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Andi Ade Wijaya

Departemen Anestesiologi dan Intensive Care Fakultas Kedokteran Universitas Indonesia/RSUPN Cipto Mangunkusumo

Author-ID : 417140

Education Health Professions Medicine & Pharmacology

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Uji Kesahihan dan Keandalan QoR-40 versi Indonesia sebagai Instrumen untuk Menilai Kualitas Pemulihan Pasca-anestesia Umum Harijanto, Eddy; Wijaya, Andi Ade; Handayani, Dini
Majalah Anestesia dan Critical Care Vol 34 No 2 (2016): Juni
Publisher : Perdatin Pusat

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Quality of Recovery-40 (QoR-40) adalah salah satu instrumen yang telah digunakan luas di dunia untuk menilai kualitas pemulihan pasca-anestesia umum. Saat ini belum ada instrumen spesifik yang menilai kualitas pemulihan pasca-anestesia di Indonesia. Hasil terjemahan akan diujikan pada 115 subjek yang menjalani anestesia umum satu hari praoperasi dan satu hari pascaoperasi. Uji kesahihan isi menggunakan koefisien Aiken v, uji kesahihan konstruksi (analisis faktor dan uji korelasi pearson), konsitensi internal (Chronbach α), ketanggapan (responsiveness) dengan standard respons mean (SRM). Uji kesahihan isi formula Aiken V didapatkan bahwa QoR-40 versi Indonesia sahih dengan nilai ≥0,5. Uji kesahihan konstruksi dengan analisis faktor menunjukan semua faktor memiliki korelasi yang tinggi (korelasi≥0,5). Uji korelasi Pearson didapatkan 3 item pertanyaan dari dimensi dukungan tehadap pasien yang tidak sahih (mendapat dukungan dari dokter Rumah Sakit, ρ=0,252), (mampu memahami arahan dan nasehat ρ=1,98), (merasa bingung ρ=0,202). Standart respons mean (SRM) pada uji ketanggapan adalah 1,06. Terdapat hubungan negatif antara skor QoR-40 versi Indonesia dengan lama masa rawatan. QoR -40 versi Indonesia menunjukkan kesahihan dan keandalan yang memuaskan. Dimensi dukungan terhadap pasien dengan koefisien kesahihan terendah dan tiga pertanyaan yang tidak memiliki kesahihan konstruksi. Instrumen Qor-40 versi Indonesia sensitif untuk menilai perubahan klinis pascanestesia umum. Kata Kunci: Indonesia, kesahihan dan keandalan, kualitas pemulihan, QoR-40 Validity and reliability test Qor -40 version of Indonesia to assess the quality of recovery after general anesthesiaQuality of Recovery-40 (Qor-40) is one of the instruments that have been used widely in the world to assess quality of recovery after general anesthesia. There is no specific instrument tot assesses the quality of recovery after general anesthesia in Indonesia up to now. The translation was tested on 115 subjects undergoing general anesthesia on one day preoperative and one day postoperative. Validity test of the content was done by coefficient Aiken V, Construction validity (factor analysis and Pearson correlation), Internal consistency (Chronbach α), and responsiveness test with Standard response mean (SRM).The content validity of Aiken V formula showed that Qor-40 Indonesian version was valid with ≥0.5 value. Construction validit ytest by factor analysis showed high correlations for all factors (correlation ≥0.5). Pearson correlation test item found 3 questions that were not valid ( Getting support from Hospital doctors, ρ=0.252), (Able to understand the direction and advice of ρ=1.98), (Feeling confused ρ=0.202). SRM on the responsiveness test was 1,06. There was a negative correlation between the scores Qor-40 version Indonesia with long term care. QoR-40 Indonesian version showed a satisfactory validity and reliability. Patients support dimension had the lowest validity coefficient with three questions that did not have valid construction. Indonesian version of Qor-40 wa ssensitive to assess clinical changes after general anesthesia. Key words: Indonesia, Qor-40, quality of recovery, validity and reliability

Post-operative Emergence Agitation in Children Undergoing Inhalation General Anesthesia in Cipto Mangunkusumo Hospital: Study on Incidence and Affecting Factors Wijaya, Andi Ade; Kapuangan, Christopher; Aktara, Betardi
Majalah Anestesia dan Critical Care Vol 33 No 2 (2015): Juni
Publisher : Perdatin Pusat

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Emergence agitation (EA) during recovery from general anesthesia is often found among pediatric population. The etiology of EA in children is not fully understood. Possible risk factors include pre-school age, recent inhalation anesthetics, poor adaptability, and parental presence during recovery. The aim of the present study was to assess the incidence of EA and the affecting factors in children undergoing inhalation anesthesia in Cipto Mangunkusumo Hospital. There were 78 samples, aged 2–12 years undergoing inhalation anesthesia. Behavior during induction of anesthesia was assessed with Pediatric Anesthesia Behavior (PAB) score. In post anesthesia care unit (PACU) the incidence of EA was assessed with Aono’s four-point scale upon admission (T0), after 5 min (T5), 15 min (T15) and 30 min (T30). The incidence of EA in children undergoing inhalation anesthesia in this study was 39,7%. The incidence was higher in 2–5 years old children with PAB score 2 or 3. Midazolam, type of inhalation anesthetic agents and parental presence during recovery do not appear to have any bearing on the incidence of EA. Age of the children and the behavior during induction of anesthesia have a strong correlation with the incidence of EA.

Ketepatan Modul Triase IGD RSUPN Cipto Mangunkusumo dalam Memprediksi Angka Mortalitas Wijaya, Andi Ade; Firdaus, Riyadh; S. R. Tonda, Thomas Aquinas
Majalah Anestesia dan Critical Care Vol 34 No 3 (2016): Oktober
Publisher : Perdatin Pusat

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Kegagalan mengenali dengan risiko mortalitas tinggi pada pasien dapat menyebabkan luaran yang buruk. penilaian yang cepat dan tepat terhadap perubahan tanda vital sangat penting untuk menghindari keterlambatan penanganan. Beberapa modul triase telah dirancang untuk mendukung pengambilan keputusan bagi perawat/dokter triasePenelitian meneliti ketepatan modul triase IGD RSCM dalam memprediksi mortalitas untuk luaran 24 jam dan 7 hari. Dilakukan studi kohort retrospektif pada 529 s pasien triase di Instalasi Gawat Darurat RSCM. Luaran mortalitas pasien dibagi menjadi mortalitas 24 jam dan mortalitas 7 hari. Area under the curve modul triase untuk luaran 24 jam adalah 0,787 (IK 95%: 0,690–0,885), lebih besar daripada area under the curve modul triase untuk luaran 7 hari yaitu 0,662 (IK 95%: 0,597–0,726). Hal ini berarti modul triase IGD RSCM lebih akurat dalam memprediksi mortalitas 24 jam daripada mortalitas 7 hari. Rasio kemungkinan positif (PLR) yang terbesar ialah untuk kategori resusitasi, yaitu 11,36. Performa modul triase IGD RSCM lebih baik dalam memprediksi mortalitas 24 jam daripada untuk memprediksi mortalitas 7 hari. Kata kunci: Akurasi, instalasi gawat darurat, modul triase, mortalitas, tanda vital The AmLuracy of Triage Module of Cipto Mangunkusumo Hospital’s Emergency Department in Predicting Mortality RateFailure to identify high risk patients leads to poor outcomes. quick and precise assessment of vital signs changes is very important to help the triage doctors/nurses in making prompt decisions. This study analyzed the amLuracy of the triage modules in the ED of RSCM inpredicting the mortality outcome in 24 hours and 7 days. a retrospective cohort study was done on 529 patientswho underwent the triage procedure in the ED of RSCM. The patients’ mortality outcomes were divided into 24-hours mortality and 7-days mortality. The area under the curve for the 24-hours outcome was 0.787 (95% CI: 0.690 to 0.885) greater than the area under the curve for 7-days outcomes(0,662, CI 95%: 0.597 to 0.726), thus the triage module in the ED of RSCM was better in predicting of 24-hours mortality than 7-days mortality. The ER triage module was more amLurate in predicting 24-hours mortality than f 7-days mortality. Key words: Accuracy emergency room, mortality, Triage, vital signs

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Journal : Majalah Anestesia dan Critical Care