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All Journal HAYATI Journal of Biosciences Indonesian Journal of Urology Jurnal TIMES Majalah Obat Tradisional Journal of Medicine and Health Journal of Economic, Bussines and Accounting (COSTING) JURNAL PERTANIAN PRESISI (JOURNAL OF PRECISION AGRICULTURE) Jurnal Kesehatan Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Jurnal Penyakit Dalam Indonesia Triwikrama: Jurnal Ilmu Sosial The International Journal of Medical Science and Health Research Investasi : Inovasi Jurnal Ekonomi Dan Akuntansi Jurnal Akuntansi
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Department of Urology, Faculty of Medicine/Padjadjaran University, Hasan Sadikin General Hospital, Bandung.
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Journal : Jurnal Penyakit Dalam Indonesia

 1 
Clinical Profile of COVID-19 Older Patients Hospitalized in Immanuel Teaching Hospital Bandung Vera, Vera; Suprana, Yossie Guventri Eka
Jurnal Penyakit Dalam Indonesia Vol. 9, No. 2
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Introduction. It was reported that 11.2% out of the 78,572 confirmed cases of COVID-19 in Indonesia was foundinolder people with a high mortality rate. There is no available data regarding functional and frailty status of these COVID-19 older patients. This study aimed to describe clinical profile of older COVID-19 patients in terms of geriatric aspect, in order to design better hospital policy for older patients in the COVID-19 isolation ward.Methods. This was a retrospective cohort study of confirmed COVID-19 patients aged >60 years which were admitted to Immanuel Teaching Hospital Bandung during the period of October 2020 - January 2021. Clinical characteristic data, frailty status, mode of oxygen therapy, functional status (activity of daily living – ADL) during and after hospitalization, as well as patient hospitalization outcomes were recorded from the medical record.Results. There were 100 COVID-19 older patients, more than half were aged 60-70 years, most with not frail status. This study found that 74% of older patients had decreased ADL scores, once they got infected with COVID-19. We also found that 43% of COVID-19 older patients died during hospitalization, dominated by frail patients. Among COVID-19 older survivor, 55%had increased ADL score when discharged. A month later, only 25%patients had better ADL scores.Conclusion. Typical symptoms of COVID-19 are not always found in older patients. Apart from its deadly consequence and prolonged hospitalization, the impact of COVID-19 on older patients is decreased functional status, so special management policy for older COVID-19 patients should be considered.
Determinan Diagnostik Klinis Defisiensi Vitamin D pada Wanita Berusia Lebih dari 50 Tahun Vera, Vera; Setiati, Siti; Govinda, Arya
Jurnal Penyakit Dalam Indonesia Vol. 2, No. 1
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Pendahuluan: Prevalensi deifisiensi vitamin D pada wanita 50 tahun ke atas di Indonesia cukup tinggi namun pemeriksaan kadar vitamin D serum sangat mahal. Oleh karena itu, diperlukan alat penyaring defisiensi vitamin D yang cukup ekonomis dan sederhana untuk dikerjakan di layanan kesehatan primer. Metode: Penelitian ini merupakan penelitian diagnostik, menggunakan desain potong lintang (cross-sectional) sehubungan dengan pengambilan data hanya dilakukan sewaktu saja. Penelitian ini dilakukan di Kotamadia Bandung selama Agustus–Oktober 2012. Pada 240 subjek, dilakukan pengumpulan data berupa karakteristik responden, diabetes mellitus, penyakit ginjal kronik, riwayat jatuh, riwayat fraktur setelah menopause, nyeri tulang, skor paparan sinar matahari, skor proteksi sinar matahari, status gizi, kinerja fisik (5 timed chair-stands dan uji sikap tandem), status kesehatan (jumlah dan derajat berat penyakit kronis), kadar vitamin D serum. Untuk pengujian statistik hubungan antara dua variabel kualitatif dikotom dilakukan dengan uji Chi-square dilanjutkan dengan uji multivariat. Hasil: Penelitian ini menemukan hubungan yang bermakna secara statistik antara diabetes mellitus, skor proteksi matahari, kelemaan otot ekstremitas bawah dengan defiisensi vitamin D. Berdasarkan ketiga determinan tersebut, dapat dibuat sistem skoring yang dapat digunakan untuk menyaring kelompok wanita 50 tahun ke atas yang mempunyai probabilitas besar menderita defisiensi vitamin D. Simpulan: Determinan diagnostik defisiensi vitamin D berat yang ditemukan pada penelitian ini meliputi: adanya diabetes melitus, skor proteksi matahari, kelemahan otot tungkai bawah. Sistem skoring untuk menyaring defisiensi vitamin D berat pada wanita berusia 50 tahun ke atas dapat dibuat berdasarkan ketiga determinan tersebut di atas. Bobot untuk masing-masing determinan adalah: 1 untuk diabetes mellitus dan kelemahan otot tungkai bawah serta 2 untuk skor proteksi matahari. Bila penjumlahan dari skor ketiga komponen tersebut ³2, maka subjek tersebut diprediksi menderita defisiensi vitamin D berat.
Pencegahan Sindrom Delirium Akut pada Pasien Lansia di Rawat Inap Vera, Vera
Jurnal Penyakit Dalam Indonesia
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Acute delirium syndrome is often found in hospitalized older patients, requiring longer hospital stay and higher hospital cost. Studies showed that 40% of these delirium cases in older patients may be prevented with multicomponent intervention based on National Institute for Health and Clinical Excellence (NICE) and Hospital Elder Life Program (HELP) guidelines. This article explained multicomponent intervention, which includes protocols for disorientation, dehydration, hypoxia, constipation, malnutrition, pain control, infection control, infection prevention, drugs evaluation, early mobilization, and education for patients’ family / caregiver. Prevention of acute delirium syndrome in hospitalized older patients will reduce the medical cost and distress among patients’ family.
Co-Authors Agung Novianto, Agung Annisa Mardi Arya Govinda Arya Govinda Roosheroe, Arya Govinda Bangun, Chrismas Gideon Bangun, Primta Chiuman, Linda Dani Dani Djaja Rusmana Edi Wijaya Edwin Setiabudi Fadel Mubarak Ferry Safriadi Ginting, Chrismis Novalinda Handoko Karjantoro Hanna Sari Widya Kusuma, Hanna Sari Widya Hartini Tiono Helisa Noviarty Indri Hendarti Irnawati Irnawati Johan Lucianus Karpriana, Angga Permadi Liaufaldi, Nurjafa Lusiana Darsono Nasution, Atika Rimalda Nur Ahsmi Obeng, Selonan Philips Onggowidjaja Rita Tjokropranoto Sari Dewi Sawkar Vijay Pramod Sisca Naftali Siti Setiati Suprana, Yossie Guventri Eka Suryani Musi Syarifuddin Syarifuddin TRIS HARIS RAMADHAN UTAMA, TASIK WAHYU WIDOWATI Yuliana Yuliana Yuninda, Viranda Andria