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All Journal Jurnal Raushan Fikr Rekayasa Mesin Sari Pediatri Paediatrica Indonesiana Majalah Kesehatan FKUB Wahana Islamika: Jurnal Studi Keislaman KOLOKIUM: Jurnal Pendidikan Luar Sekolah Indonesian Journal of Anesthesiology and Reanimation (IJAR) Jurnal Pengabdian Masyarakat Asia Indian Journal of Forensic Medicine & Toxicology International Journal of Mechanical Engineering Technologies and Applications (MECHTA) Jurnal Agama Buddha dan Ilmu Pengetahuan Dinamika Hukum Dan Masyarakat Jurnal Pengabdian dan Pengembangan Inovasi Kepada Masyarakat (PENAMAS) Wahana Islamika: Jurnal Studi Keislaman
AGUS HARIANTO
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Airlangga, Surabaya
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Journal : Paediatrica Indonesiana

 1 
The use of score for neonatal acute physiology perinatal extention II (SNAPPE II) in predicting neonatal outcome in neonatal intensive care unit Mia R A; Risa Etika; Agus Harianto; Fatimah Indarso; Sylviati M Damanik
Paediatrica Indonesiana Vol 45 No 6 (2005): November 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.6.2005.241-5

Abstract

Background Scoring systems which quantify initial risks have animportant role in aiding execution of optimum health services by pre-dicting morbidity and mortality. One of these is the score for neonatalacute physiology perinatal extention (SNAPPE), developed byRichardson in 1993 and simplified in 2001. It is derived of 6 variablesfrom the physical and laboratory observation within the first 12 hoursof admission, and 3 variables of perinatal risks of mortality.Objectives To assess the validity of SNAPPE II in predicting mor-tality at neonatal intensive care unit (NICU), Soetomo Hospital,Surabaya. The study was also undertaken to evolve the best cut-offscore for predicting mortality.Methods Eighty newborns were admitted during a four-month periodand were evaluated with the investigations as required for the specifi-cations of SNAPPE II. Neonates admitted >48 hours of age or afterhaving been discharged, who were moved to lower newborn care <24hours and those who were discharged on request were excluded. Re-ceiver operating characteristic curve (ROC) were constructed to derivethe best cut-off score with Kappa and McNemar Test.Results Twenty eight (35%) neonates died during the study, 22(82%) of them died within the first six days. The mean SNAPPE IIscore was 26.3+19.84 (range 0-81). SNAPPE II score of thenonsurvivors was significantly higher than the survivors(42.75+18.59 vs 17.4+14.05; P=0.0001). SNAPPE II had a goodperformance in predicting overall mortality and the first-6-daysmortality, with area under the ROC 0.863 and 0.889. The best cut-off score for predicting mortality was 30 with sensitivity 81.8%,specificity 76.9%, positive predictive value 60.0% and negativepredictive value 90.0%.Conclusions SNAPPE II is a measurement of illness severity whichcorrelates well with neonatal mortality at NICU, Soetomo Hospital.The score of more than 30 is associated with higher mortality
Compartment syndrome in a neonate Magdalena Santosa; Fatimah Indarso; Agus Harianto; Sylviati M. Damanik; Erwin Sarwono
Paediatrica Indonesiana Vol 41 No 9-10 (2001): September 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi41.5.2001.253-5

Abstract

A neonate born with severe asphyxia and considerable risk of infection was treated with intravenous sodium bicarbonate and intravenous antibiotics. At the age of five days he developed edema of the right forearm, tense on palpation, painful, hyperemic, and the hand was pallor, hypesthetic with maceration of the fifth finger. The diagnosis of compartment syndrome was established but it was delayed at least for about 48 hours. Decompression by fasciotomy using the volar Henry approach was performed; after which the pathologic changes rapidly subsided.  The cause of this syndrome wasprobably due to intravenous sodium bicarbonate and repeated intravenous antibiotics. From this experience it is strongly emphasized that we have to be aware and able to diagnose compartment syndrome at the earliest possible time in severely ill neonates and children who have multiple intravenous injection. Daily inspection and careful evaluation of the condition at the site of the intravenous line will be very crucial to detect the syndrome.
Co-Authors Adrianur, Halim Andriyaningsih, Ayu Aspiansyah, Aspiansyah Aspiyansyah, Aspiyansyah Atmaja, Robbi Tri Aty Widyawaruyanti Bandem, I Ketut Mega Purnayasa Budi Handoyo Budi, Agung Prasetyo Dahri, Baso Dina Angelika Erwin Sarwono Fanani, Fikri Faot , Ecy Yedija Fatimah Indarso Fatimah Indarso Fikri Fanani Firdaus, Khildan Miftahul Hariyadi, Muhammad Arif I Putu Agni Rangga Githa Kartika Darma Handayani Khusnaini, Alfan Kusumaningtyas , Maya Hapsari Magdalena Santosa Mahrus A Rahman, Mahrus A Martono Tri Utomo Martono TU Mia R A Muhammad Reza Munajat, Cecep Mustofa, Edi Poniman Poniman Pratama, Rubi Purwitasari, Neny Rahman, Muhammad Muksin Galih Rahmandika, Kukuh Riduan, Agus Adjie Risa Etika, Risa Sampurna, Mahendra Tri Arif Setjaputra, Vina Lidya Shanty Djajakusli Silitonga , Jessica Deborah SJAFIATUL MARDLIYAH Sunny Mariana Samosir Susanto Susanto Susianto , Steven Christian sutiyono sutiyono Sylviati M Damanik Sylviati M. Damanik Tejo Ismoyo, Tejo Tratama, Teddy Tutik Sri Wahyuni Wardhana, Burhan Mahendra Kusuma Wiwied Ekasari WIWIN YULIANINGSIH YATIM RIYANTO Zakariyah, M Fahmi