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Characteristics Of Patient With Foreign Body Ingestion In Palembang Adelien; Abla Ghanie; Puspa Zuleika; Lisa Apri Yanti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 1 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i1.156

Introduction. Foreign body ingestion is a common diagnosis that presents in emergency departments—coins as the oesophagal foreign body most commonly found in infants and children. Coins retained in the oesophagus require intervention to prevent complications. This study aimed to determine oesophagal coin foreign body patient's characteristic at Mohammad Hoesin General Hospital Palembang. Method. This study design was retrospective descriptive. Samples were all patient diagnosed with oesophagal coin foreign bodies which underwent Extraction with esophagoscopy guidance that was performed at Mohammad Hoesin General Hospital Palembang during January 2013 – August 2017. Result. Forty-three patients had diagnosed with oesophageal coin foreign bodies consist of 22 males and 21 females. The most frequent age was 4fouryears old. The most presenting symptoms are Globus sensation on the throat (79%) and odynophagia (51,1%). Radiologist confirmation was done in every patient with foreign coin bodies in oesophagus. All patients underwent oesophagoscopy. 65,1% of cases of foreign coin bodies were found in the second constriction of throat. Duration of stay in hospital was the range from 1- 4 days, with the most frequent, was two days. There was no complication found in all patients. Conclusion. Oesophagal coin foreign body is most commonly ingested in children. The most presenting symptom is globus sensation on the throat. There is no complication found in this study.

Factors Associated with The Incidence of Infection in Tracheostomy Stoma at Mohammad Hoesin Hospital Lisa Apri Yanti; Nelly Oktriyani; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 9 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i9.349

Introduction: Tracheostomy is a surgery to open the trachea to allow air to enter the airway. Tracheostomy cannot be separated from possible complications. Tracheostomy stoma infection is one of the complications of post-tracheostomy that occurs due to the activity of several bacteria. Many factros can cause the incidence of tracheostomy stoma infection. Objective: The aim of this study is to determine the factors associated with the incidence of tracheostomy stoma infection. Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 71 subjects who underwent tracheostomy tube replacement from july 2019 to November 2020. Results: From 71 subjects, it was found that the subjects who had tracheostomy stoma infection were 54.9%. The results of bivariate analysis showed that age (p=0.031), comorbidities (p=0.009), the type of tracheostomy tube (p=0.015), the use of antiseptic in tracheostomy dressing (p=0.020), tracheostomy tube care (p=0.013), and the interval of changing the tracheostomy tube (p=0.041) are the significant factors. The results of multivariate analysis showed that tracheostomy tube care and the interval of changing the tracheostomy tube had a significant effect on tracheostomy stoma infection. Tracheostomy tube care has a risk of 9.362 times to experience infection with CI95%(1.535-57.086) and the interval of changing the tracheostomy tube has a risk of 10.669 with CI95% (1.074-105.985). Conclusion: There is a significant relationship between age, comorbidities, type of tracheostomy tube, the use of antiseptic in tracheosotmy dressing, tracheosotmy tube care, and interval of changing the tracheostomy tube with the incidence of tracheostomy stoma infection.

Correlation of Voice Handicap Index 10 with Reflux Symptom Index and Reflux Finding Score in Patients with Dysphonia Ari Utama; Lisa Apri Yanti; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 5 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i5.508

Background. Voice disturbance occurs when the quality, pitch, loudness, or flexibility of other people's voices differ according to age, gender, and similar cultural groups. The Voice Handicap Index (VHI) is one of the most widely used tools worldwide to measure the physical, functional, and emotional aspects of voice disorders. This study aims to determine the correlation of voice handicap index-10 with reflux symptom index and reflux finding scores in patients with dysphonia complaints at Dr. Mohammad Hoesin General Hospital Palembang. Methods. This study is a cross-sectional study using a correlation test design that aims to determine the correlation between VHI-10 and RSI and RFS in patients with dysphonia complaints. Results. The sample of this study includes the demographic factors of the research subjects, namely age, gender, and occupation. This study shows that patients with RFS ≥ 7 affect the VHI-10 score ≥ 11 with a proportion of 72%. Conclusion. There is a moderate positive correlation between the RFS score and the VHI-10 score, where the higher the RFS value, the higher the VHI-10 score in patients with dysphonic complaints.

Analysis of the correlation between post intubation laryngeal injury with the risk factors Indriati Purwasari; Lisa Apri Yanti; Abla Ghanie; Erial Bahar
Oto Rhino Laryngologica Indonesiana Vol 50, No 2 (2020): Volume 50, No. 2 July - December 2020
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v50i2.330

ABSTRACTBackground: Post intubation laryngeal injury varies in each individual. The occurrence could not be predicted, but it might be related to age, gender, smoking, comorbidities, duration of intubation, re- intubation, the type and size of endotracheal tube, the volume and duration of cuff inflation. Knowing the risk factors could prevent and decrease the occurrence of post intubation laryngeal injury. Objective: To find out the risk factors associated with the incidence of laryngeal injury after intubation. Method: This study was a cross sectional design. The samples were taken from medical records of Intensive Care Unit/ High Care Unit patients at Dr.Mohammad Hoesin Hospital Palembang, from January to December 2019. Result: There were 59 ICU/HCU patients suffered post intubation laryngeal injuries. The injuries were varied, with laryngeal edema being the most common injury (89.8%), followed by widened posterior gap (52.5%), and subglottic ulcer (32.2%). Based on the Classification of Acute Laryngeal Injury (CALI), the most common post intubation laryngeal injury was severe injury (42.4%). Multivariate analysis found that intubation more than 7 days had 4.7 times probability of experiencing severe laryngeal injury. Discussion: In our study, there was no significant correlation between post intubation laryngeal injury with gender, comorbidities, smoking, diameter of ETT, and re-intubation. There was a significant correlation between post intubation laryngeal injury, with age, duration of intubation, and kinking type of ETT. Conclusion: There was a significant relationship between severe post intubation laryngeal injury and duration of intubation. ABSTRAKLatar belakang: Cedera laring pasca intubasi endotrakeal bervariasi antara satu individu dengan individu lain. Penyebabnya belum diketahui pasti, tetapi mungkin berhubungan dengan usia, jenis kelamin, riwayat merokok, komorbid, lama intubasi, riwayat intubasi berulang, ukuran dan jenis pipa endotrakeal, volume cuff dan lama cuff dikembangkan. Diketahuinya faktor risiko dapat mencegah dan mengurangi angka kejadian cedera laring pasca intubasi. Tujuan: Mengetahui faktor risiko yang berhubungan dengan kejadian cedera laring pasca intubasi. Metode: Penelitian observasional menggunakan rancangan potong lintang (cross sectional). Dilakukan melalui data rekam medik pasien Intensive Care Unit/High Care Unit RS Dr. Mohammad Hoesin Palembang periode Januari-Desember 2019. Hasil: Didapati 59 pasien ICU/HCU yang mengalami cedera laring pasca intubasi. Cedera yang terjadi bervariasi, edema laring adalah cedera yang paling banyak terjadi (89,8%), diikuti posterior gap yang melebar (52,5%) dan ulkus subglotis (32,2%). Berdasarkan Classification of Acute Laryngeal Injury (CALI), derajat cedera laring pasca intubasi terbanyak adalah cedera derajat berat sebanyak 25 pasien (42,4%). Hasil analisis multivariat menunjukkan bahwa lama intubasi >7 hari berpeluang 4,7 kali mengalami cedera laring derajat berat. Diskusi: Pada penelitian ini tidak didapati hubungan yang bermakna antara kerusakan laring pasca intubasi dengan jenis kelamin, penyakit penyerta, merokok, diameter pipa endotrakeal dan intubasi berulang. Didapati adanya hubungan yang bermakna antara kerusakan laring pasca intubasi dengan umur, lamanya intubasi dan pipa endotrakeal tipe kinking. Kesimpulan: Terdapat hubungan yang bermakna antara cedera laring pasca intubasi derajat berat dengan lamanya intubasi.

Characteristics Of Patient With Foreign Body Ingestion In Palembang Adelien; Abla Ghanie; Puspa Zuleika; Lisa Apri Yanti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 1 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i1.156

Introduction. Foreign body ingestion is a common diagnosis that presents in emergency departments—coins as the oesophagal foreign body most commonly found in infants and children. Coins retained in the oesophagus require intervention to prevent complications. This study aimed to determine oesophagal coin foreign body patient's characteristic at Mohammad Hoesin General Hospital Palembang. Method. This study design was retrospective descriptive. Samples were all patient diagnosed with oesophagal coin foreign bodies which underwent Extraction with esophagoscopy guidance that was performed at Mohammad Hoesin General Hospital Palembang during January 2013 – August 2017. Result. Forty-three patients had diagnosed with oesophageal coin foreign bodies consist of 22 males and 21 females. The most frequent age was 4fouryears old. The most presenting symptoms are Globus sensation on the throat (79%) and odynophagia (51,1%). Radiologist confirmation was done in every patient with foreign coin bodies in oesophagus. All patients underwent oesophagoscopy. 65,1% of cases of foreign coin bodies were found in the second constriction of throat. Duration of stay in hospital was the range from 1- 4 days, with the most frequent, was two days. There was no complication found in all patients. Conclusion. Oesophagal coin foreign body is most commonly ingested in children. The most presenting symptom is globus sensation on the throat. There is no complication found in this study.

Factors Associated with The Incidence of Infection in Tracheostomy Stoma at Mohammad Hoesin Hospital Lisa Apri Yanti; Nelly Oktriyani; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 5 No. 9 (2021): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bsm.v5i9.349

Introduction: Tracheostomy is a surgery to open the trachea to allow air to enter the airway. Tracheostomy cannot be separated from possible complications. Tracheostomy stoma infection is one of the complications of post-tracheostomy that occurs due to the activity of several bacteria. Many factros can cause the incidence of tracheostomy stoma infection. Objective: The aim of this study is to determine the factors associated with the incidence of tracheostomy stoma infection. Methods: Observational study with cross-sectional design. Data collection was carried out using medical record data on 71 subjects who underwent tracheostomy tube replacement from july 2019 to November 2020. Results: From 71 subjects, it was found that the subjects who had tracheostomy stoma infection were 54.9%. The results of bivariate analysis showed that age (p=0.031), comorbidities (p=0.009), the type of tracheostomy tube (p=0.015), the use of antiseptic in tracheostomy dressing (p=0.020), tracheostomy tube care (p=0.013), and the interval of changing the tracheostomy tube (p=0.041) are the significant factors. The results of multivariate analysis showed that tracheostomy tube care and the interval of changing the tracheostomy tube had a significant effect on tracheostomy stoma infection. Tracheostomy tube care has a risk of 9.362 times to experience infection with CI95%(1.535-57.086) and the interval of changing the tracheostomy tube has a risk of 10.669 with CI95% (1.074-105.985). Conclusion: There is a significant relationship between age, comorbidities, type of tracheostomy tube, the use of antiseptic in tracheosotmy dressing, tracheosotmy tube care, and interval of changing the tracheostomy tube with the incidence of tracheostomy stoma infection.

Correlation of Voice Handicap Index 10 with Reflux Symptom Index and Reflux Finding Score in Patients with Dysphonia Ari Utama; Lisa Apri Yanti; Erial Bahar
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 5 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i5.508

Background. Voice disturbance occurs when the quality, pitch, loudness, or flexibility of other people's voices differ according to age, gender, and similar cultural groups. The Voice Handicap Index (VHI) is one of the most widely used tools worldwide to measure the physical, functional, and emotional aspects of voice disorders. This study aims to determine the correlation of voice handicap index-10 with reflux symptom index and reflux finding scores in patients with dysphonia complaints at Dr. Mohammad Hoesin General Hospital Palembang. Methods. This study is a cross-sectional study using a correlation test design that aims to determine the correlation between VHI-10 and RSI and RFS in patients with dysphonia complaints. Results. The sample of this study includes the demographic factors of the research subjects, namely age, gender, and occupation. This study shows that patients with RFS ≥ 7 affect the VHI-10 score ≥ 11 with a proportion of 72%. Conclusion. There is a moderate positive correlation between the RFS score and the VHI-10 score, where the higher the RFS value, the higher the VHI-10 score in patients with dysphonic complaints.

Factors associated with the length of stay of deep neck abscess patients Lisa Apri Yanti; Friska Meutia Lubis; Erial Bahar; Abla Ghanie
Oto Rhino Laryngologica Indonesiana Vol 52, No 1 (2022): VOLUME 52, NO. 1 JANUARY - JUNE 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i1.473

ABSTRACTBackground: Deep neck abscess is an accumulation of pus in one or more potential spaces of the deep neck fascia. Complications of deep neck abscesses are considered as an emergency in the Ear Nose Throat–Head and Neck field. One determining factor of prognosis in deep neck abscess patients is the length of stay in the hospital. Objective: To find out the factors associated with the hospital length of stay of deep neck abscess patients. Method: Observational research using a cross sectional design. Data collection was carried out using medical record data on 91 subjects diagnosed with deep neck abscess at Dr. Mohammad Hoesin Hospital Palembang from July 2018 to May 2021. Result: From the 91 samples studied, the average hospital length of stay for deep neck abscess patients was 11.26 days. The study found factors related to the length of stay in the hospital, namely comorbidities (p=0.005), location of the abscess (p=0.004), pus culture (p=0.003), and the number of deep-neck spaces involved (p=0.005). Linear regression found that the most significant factors on the hospital length of stay were the involvement of abscess in 2 or more deep neck spaces (p = 0.002) and the presence of comorbidities (p = 0.005). Conclusion: Abscess involvement in 2 deep neck spaces or more and the presence of comorbidities were the most influential factors associated with the hospital length of stay in deep-neck abscess patients.ABSTRAKLatar Belakang: Abses leher dalam adalah akumulasi pus pada satu atau lebih ruang potensial fasia leher dalam sebagai akibat penjalaran infeksi. Komplikasi abses leher dalam masih merupakan keadaan darurat di bidang THT-KL. Salah satu faktor penentu prognosis adalah lama rawat di rumah sakit. Banyak faktor yang dapat mempengaruhi lama rawat pasien abses leher dalam di rumah sakit. Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan lama rawat pasien abses leher dalam di RSUP Dr. Mohammad Hoesin Palembang. Metode: Penelitian observasional yang menggunakan rancangan potong lintang. Pengumpulan data dilakukan dengan menggunakan data rekam medis pada 91 subjek dengan diagnosis abses leher dalam di RSUP Dr. Mohammad Hoesin Palembang periode Juli 2018 sampai dengan Mei 2021. Hasil: Dari 91 sampel yang dilakukan penelitian, rerata lama rawat di rumah sakit pada pasien abses leher dalam adalah 11,26 hari. Penelitian mendapatkan faktor yang berhubungan dengan lama rawat di rumah sakit yaitu komorbid (p=0,005), lokasi abses (p=0,004), kultur pus (p=0,003), dan jumlah ruang leher dalam yang terlibat (p=0,005). Dari uji regresi linier didapatkan faktor yang paling memengaruhi lama rawat di rumah sakit adalah keterlibatan abses ³ 2 ruang leher dalam (p=0,002) dan terdapat komorbid (p=0,005). Kesimpulan: Keterlibatan abses pada 2 ruang leher dalam atau lebih, dan terdapatnya komorbid adalah faktor yang paling berpengaruh terhadap lama rawat pasien abses leher dalam.

Uji Reliabilitas Voice Handicap Index-30 Adaptasi Bahasa Indonesia dI RSUP Dr. Mohammad Hoesin Palembang Lisa Apri Yanti; Abla Ghanie; Puspa Zulaeka; Adelien
Sriwijaya Journal of Medicine Vol. 2 No. 1 (2019): Vol 2, No 1, 2019
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v2i1.32

Berbicara merupakan cara yang efektif untuk berkomunikasi. Adanya gangguan suara atau disfonia akan mengganggu proses komunikasi yang akan berdampak negatif terhadap kehidupan sosial. Voice Handicap Index (VHI) merupakan salah satu kuesioner untuk menilai persepsi suara dimana Agency of Healthcare Research and Quality pada tahun 2012 mengumumkan VHI sebagai diagnostik instrumen yang valid dan reliabel. Saat ini klinisi di Indonesia belum menggunakan alat ukur ini pada pasien dengan gangguan suara ataupun untuk evaluasi pascaterapi karena belum tersedianya instrumen yang sudah teruji reliabilitasnya dalam bahasa Indonesia. Penelitian ini bertujuan untukmendapatkan VHI adaptasi bahasa Indonesia yang reliabel, mengetahui sebaran subjek gangguan suara berdasarkan demografi, pemeriksaan perseptual subjektif (GRBAS) dan laringoskopi indirek. Penelitian ini menggunakan rancangan potong lintang. Subjek diambil dengan teknik consecutive sampling hingga terpenuhi jumlah sampel 40 orang. Penelitian dilakukan di poliklinik THT-KL divisi Laring Faring RSMH pada bulan Juni-November 2018. Hasil uji reliabilitas VHIdidapatkan skala fungsional, fisik, emosional maupun skor total memiliki nilai alpha lebih dari 0,7. Hal ini menunjukkanbahwa VHI adaptasi bahasa Indonesia reliabel untuk dijadikan suatu instrumen pemeriksaan. Nilai Cronbach-α tertinggiyaitu pada skala VHI total sebesar 0.884. VHI-30 adaptasi bahasa Indonesia reliabel sebagai instrumen penilaian kualitashidup pasien gangguan suara.

Characteristics and Patterns of Deep Neck Infection in Dr. Mohammad Hoesin General Hospital Palembang 2020 Lisa Apri Yanti
Biomedical Journal of Indonesia Vol. 7 No. 2 (2021): Vol 7, No 2, 2021
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/bji.v7i2.283

Intoduction: Deep neck infection is the accumulation of pus in the potential space and facial area in the deep neck. The incidence of deep neck space infections is 1/100.000 in adults and 2/100.000 in children. Risk factors such as age, oral hygiene, and comorbidities such as DM are predisposed factors in deep neck infection. Effective pus collection of specimens is essential, to obtain the organisms and determine the effective antibiotics. Purpose: The aim of this study was to describe the characteristics and bacterial patterns of abscess in Dr. Mohammad Hoesin General Hospital Palembang. Methods: This study was conducted retrospectively using medical records of patients who diagnosed deep neck infection in Dr. Mohammad Hoesin General Hospital Palembang during January to December 2020 who took pus collection and been checked in microbiology laboratory. Data recorded include gender, age, site, onset, risk factors, comorbidities, bacteria culture, antibiotic sensitivity, and complications. Results: Of the 36 patients, 23 (63.8%) were males, followed by 13 (36.1%) were female, and the age of 31-45 years old group were found in 13 subjects (36.1%). The onset was mostly found at 0-1 week as many as 19 subjects (52.7%). The highest complaints of dysphagia and odynophagia were found in 22 cases (26,2%), odontogenic factors were found in 35 cases (97,2%). Abscess location in multiple space were found in 17 cases (47,2%), while in single space there were 19 cases (52.7%), where the most location was in submandibular space in 7 cases. Diabetes was the most comorbid factors found in 6 subjects (50%). The most bacterial were Klebsiella pneumoniae in 4 cases (11.1%) and sensitive antibiotics including ciprofloxacin, meropenem, and tigecycline, in 6 cases (20%) respectively. And the most complication was mediastinitis in 6 cases (75%). Conclusion: Klebsiella pneumoniae is the most common found in deep neck infection with sensitive antibiotics including ciprofloxacin, meropenem, and tigecycline.

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