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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina Sari Pediatri Paediatrica Indonesiana Medicinus : Jurnal Kedokteran ISM (Intisari Sains Medis) : Jurnal Kedokteran Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Jurnal Prima Medika Sains Bioscientia Medicina : Journal of Biomedicine and Translational Research Indonesian Journal of Multidisciplinary Science Jurnal Kedokteran Meditek Cermin Dunia Kedokteran

I Wayan Bikin Suryawan

Bagian/SMF Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Udayana/RSUP Sanglah, Denpasar

Author-ID : 5389829

Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Hubungan antara bayi berat lahir rendah dengan asfiksia neonatarum di RSUD Wangaya Kota Denpasar Ida Bagus Wiadnyana; I Wayan Bikin Suryawan; A.A Made Sucipta
Intisari Sains Medis Vol. 9 No. 2 (2018): (Available online: 1 August 2018)
Publisher : DiscoverSys Inc.

Latar Belakang: Bayi Berat Lahir Rendah (BBLR) pada bayi masih merupakan masalah di bidang kesehatan terutama kesehatan perinatal. Prevalensi bayi dengan berat badan lahir rendah (BBLR) diperkirakan 15% dari seluruh kelahiran di dunia dengan batasan 3,3%-38% dan lebih sering terjadi di negara berkembang atau negara dengan sosio-ekonomi rendah. Komplikasi yang sering terjadi pada BBLR seperti hipotermi, gangguan pernafasan, gangguan alat pencernaan, gangguan immunologi, immatur hati, immatur ginjal serta perdarahan. Pada BBLR dapat terjadi kekurangan surfaktan dan belum sempurna pertumbuhan dan perkembangan paru sehingga kesulitan memulai pernafasan yang berakibat untuk terjadi asfiksia neonatorum. Tujuan dari penelitian ini adalah untuk mengetahui hubungan derajat BBLR dengan derajat asfiksia neonatorum.Metode: Jenis penelitian yang digunakan adalah observasional analitik dengan rancangan penelitian cross sectional. Pada penelitian ini, pengambilan sampel dilakukan pada BBLR di RSUD Wangaya periode April 2016 - April 2017 di ruang Nicu dan Perinatologi sampai jumlah sampel penelitian yang memenuhi kriteria inklusi dan eksklusi dengan jumlah sample total 87 sampel. Sampel diperoleh melalui metode consecutive sampling, selanjutnya dilakukan pengumpulan data yang diperlukan. Data yang diperoleh dianalisis secara analitik, selanjutnya disajikan dalam tabulasi data serta dijabarkan menggunakan tabel dan narasi.Hasil: Terdapat hubungan yang signifikan antara derajat BBLR dengan derajat Asfiksia Neonatarum (p=0,03), BBLR merupakan factor resiko terhadap derajat asfiksia dengan nilai resiko prevalensi (RP)=2,08 (IK 95%=1,08 â€“ 1,30).Simpulan: Terdapat hubungan yang signifikan antara derajat BBLR dengan derajat Asfiksia Neonatarum.

Hubungan prematuritas dengan kejadian sepsis neonatorum yang dirawat di ruang perinatologi dan neonatal intensive care unit (NICU) RSUD Wangaya kota Denpasar I Gusti Amanda Jaya; I Wayan Bikin Suryawan; Putu Pramitha Rahayu
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Premature neonates have an immature immune system due to the lack of IgG antibodies. These antibodies do not cross the placenta from mother to baby at last trimester that can increase the risk of neonatal sepsis. This study aims to determine the relationship between prematurity and the incidence of neonatal sepsis at Perinatology Ward and NICU Wangaya General Hospitals, Denpasar.Methods: This research used analytical observation with cross sectional study design from January-April 2018. The samples involved are 50 neonates, admitted at Perinatology Ward and NICU Wangaya Hospital and fulfilled the inclusion and exclusion criteria. Samples were obtained by using consecutive sampling method and using secondary data from the medical recordResult: 23 samples (46%) premature and 27 samples (54%) were not premature, out of 50 samples as many as 20 samples with neonatal sepsis. From the results of hypothesis testing using the chi-square test, the p-value is 0.005, and the prevalence risk was 2.73.Conclusion: Prematurity is significantly related with the incident of neonatal sepsis at Perinatology Ward and NICU Wangaya Hospital, Denpasar City.

Hubungan antara derajat dehidrasi dengan penurunan berat badan pada anak diare usia 1 sampai 5 tahun di ruangan kaswari dan poliklinik anak RSUD Wangaya kota Denpasar William Grandinata Soeseno; I Wayan Bikin Suryawan; Kadek Suarca
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Children with diarrhea occurrences at ages 1 to 5 years had a prevalence of 16,7% in developing countries. Children suffer from diarrhea more than 12 times per year, and this is also the cause of death by 15 â€“ 34 % of all causes of death. Most of the death from diarrhea due to dehydration begin with dehydration symptoms and decreased body weight. Diarrheal disease cannot be underestimated. Comprehensive, holistic and rational handling is required.Methods: This study was observational analytic research with cross sectional study design. This study aimed to investigate the correlation between the degree of dehydration with a weight loss of diarrhea children aged 1 - 5 year. The sample is 55 diarrhea children aged 1 to 5 years with dehydration and without dehydration in Kaswari and Clinic pediatric at Wangaya Hospital Denpasar from May until August 2018. The data was analyzed by Chi-Square testResult: 24 of 30 children aged 1 to 5 years with mild-moderate dehydration diarrhea lose weight (80%), while the other 6 did not lose weight (20%) with p-value = 0,001.Conclusion: There is a relation between degrees of dehydration with weight loss in diarrhea children at Kaswari and clinic pediatric room Wangaya Hospital, Denpasar.

Hubungan asfiksia dengan kejang pada neonatus di ruang perinatologi dan NICU RSUD Wangaya kota Denpasar Ruby Kurniawan; I Wayan Bikin Suryawan; Made Ratna Dewi
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Asphyxia is a serious problem in newborns because it can cause high levels of mortality and mortality. Deaths because of asphyxia are around 38% and are 3rd rank in neonatal deaths. Asphyxia is the most common cause of seizures in newborns with the incidence of 1-3 per 1,000 births. Seizure after asphyxia can occur impaired cognitive and developmental disorders in children. From the relationship, well and proper management of infants with asphyxia can reduce the risk of death and permanent disability due to seizures.Methods: Observational analytic research with cross sectional study design to find out the relationship between asphyxia and seizure in neonates. The sample of this study is 718 neonates from 0 to 28 days with asphyxia in perinatology and NICU of Wangaya General Hospital Denpasar city from July 2017-July 2018.Result: The prevalence of neonates with asphyxia are 214 and neonates with seizure are 8 from 214. From this study found a relationship between asphyxia and occurrence of seizure with p=0,000.Conclusion: There is a significant relationship between asphyxia and the occurrence of seizures in neonates.

Hubungan suami perokok terhadap bayi berat lahir rendah pada neonatus di ruang Perinatologi RSUD Wangaya kota Denpasar William Grandinata Soeseno; I Wayan Bikin Suryawan; A.A. Made Widiasa
Intisari Sains Medis Vol. 10 No. 1 (2019): (Available online 1 April 2019)
Publisher : DiscoverSys Inc.

Background: Low birth weight babies (LBW) are still a problem. The causes of LBW are multifactorial, one of which is exposure to toxic substances (cigarettes). Exposure to cigarette smoke can disrupt fetal development during the womb. Based on studies, active and passive smokers have almost the same level of risk. This study aimed to find out about a smoker's husband as a risk factor for the occurrence of low birth weight babies in neonates at Perinatology Room of Wangaya Hospital, Denpasar.Methods: Analytical observational research with case-control research design. The study sample was all neonates who were treated in the Perinatology Room of Wangaya Hospital from May to August 2018 and fulfilled the inclusion and exclusion criteria. Based on the calculation of the sample size, 72 neonates were obtained. The sample is determined by consecutive sampling. In this study, data were obtained from medical records (documentation) and questionnaires.Result: Samples were divided into two groups, namely the case group and controls where each group consisted of 36 samples. As many as 23 of the 36 neonates who were smokers' husbands suffered from low birth weight babies (63.88%), while 13 others did not suffer from low birth weight babies (36.11%). The results of hypothesis testing using the chi-square test, the value of p = 0.03 (p < 0,05, OR = 2,78, CI = 0,091-0,267).Conclusion: Smokers' husbands were significantly a risk factor for the occurrence of low birth weight babies in neonates who were treated in the Perinatology room of Wangaya Hospital, Denpasar.

Perbedaan rasio neutrofil-limfosit terhadap lama rawat anak dengan pneumonia di Ruang Kaswari, RSUD Wangaya, Denpasar, Bali, Indonesia I Kadek Serisana Wasita; Putu Andrie Setiawan; I Wayan Bikin Suryawan; Anak Agung Made Widiasa
Intisari Sains Medis Vol. 10 No. 3 (2019): (Available online: 1 December 2019)
Publisher : DiscoverSys Inc.

Background: Pneumonia is one of the most common causes of lower respiratory tract infections and ranked second to the cause of infant mortality (23.8%) and toddlers (15.5%) in Indonesia. The neutrophil-lymphocyte ratio (NLR) can be used as an indicator of the systemic inflammatory response due to pneumonia infection. This study aims to determine the difference in the value of RNL and the outcome of pediatric pneumonia.Methods: Analytical observational study with cross-sectional study design was conducted among 40 children with pneumonia who were admitted to the Kaswari Room at Wangaya Hospital in Denpasar City from January 2018 - March 2019 and fulfilled the inclusion criteria and exclusion criteria. The sample is determined by consecutive sampling. In this study, data regarding complete blood count were obtained from medical record register books (documentation). Data were analyzed using SPSS version 24 for Mac OSX.Result: There was no significant difference between patients with pneumonia who were hospitalized â‰¤ 4 days with those hospitalized> 4 days (P>0.05). Most of the samples were between 1 month to 1 year (62.5%) and more were male samples (55). There is a significant difference in the value of NLR (1.18 (0.07-13.83); p = 0.028) for the length of stay.Conclusion: There are significant differences in the value of the neutrophil-lymphocyte ratio in the length of stay of pediatric patients with pneumonia in the Kaswari room of Wangaya Hospital, Denpasar City.Â Latar Belakang: Pneumonia merupakan salah satu penyebab infeksi saluran napas bawah terbanyak menduduki peringkat kedua penyebab kematian bayi (23,8%) dan balita (15,5%) di Indonesia. Rasio neutrofil-limfosit (RNL) dapat digunakan sebagai salah satu indikator terhadap respon inflamasi sistemik akibat infeksi pneumonia. Penelitian ini bertujuan untuk mengetahui perbedaan nilai RNL pada luaran penyakit pneumonia anak.Metode: Penelitian observasional analitik dengan rancangan penelitian cross sectional dilakukan terhadap 40 pasien anak dengan pneumonia yang dirawat di Ruang Kaswari RSUD Wangaya Kota Denpasar sejak bulan Januari 2018 â€“ Maret 2019 serta memenuhi kriteria inklusi dan kriteria eksklusi Sampel ditentukan dengan cara consequtive sampling. Data tentang darah lengkap pada penelitian ini diperoleh dari buku register rekam medis (dokumentasi). Data dianalisis dengan SPSS versi 24 untuk Mac OSX.Hasil: Tidak terdapat perbedaan bermakna antara pasien pneumonia yang dirawat inap â‰¤ 4 hari dengan yang dirawat inap > 4 hari (P>0,05). Sebagian besar sampel berusia antara 1 bulan hingga 1 tahun (62,5%) dan lebih banyak yang sampel berjenis kelamin laki-laki (55). Terdapat perbedaan nilai RNL yang signifikan (1,18 (0,07-13,83); p=0,028) pada lama rawat inap.Simpulan: Â Terdapat perbedaan bermakna nilai rasio neutrofil-limfosit pada lama rawat pasien anak dengan pneumonia di ruang Kaswari RSUD Wangaya Kota Denpasar.

Hubungan jenis persalinan dengan kejadian asfiksia neonatorum di ruang perinatologi dan Neonatal Intensive Care Unit (NICU) RSUD Wangaya Kota Denpasar Cynthia Jodjana; I Wayan Bikin Suryawan
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background: Newborn deaths are still a major health problem and several health efforts have been made to improve children's health. Based on the results of the Indonesian Demographic and Health Survey (IDHS) in 2017, the Neonatal Mortality Rate (NMR) is 15 per 1000 live births. One of some cause deaths is asphyxia or Â respiratory problems 36%. Neonatal asphyxia is a condition of a newborn who fails to breath spontaneously and regular immediately after birth. Based on the annual report of the Sanglah Central General Hospital (RSUP) in Denpasar, the percentage of asphyxia events has increased 11.31% in 2014. Factors that cause neonatal asphyxia including maternal factor, infant factor, placental factor and labor factor. The purpose of this study is Â to determine the relationship between types of labor with asphyxia neonatorum.Method: The type of research used is observational analytic study with case-control. In this study, sampling was perfomed at Wangaya Hospital June 2018-December 2018 in the NICU and and Perinatology room untilÂ the number of research samples fullfillig the inclusion and exclusion criteria with 45 cases and 45 samples.The samples was obtained by consecutive sampling method. The case in this research isÂ neonates who has neonatal asphyxia and controls in this study were neonates who did not have neonatal asphyxia. Data obtained were analyzed analytically, using SPSS 23.0 software using the Mc Nemar test with p value of <0.05 considered significant.Results: There was no relationship between types of labor with neonatal asphyxia (p = 0.481, OR = 1.429, IK95% = 0.368-5,548).Conclusion: There is no significant relationship between the type of labor asphyxia neonatorum.Â Latar Belakang: Kematian bayi baru lahir masih merupakan masalah kesehatan yang utama dan beberapa upaya kesehatan telah dilakukan untuk meningkatkan kesehatan anak. Berdasarkan hasil Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017, Angka Kematian Neonatal (AKN) sebesar 15 per 1000 kelahiran hidup. Penyebab utama kematian salah satunya adalah asfiksia atau gangguan pernapasan sebesar 36%. Asfiksia neonatorum adalah suatu keadaan bayi baru lahir yang ditandai dengan gagal bernafas secara spontan dan teratur segera setelah lahir. Berdasarkan laporan tahunan Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar, persentase kejadian asfiksia meningkat kembali 11,31% pada tahun 2014. Faktor yang menyebabkan asfiksia neonatorum antara lain faktor ibu, faktor bayi, faktor plasenta dan faktor persalinan. Tujuan dari penelitian ini adalah untuk mengetahui hubungan jenis persalinan dengan asfiksia neonatorum.Metode: Jenis penelitian yang digunakan adalah studi observasional analitik dengan metode case-control. Pada penelitian ini, pengambilan sampel dilakukan di RSUD Wangaya periode Juni 2018-Desember 2018 di ruang NICU dan dan Perinatologi sampai jumlah sampel penelitian yang memenuhi kriteria inklusi dan ekslusi dengan jumlah 45 kasus dan 45 sampel. Sampel diperoleh melalui metode consecutive sampling. Kasus pada penelitian ini adalah neonatus yang mengalami asfiksia neonatorum, sedangkan kontrol pada penelitian ini adalah neonatus yang tidak mengalami asfiksia neonatorum. Data yang diperoleh dianalisis secara analitik, menggunakan perangkat lunak komputer SPSS 23.0 dengan menggunakan tes Mc Nemar dengan nilai p<0,05 dianggap signifikan.Hasil: Tidak terdapat hubungan antara jenis persalinan dengan asfiksia neonatorum (p =0,481,OR=1,429, IK95% = 0,368-5,548).Simpulan: TidakÂ terdapat hubungan yang signifikan antara jenis persalinan dengan kejadian asfiksia neonatorum.

Faktor yang mempengaruhi kejadian asfiksia neonatorum di RSUD Wangaya Kota Denpasar Bella Kurnia; I Wayan Bikin Suryawan; A.A. Made Sucipta
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background: Birth asphyxia is a serious clinical problem worldwide. There are many reasons a baby may not be able to take in enough oxygen before, during, or just after birth. Birth asphyxia is the inabiity of neonates to start breathing spontaniously right after birth.Objective: This study was designed to assess the risk factors of birth asphyxia in neonates in Wangaya General Hospital.Methods: It is a case control study. The data of the newborn and mother was retrospectively collected from medical record in Wangaya Regional General Hospital between November 2018 to March 2019. It uses consecutive sampling. Bivariate analysis using chi square and multivariate analysis using logistic regresssion.Results: Bivariate analysis of risk factors of birth asphyxia that are studied are: low birth weight p value 0.000 (OR: 30.118); Number of birth p value 0,013 (OR 4,025); Prematurity p value 0.001 (OR 18.286); PROM p value 0.751 (OR 1.508); preeclampsia p value 1.000 (OR 0.804); and Cesarean Section p value 0.218 (OR 0.479). From multivariate analysis, the result was low birth weight p value 0.020; number of birth p value 0.003; prematurity p value 0.766; caesarean section p value 0,028.Conclusion: Risk factor of birth asphyxia in Wangaya General Hospital are low birth weight; number of birth (Primipara); and caesarean section.Â Latar Belakang: Asfiksia neonatorum adalah suatu kondisi yang serius di seluruh dunia. Ada beberapa penyebab dimana bayi tidak bisa mendapatkan oksigen yang cukup sebelum, selama, atau setelah lahir. Asfiksia neonatorum adalah keadaan dimana neonatus tidak dapat memulai bernafas dengan spontan segera setelah lahr.Penelitian ini dilakukan untuk melihat faktor resiko terjadinya asfiksia neonatorum pada neonatus di RSUD Wangaya.Metode: Penelitian ini adalah penelitian case control. Data neonatus dan data ibu diambil dari data rekam medis di RSUD Wangaya sejak November 2018 hingga Maret 2019. Studi ini menggunakan consecutive sampling. Analisa bivariat menggunakan chi square dan analisa multivariat menggunakan regressi logistik.Hasil: Hasil dari analisa bivariat adalah: BBLR p value 0,000 (OR: 30.118); Paritas p value 0,013 (OR 4,025); Prematuritas p value 0.001 (OR 18.286); KPD p value 0.751 (OR 1.508); Preeklampsia p value 1.000 (OR 0.804); and Bedah Caesar p value 0.218 (OR 0.479). Dari analisa multivariat, hasilnya adalah BBLR p value 0.020; Paritas p value 0.003; prematuritas p value 0.766; bedah sesar p value 0,028. Simpulan: Fakor resiko terjadinya asfiksia neonatorum di RSUD Wangaya adalah BBLR; Paritas (Primipara); and bedah sesar.

Faktor â€“ faktor yang berhubungan dengan kejadian anemia pada anak usia 6-59 bulan di RSUD Wangaya, Denpasar, Bali, Indonesia tahun 2019 Elien Yuwono; I Wayan Bikin Suryawan; Anak Agung Made Sucipta
Intisari Sains Medis Vol. 11 No. 1 (2020): (Available online: 1 April 2020)
Publisher : DiscoverSys Inc.

Background: Anemia is one of the four micronutrient problems in Indonesia. Based on Global Prevalence on Anemia, the Southeast Asian region is one of the areas with the highest prevalence of anemic populations, more than 53.8% of children aged 6-59 months were classified as mild anemia, and 3.6% of them are severe anemia. In the first 1000 day birth gold period, anemia was associated with delays and developmental disorders, both motor and intellectual, which may be irreversible. This study aims to analyze the risk factors for the incidence of anemia to optimize child development.Objective: To analyze the relations of the risk of age under two years old, low birth weight, underweight, short stunting, and not exclusive breastfeeding, to the incidence of anemia in children aged 6-59 months in Kaswari Room, Wangaya General Hospital, Denpasar in 2019.Methods: Observational analytic epidemiology design with case-control study. The research subjects were determined by consecutive sampling method and fulfilled the inclusion criteria with a comparison of case and control groups, namely 1: 1. Data were analyzed bivariate by chi-square statistical test and Odds Ratio (OR) at the significance limit of Î±=5%, and multivariate analysis was performed with logistic regression test. Data was processed using the Statistical Package for Social Science (SPSS) version 23 for Windows program.Results: The research subjects were 62 samples, consisting of 31 anemia samples, and 31 samples had no anemia. The results showed that there was no significant relationship between the risk of low birth weight and the incidence of anemia (95% CI = 0.80 - 22.29; p: 0.073), the risk of malnutrition with the incidence of anemia (95% CI = 0.81 - 63.85; p: 0.052), and the risk of not exclusive breastfeeding with the incidence of anemia (95% CI = 0.21 - 1.63; p: 0.440). However, there was a significant relationship between the risk of age <2 years with the incidence of anemia (OR 3.870; 95% CI = 1.34 - 11.17; p: 0.022) and the risk of short stature with the incidence of anemia (OR 7.686; 95% CI = 1, 92 - 30.70; p: 0.002). Logistic regression test results obtained significant results in short stature variables (sig 0.020; OR 5.379).Conclusion: age <2 years and short stature (stunting) have a significant relationship with the incidence of anemia in children aged 6-59 months in Kaswari Room, Wangaya Hospital, Denpasar in 2019.Â Latar belakang : Anemia merupakan salah satu dari empat masalah gizi mikro masyarakat Indonesia. Berdasarkan Global Prevalence on Anaemia, regio Asia Tenggara menjadi salah satu kawasan dengan prevalensi tertinggi populasi anemia, lebih dari 53,8% anak usia 6-59 bulan diklasifikasikan anemia ringan, serta 3,6% di antaranya adalah anemia berat1. Pada periode emas 1000 HPK, anemia berhubungan dengan keterlambatan dan gangguan perkembangan baik motorik maupun intelektual yang mungkin irreversible2. Penelitian ini bertujuan untuk menganalisis faktor-faktor risiko kejadian anemia sebagai langkah mengoptimalkan tumbuh kembang anak.Tujuan : Menganalisis hubungan risiko usiaÂ < 2 tahun, berat badan lahir rendah, gizi kurang (underweight), perawakan pendek (stunting), dan tidak ASI eksklusif, terhadap kejadian anemia pada anak usia 6-59 bulan di Ruang Kaswari, RSUD Wangaya, Denpasar tahun 2019.Metode : Rancangan epidemiologi analitik observasional dengan desain studi case control. Subyek penelitian ditentukan dengan metode consecutive sampling, serta memenuhi kriteria inklusi dengan perbandingan kelompok kasus dan kontrol yaitu 1:1. Data dianalisis bivariat denganÂ uji statistic chi-square dan Odds Ratio (OR) pada batas kemaknaan Î± 5%, serta dilakukan analisis multivariat dengan uji regresi logistic. Data diproses menggunakan program Statistical Package for Social Science (SPSS) versi 23 for Windows.Hasil : Subjek penelitian sejumlah 62 sampel, terdiri dari 31 sampel anemia dan 31 sampel tidak anemia. Hasil penelitian menunjukkan bahwa tidak didapatkan hubungan bermakna antara risiko berat badan lahir rendah dengan kejadian anemia (95% CI = 0,80 â€“ 22,29; p:0,073), risiko gizi kurang dengan kejadian anemia (95% CI = 0,81 â€“ 63,85; p:0,052),Â serta risiko tidak ASI eksklusif dengan kejadian anemia (95% CI = 0,21 â€“ 1,63; p:0,440). Namun didapatkan hubungan bermakna antara risiko usia < 2 tahun dengan kejadian anemia (OR 3,870; 95% CI = 1,34 â€“ 11,17; p:0,022) dan risiko perawakan pendek dengan kejadian anemia (OR 7,686; 95% CI = 1,92 â€“ 30,70; p:0,002). Hasil uji regresi logistic, didapatkan hasil bermakna pada variabel perawakan pendek (sig 0,020; OR 5,379).Kesimpulan:Â usia < 2 tahun dan perawakan pendek (stunting) memiliki hubungan bermakna dengan kejadian anemia pada anak usia 6-59 bulan di Ruang Kaswari, RSUD Wangaya, Denpasar tahun 2019.

Hubungan kadar hemoglobin dengan kejang demam pada anak usia balita di RSUD Wangaya Komang Tria Anggareni; I Wayan Bikin Suryawan
Intisari Sains Medis Vol. 11 No. 2 (2020): (Available online: 1 August 2020)
Publisher : DiscoverSys Inc.

Latar Belakang: Sekitar 2-4% anak berumur 6 bulan hingga 5 tahun mengalami kejang demam dengan puncak insiden pada usia 18 bulan. Begitu pula halnya anemia, anak usia 6 hingga 30 bulan memiliki kadar hemoglobin terendah. Tujuan dari penelitian ini adalah untuk mengidentifikasi hubungan antara kadar hemoglobin dengan kejang demam.Metode: Penelitian ini merupakan penelitian analitik observasional dengan rancangan penelitian potong lintang (cross-sectional) dilakukan di Ruang Kaswari RSUD Wangaya pada Bulan Agustus 2019. Pasien anak usia 6 bulan hingga 5 tahun dengan demam >38oC dengan kejang atau tanpa kejang yang dirawat inap yang memenuhi kriteria inklusi dan eksklusi dimasukan ke dalam sampel dengan teknik consecutive sampling. Analisis bivariate dilakukan dengan uji Chi-square.Hasil: Dari 46 sampel yang didapat 20 pasien (43%) merupakan kejang demam, dan 26 pasien (57%) demam tanpa kejang. Pada kedua kelompok memiliki proporsi jumlah sampel laki-laki yang tidak jauh berbeda 60% dan 69% begitu pula dengan sampel perempuan. Kelompok usia terbanyak adalah kelompok usia 1-2 tahun yang mendominasi sekitar 37% dari sampel. Sebagian besar infeksi yang mendasari adalah infeksi saluran napas yaitu sekitar 35%. Hasil dari analisis uji Chi-square didapatkan hubungan yang signifikan antara kadar hemoglobin dan kejang demam (p<0,05).Simpulan: Ditemukan hubungan yang signifikan antara kadar hemoglobin yang rendah dengan kejang demam. Penelitian dengan rancangan prospektif perlu dilakukan untuk memastikan kadar hemoglobin sebagai faktor resiko kejang demam.

Co-Authors A.A Made Sucipta A.A Made Widiasa A.A. Made Sucipta A.A. Made Widiasa Adi Wirawan Alberto Afrian Alice Indradjaja, Alice Aman B Pulungan Anak Agung Made Sucipta Anak Agung Made Sucipta Anak Agung Made Sucipta Anak Agung Made Sucipta Anak Agung Made Sucipta Anak Agung Made Sucipta, Anak Agung Made Anak Agung Made Widiasa Anak Agung Made Widiasa Anak Agung Made Widiasa Andreas Eric Andrew Permana Suliarta Arimbawa * Arumndari, Runi Ayu Setyorini Mestika Mayangsari Bambang Tridjaja AAP, Bambang Tridjaja Bella Kurnia Bella Kurnia Cahaiantari, Ni Putu Elis Callista Beatrice Christina, Jessica Chyntia Conchita Christal Yasadipura Cynthia Cynthia Cynthia Cynthia Cynthia Cynthia Cynthia Jodjana Dewi, Made Ratna Doddy Kurnia Indrawan Edbert Wielim Elien Yuwono Erica Lidya Yanti Gosal, Jessica H Salim I Dewa Gede Ugrasena I Gde Doddy Kurnia Indrawan, I Gde Doddy Kurnia I Gusti Amanda Jaya I Gusti Lanang Sidiartha I Kadek Serisana Wasita I Kadek Suarca I Kadek Suarca I Made Arimbawa IB Mahendra Ida Bagus Ramajaya Sutawan, Ida Bagus Ramajaya Ida Bagus Wiadnyana IKG Suandi IM Widiaskara Imanuel Yulius Malino Jeven Reggie Santoso Jose RL Batubara Kadek Suarca Kadek Suarca Kadek Suarca, Kadek Kanthi Soraca Widiatmika Ketut Ariawati Komang Tria Anggareni Kurnia, Bella Liman, Claudia Natasha Lukman, Leni Made Cynthia Mahardika Putri Made Dwi Purnami Made Ratna Dewi Made Ratna Dewi Made Ratna Dewi Made Widiasa Mayland Margaretha Sunata Melisa Anggraeni Mustika, Putu Pradnyanita Paramerta, Ni Putu Gladys Arys Predani, Ni Luh Putu Diaswari PT Pramitha Putri Prashanti, Nyoman Ananda Putri Widyastiti, Ni Nyoman Putri, Asterisa Retno Putu Andrie Setiawan Putu Pramitha Rahayu Putu Siska Suryaningsih Putu Wahyu Dyatmika Tanaya Regina Suriadi Retno Putri, Asterisa Ruby Kurniawan Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sriwaningsi, Lina Stanley Haryono Suarca, I Kadek Sukarno, Theodora Sunartini Sunartini Suriadi, Regina Suryaningsih, Putu Siska Susan Natalia Budihardjo sutanti sutanti Valerie Michaela Wilhelmina Widiasa - Wielim, Edbert William Grandinata Soeseno

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Journal : ISM (Intisari Sains Medis) : Jurnal Kedokteran