disorders. Many factors inhibit the achievement of enteral nutrition in pediatric patients treated in intensive care. This study aims to determine the overview of various factors that may result in delays enteral nutrition administration in critically ill pediatric patientsMethods: An observational cross-sectional analytic study was carried out on secondary data of medical records among children who were treated in pediatric intensive care unit at Sanglah Hospital throughout 2016. Delay in enteral nutrition was assessed if there was enteral nutrition administration more than 2x24 hours since first admission. Factors assessed include gender, age, PELOD, diagnosis, invasive breathing aids, impaired motility, gastrointestinal bleeding, and hemodynamic instability. Data were analyzed using the SPSS version 20 software program whereas P value <0.05 was considered statistically significant.Results: From the 115 samples, there were 69 (60%) males and 46 (40%) females. About 50 samples (43,5%) experienced delayed enteral nutrition. Significant variables related to the delay in enteral nutrition after multivariate analysis were gastrointestinal motility disorders (p = 0,004, OR 9,082, 95% IK 2,827 â€“ 29,171), and gastrointestinal bleeding (p = 0,0001; OR 14,317; IK 95 % 4,087 â€“ 50,155).Conclusion Intestinal motility disorders and gastrointestinal bleeding are known as a contributing factor in the delay of enteral nutrition administration in PICU Sanglah Hospital, Denpasar, Bali.

Perbedaan manifestasi klinis dan laboratorium kolestasis intrahepatal dengan ekstrahepatal pada bayi di RSUP Sanglah Denpasar periode Januari 2015 - Desember 2018 Pande Putu Agung Willa Kesawa Putra; IGN Sanjaya Putra; I Nyoman Budi Hartawan
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Introduction: Physiological jaundice found in infants and most symptoms are often mild. In conjugated jaundice defects in intra-hepatic production, transmembran transport from bile, i.e. cholestasis intrahepatic, or extra-hepatic obstruction/cholestasis occur, resulting in bile barriers. This study was conducted to look at the differences in the clinical and laboratory manifestations of IH and EH cholestasis in infants.Method: A descriptive retrospective study was performed on 102 infants with cholestasis who came to Sanglah Hospital Denpasar, during the period of January 2015 â€“ December 2018. Data analysis was performed with pearson Chi-square test and independent t-test.Result: Subjects consisted of 60 infants boys and 42 infant girls, intrahepatic cholestasis were 79 and extra-trahepatic cholestasis were 42. Significant differences in characteristic of nutritional status with intrahepatic and extra-hepatic cholestasis were found (p=0,015), but there isnâ€™t significant differences in age, birth weight, gestational age were observed. On examination of stool color, there was a significant difference (p<0,001), as well as laboratory results of SGOT, SGPT (p<0,05) between intra and extra-hepatic cholestasis. Meanwhile there isnâ€™t significant differences in GGT, total bilirubin, direct bilirubin, indirect bilirubin, and ALP.Conclusions: There were differences in the characteristics of nutritional status, differences in laboratory results of SGOT, SGPT, and fecal clinics between intrahepatic and extrahepatic cholestasis.

Karakteristik infeksi virus dengue pada pasien anak di poliklinik anak Rumah Sakit Umum Pusat (RSUP) Sanglah, Denpasar tahun 2016 I Made Bagus Wilaksmana Putra; I Nyoman Budi Hartawan; I Wayan Gustawan
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background: Dengue infection is a mosquito induced viral infection with the highest virility level in the world. This disease is an international emergency problem and creates economic and social burdens around the world. Therefore, this study aims to determine the characteristics of dengue virus infection in pediatric patients in 2016 based on several parameters. Methods: A cross-sectional study was conducted among 96 pediatric patients with dengue virus infection who were treated at Sanglah General Hospital, Bali in 2016 period. A secondary data obtained from the collection of medical records of patients were used in this study. Data were analyzed using Microsoft Excel 2010 for Windows software.Results: Most of patients were female (54.17%), aged 5-18 years (67.71%), and with normal BMI status (42.71%). Most subject comes with bleeding signs and have positive tourniquets tests (64.58%), followed by abdominal clinical symptoms with nausea (50.00%), and neurological status with headache (41.67%). The length of stay of patients were mostly 3-5 days (73.96%) and the results of the axial temperature examination at the time of hospital admission were dominant <37ÂºC (65.63%). Based on laboratory examination, most subject has hemoglobin examination of 11-13 g/dl (57.29%), platelet examination results 50,000-100,000 (65.63%), hematocrit examination results <41% (44.79%), and leukocyte examination results <5,000/Âµl (59.38%). Most subjects are patient with Grade I DHF (56.25%%).Conclusion: The most predominant characteristics of pediatric patients with dengue virus infection was female, bleeding signs, nausea, headache, 3-5 days length of stay, atypical hematological parameters such as on hematocrit, platelet, and leucocyte examination.Â Latar Belakang: Penyakit infeksi dengue merupakan penyakit infeksi virus vektor nyamuk dengan tingkat penyebaran tertinggi di dunia. Penyakit ini seringkali menjadi masalah darurat antarnegara serta menimbulkan beban ekonomi dan sosial di dunia. Oleh karena itu, penelitian ini bertujuan untuk mengetahui karakteristik infeksi virus dengue pada pasien anak tahun 2016 berdasarkan beberapa parameter.Metode: Sebuah studi potong lintang dilakukan pada 96 pasien anak-anak dengan infeksi virus dengue yang dirawat di Rumah Sakit Umum Pusat Sanglah, Bali pada periode tahun 2016. Data sekunder yang diperoleh dari rekam medis pasien digunakan dalam penelitian ini. Data dianalisis menggunakan piranti lunak Microsoft Excel 2010 untuk Windows.Hasil: Sebagian besar pasien adalah perempuan (54,17%), berusia 5-18 tahun (67,71%), dan dengan status BMI normal (42,71%). Sebagian besar subjek datang dengan tanda-tanda perdarahan dan memiliki tes tourniquets positif (64,58%), diikuti oleh gejala klinis perut mual (50,00%), dan status neurologis dengan sakit kepala (41,67%). Lama tinggal pasien sebagian besar 3-5 hari (73,96%) dan hasil pemeriksaan suhu aksial saat masuk rumah sakit didominasi <37ÂºC (65,63%). Berdasarkan pemeriksaan laboratorium, sebagian besar subjek memiliki pemeriksaan hemoglobin 11-13 g/dl (57,29%), hasil pemeriksaan trombosit 50.000-100.000 (65,63%), hasil pemeriksaan hematokrit <41% (44,79%), dan hasil pemeriksaan leukosit <5.000 / Î¼l (59,38%). Sebagian besar subyek adalah pasien dengan DBD kelas I (56,25%%).Kesimpulan: Karakteristik yang paling dominan dari pasien anak dengan infeksi virus dengue adalah wanita, tanda-tanda perdarahan, mual, sakit kepala, 3-5 hari tinggal, parameter hematologis khusus seperti pada hematokrit, trombosit, dan pemeriksaan leukosit.

Tingkat pengetahuan, sikap, dan perilaku orangtua tentang penyakit diare dan penanganannya pada anak balita di Pandu D’Care Made Refika Widya Apsari Tangkas; Ni Nyoman Metriani Nesa; Ayu Setyorini Mestika Mayangsari; Nyoman Budi Hartawan
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Diarrhea is an increased frequency of defecation, 3 times or more a day, with changes in the consistency of the stool which become loose to watery. World Health Organization (WHO) states that there are 1.7 billion cases of diarrhea annually and responsible for 525,000 deaths in children each year.Aim: This study aimed to determine the level of knowledge, attitudes, and behavior of parents regarding early treatment of diarrhea of toddlers in D’Care Pandu Child Care Center in January 2019.Method: This study was a cross-sectional observational study. Research subjects consisted of 47 parents who entrust their children to be taken care at the D'Care Pandu Child Care Center. Subjects were asked to fill out a questionnaire to determine the level of knowledge, attitudes and behavior of parents regarding diarrheal disease and its management.Results: Most parents had good knowledge about diarrhea (66%). Most respondent had good attitude level (66%) and moderate level of parental behavior (52%).Conclusion: There were adequate knowledge, attitudes and behaviors of parents related to diarrhea problems in children. Diare adalah meningkatnya frekuensi defekasi yaitu 3 kali atau lebih dalam sehari, dengan perubahan konsistensi tinja menjadi lebih lembek hingga cair. World Health Organization (WHO) menyatakan bahwa terdapat 1,7 milyar kasus diare pertahun secara global dengan angka kematian pada anak sebesar 525.000 tiap tahunnya.Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap, serta perilaku orangtua dalam penanganan awal diare pada balita di Tempat Penitipan Anak Pandu D’Care.Metode: Penelitian ini menggunakan merupakan penelitian observasional dengan pendekatan potong-lintang. Subyek penelitian terdiri dari 47 orangtua yang menitipkan anaknya di TPA Pandu D’Care pada Januari 2019. Subyek diminta mengisi kuisioner untuk mendapatkan gambaran tingkat pengetahuan, sikap serta perilaku orangtua tentang penyakit diare dan penanganannya.Hasil: tingkat pengetahuan orangtua mengenai diare sebagian besar adalah baik (66%). Sebagian besar responden memiliki tingkat sikap yang baik (66%) dan didapatkan dominansi perilaku orangtua dalam tingkatan sedang yaitu sebesar 52%.Simpulan: Studi ini menunjukkan cukup adekuatnya pengetahuan serta sikap dan perilaku orang tua terkait permasalahan diare pada anak.

Validitas modified Pediatric Early Warning System/Score di Rumah Sakit Umum Pusat Sanglah I Made Karma Setiyawan; Dyah Kanya Wati; I Nyoman Budi Hartawan; Ida Bagus Gede Suparyatha; Made Pande Lilik Lestari
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Background: Early identification of patient at risk influence the chance of appropriate management and thus patient’s outcome. Pediatric Early Warning System/Score (PEWS) was developed to evaluate patient clinical development while hospitalized. Sanglah General Hospital has implemented PEWS to evaluate early clinical deterioration since 2015 in accordance with quality control program, even though it is not validated yet.Methods: A single-center, cross-sectional analytic observational study was conducted in pediatric ward Sanglah General Hospital in 2019. The scores ranged from 0 to 9 and were assessed in the 6 to 8 hours prior to unplanned intensive care transfer. Cut-off point, sensitivity, and specificity of modified PEWS was obtained in terms of unplanned intensive care transfer.Results: Amongst 200 children at pediatric ward, 22 children (11%) had unplanned intensive transfer. The most common intensive consultation problems were respiratory failure (63.6%), followed by decrease of consciousness (22.8%) and shock (13.6%). Median of time to clinical deterioration occured within 6 days of hospitalization (range, 1- 41). Majority clinical deterioration event was found in hematology oncology group. The AUC score was 0,99 (95% CI, 0,99 - 1) with the optimal cut-off point on score ? 4 (sensitivity 95,5% and spesificity 100%).Conclusion: Modified PEWS at Sanglah General Hospital is a valid instrument in identifying early clinical deterioration in children. Prospective clinical evaluation of modified Sanglah General PEWS is needed to determine improvement quality of care and patient outcomes. Latar Belakang: Identifikasi pasien yang berisiko mengalami perburukan klinis sejak dini dapat mempengaruhi pemberian tatalaksana yang akan meningkatkan luaran. Instrumen Pediatic Early Warning System/Score (PEWS) disusun untuk mengetahui perkembangan klinis dari pasien selama perawatan di rumah sakit. RSUP Sanglah menerapkan deteksi dini perburukan klinis menggunakan instrumen PEWS yang dimodifikasi sejak tahun 2015 dalam menjalankan Gugus Kendali Mutu (GKM), namun belum tervalidasi.Metode: Penelitian observasi analitik, single-center, menggunakan desain potong lintang yang dilakukan di ruang perawatan anak RSUP Sanglah pada tahun 2019. Skor memiliki rentang 0 sampai 9 dan dinilai saat 6-8 jam sebelum terjadinya pemindahan ke perawatan intensif yang tidak terencana. Titik potong, sensitivitas dan spesifisitas skor modified PEWS didapatkan terkait perburukan klinis yang memerlukan perawatan intensif tidak terencana.Hasil: Sebanyak 22 anak (11%) dari 200 anak yang dirawat di ruang perawatan memerlukan perawatan ruang intensif tidak terencana. Penyebab terbanyak dilakukannya konsultasi untuk perawatan intensif adalah gagal napas (63,6%) diikuti oleh penurunan kesadaran (22,8%) dan syok (13,6%). Median waktu terjadinya perburukan klinis didapatkan setelah 6 hari perawatan (rentang, 1- 41). Mayoritas perburukan klinis didapatkan pada kelompok diagnosis hematologi onkologi. Nilai AUC skor modified PEWS RSUP Sanglah didapatkan sebesar 0,99 (IK 95%, 0,99-1) dengan titik potong optimal pada skor ? 4 (sensitivitas 95,5%, spesifisitas 100%).Kesimpulan: Skor modified PEWS RSUP Sanglah merupakan instrumen yang valid dalam mengenali perburukan klinis pada anak sejak awal. Evaluasi klinis secara prospektif menggunakan skor PEWS tersebut diperlukan untuk melihat perbaikan dalam hal kualitas perawatan dan luaran pada pasien.

Karakteristik Pasien yang Dirawat di Unit Gawat Darurat Anak Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G. Ngoerah Denpasar Dyah Kanya Wati; Ida Bagus Suparyatha; I Nyoman Budi Hartawan; Khema Metta Wijaya
Sari Pediatri Vol 24, No 4 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.4.2022.222-31

Latar belakang. Jumlah pasien anak yang berkunjung ke ruang gawat darurat terus mengalami peningkatan setiap tahunnya. Studi mengenai analisis data pelayanan gawat darurat penderita anak dengan kegawatan medik dari aspek lama tunggu dan kematian pasien di IGD masih terbatas.Tujuan. Penelitian ini bertujuan untuk mengevaluasi karakteristik dan luaran, serta gambaran epidemiologi dari penderita anak dengan kegawatdaruratan medik yang datang ke IGD anak RSUP Prof Dr. I.G.N.G Ngoerah Denpasar.Metode. Penelitian ini merupakan penelitian deksriptif retrospektif dengan data dari rekam medis pasien anak yang dirawat di IGD RSUP Prof Dr. I.G.N.G Ngoerah pada periode Februari – Juli 2022 menggunakan metode konsekutif sampling. Analisis deksriptif dilakukan dengan program SPSS.Hasil. Total jumlah sampel yang dikumpulkan dalam penelitian ini adalah 867 sampel. Karakteristik dasar pasien anak yang berkunjung ke ruang gawat darurat adalah mayoritas berjenis kelamin laki – laki, berusia 1 – 5 tahun, memiliki status gizi normal, skor pSOFA < 8 (99,7%), kematian dalam 24 jam terjadi pada 1,3% dan lama waktu tunggu pasien di triase setelah diagnosis ditegakkan adalah segera (90,2%). Keluhan utama yang paling sering dijumpai adalah ganggun sistem pernapasan, febris, dan gangguan sistem pencernaan. Diagnosis terbanyak adalah infeksi COVID-19 (10,4%) dan leukemia (10,3%).Kesimpulan. Infeksi COVID-19 masih merupakan diagnosis tersering di IGD, walaupun begitu pasien dengan keganasan (terutama leukemia) memiliki prevalensi yang cukup besar dibandingkan penyakit lainnya pada pasien pediatri yang memerlukan perawatan di IGD. Mayoritas pasien yang datang ke IGD anak RSUP Prof Ngoerah memiliki tingkat keparahan penyakit yang rendah berdasarkan pSOFA dan lama tunggu yang pendek setelah diagnosis ditegakkan. Kematian dalam 24 jam hanya terjadi pada sebagian kecil pasien.

Correlation between Laboratory Turnaround Time in Pediatric Emergency Departement and Length of Stay Pratiwi, Putu Diah; Wati, Dyah Kanya; Hartawan, I Nyoman Budi
Jurnal ARSI : Administrasi Rumah Sakit Indonesia Vol. 4, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

A quick and precise diagnosis is essential in hospital services, especially in the emergency department. In condition with high volume patients, perfomance of laboratory usually decreases. Studies which identify directly the delay of laboratory examinations in emergency department in relation to length of stay in wards have not been conducted. We did correlative study using secondary data obtained from medical records. Inclusion criteria was child, age range from 29 days to 12 years old who needed supporting laboratory examinations, directly admitted to wards or PICU after getting treatments in emergency department. Exclusion criteria was child with growth and developmental problem, malnutrition, immuncompromised condition, incomplete medical records data, and child died in the emergency department. Average patient in 2016 was 3,6 yeras old and in 2017 was 2 yeras old, mostly boys. Mostly with chief complaints of infections Analysis in 2017 showed correlation coefficient of 0.466 which means there was strong association between laboratory turnaround time and length of stay and statistically significant (p 0.03). multivariate analysis shown there was strong correlation between laboratory turnaround time and length of stay and if the predictive value increased by one unit, the length of stay would increase 6,5%.

Co-Authors Abdul Latief Alice Indradjaja, Alice Anak Agung Ngurah Ketut Putra Widnyana Anggareni, Komang Tria Antonius H. Pudjiadi Armand Setiady Liwan Artini, Ni Wayan Noni Aurelya, Anira Rema Ayu Setyorini Mestika Mayangsari Ayu Widyanti Bagus Ngurah Putu Arhana Dewi Sutriani Mahalini Djoko, Sri Wahyuni Dyah Kanya Wati Eka Gunawijaya Estina, Vania Catleya Haning, Joy Aprianis Harsika Sari, Ni Wayan Diah Intan Hendra Salim Hendy Halim I Gusti Agung Trisna Windiani I Gusti Ayu Putu Eka Pratiwi I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Gusti Ngurah Sanjaya Putra I Made Arimbawa I Made Bagus Wilaksmana Putra I Made Bakta I Made Jawi I Made Kardana I Made Karma Setiyawan I Made Pramana Dharmatika I NYOMAN MANTIK ASTAWA I Putu Gede Karyana I Wayan Dharma Artana, I Wayan Dharma I Wayan Gustawan I. K. G. Suandi Ida Bagus Gede Suparyatha Ida Bagus Subanada IGN Sanjaya Putra Irene Yuniar, Irene Karmelia Kumala Ketut Ariawati Ketut Dewi Kumara Wati Khema Metta Wijaya Komang Ayu Witarini Luh Wayan Puspa Ningsih Made Gede Dwi Lingga Utama Made Michel Kresnayasa Made Pande Lilik Lestari Made Refika Widya Apsari Tangkas Made Wiryana Manggala, Arya Krisna Ni Luh Sri Apsari Ni Nyoman Metriani Nesa Ni Putu Anggun Laksmi NP Veny Kartika Yantie Pande Putu Agung Willa Kesawa Putra Putu Diah Pratiwi Putu Diah Pratiwi Putu Dita Arsintha Widma Rathasari, Ni Made Dea Adilla Rismala Dewi Romy Windiyanto Sekarningrum, Putu A. Siska Permanasari Sinardja Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sukmawati, Made Suparyatha, Ida Bagus Gede Sutriani Mahalini, Dewi Wati, Dyah K. Wayan Sulaksmana Sandhi Parwata Yati Soenarto

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