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All Journal Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) The Journal of Hospital Accreditation (JHA) Journal of Applied Nursing and Health Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Academic Hospital Journal
Purwadi Sujalmo
Gadjah Mada University Academic Hospital, Yogyakarta
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Academic Hospital Journal

 1 
Study of Survival of COVID19 Patients with Severe or Critical Symptoms: Study of D-dimer on Survival of COVID19 Patients with Severe or Critical Degrees in ICU COVID, Academic Hospital, Gadjah Mada University, Yogyakarta Purwadi Sujalmo; Rosita Yunanda Purwanto; Rochmi Isnaini Rismawanti; Yanasta Yudo Pratama; Wandira Lalitya; Afridhia Bidari Fachrudin
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.71798

Abstract

The SARS-CoV 2 virus pandemic has been a scourge since 2020. The number of cases that continues to increase, both mild, moderate, severe-critical confirmed cases are directly proportional to the need for treatment rooms, both ordinary wards and intensive care units (ICU), which is inversely proportional to the available capacity. room. Based on research, the high mortality and morbidity rate due to COVID 19 is due to the incidence of patient sepsis. Research abroad states that the value of D-dimer is a prognostic factor for COVID-19 patients, although there is no agreement on the best cut-off point for specificity and sensitivity. hypercoagulability conditions and increased lactic acid in patients with severe sepsis. It is necessary to evaluate the role of this laboratory result in estimating the prognosis of COVID-19 patients in Indonesia. There is no study that examines the relationship between the incidence of sepsis and the characteristics of hypercoagulability with the dominance of the thrombotic process in COVID19 patients in Indonesia. The purpose of this study was to provide information to health workers about the role of D-dimer value as a prognostic factor for severe-critical COVID-19 patients. This quantitative retrospective research data in the form of proportions were collected for 12 months from the medical records of the UGM Academic Hospital of patients with confirmed severe-critical COVID-19. Overall survival was assessed by the Kaplan-Meier curve. The cut-off determination for the D-dimer variable was carried out using the Receiver Operating Curve (ROC) followed by the calculation of the Youden index. Then the hazard ratio was determined by cox regression with a p value of <0.05 which was considered significant. Statistical analysis with SPSS version 26 software.
Modified COVID-19 Mortality Scoring as a Mortality Prognostic in COVID-19 Patients Rahmadani Puji Lestari; Benedictus Hangga Harinawantara; Khoironi Rachmad Damarjati; Purwadi Sujalmo
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.72845

Abstract

Background: The number of patients infected with COVID-19 was increasing. The COVID-19 clinical presentation varies from asymptomatic, mild, moderate, severe, and critical. Mortality rates increase with morbidity and disease severity. This study aimed to develop a prognostic intrahospital mortality scoring named "Modified COVID-19 Mortality Scoring".Methods: A retrospective cohort study was conducted on COVID-19 inpatients at the UGM Academic Hospital during November 2020-March 2021. Data were obtained from electronic medical records. Clinical and laboratory parameters were taken at the time of admission.Results: The study involved 413 patients, including 50 subjects who died from COVID-19 and 363 survivors. The final stage of multivariate analysis resulted in some variables; age≥55 years, history of stroke, qSOFA score≥2, d-dimer≥1500 ng/mL, absolute neutrophil count (ANC)≥5,000 cells/uL, and absolute lymphocyte count (ALC)<1,000 cells /uL affected intrahospital mortality (p<0.050). In the scoring model, the d-dimer≥1500 ng/mL was worth 2 points, and each remaining variable was worth 1 point. The score had a strong predictive ability with an area under the ROC curve, 0.814(95%CI=0.757–0.871). The sensitivity and specificity of the score was 76%, with a cutoff point score of 3, an OR of 10,357 (95%CI=5.179-20,710, p=0.000). Moreover, the probability scores of 3, 4,5,6,7 were 18%, 33%, 53%, 72%, and 85%.Conclusion: The existence of a scoring system is expected to help identify COVID-19 inpatients who have a higher risk of death so that stricter monitoring and early intervention can be carried out.
The Relationship between Virtual Visits and Family Satisfaction of ICU Patients at UGM Academic Hospital Hidayanto, Muhammad Nur; Pitajeng, Mutik Sri; Sujalmo, Purwadi; Ratnasari, Etika
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.102151

Abstract

Background: The visiting policy to the hospital changed following the pandemic situation. There was a restriction to ICU patients getting visits from their relatives or families during their admission. This policy aimed to prevent transmission and optimize care for patients. An online visit was implemented to provide a visit experience to patients and their families during ICU hospitalization. Visitation was associated with family satisfaction of ICU patients but an analysis of the relationships between virtual visits and family satisfaction in ICU has not been conducted. Identify relationships between online visit and  patient’s family satisfaction with ICU.Materials and methods: An online survey of ICU patients' family members who were admitted to ICU Arjuna 5 RSA UGM in 2020-2022 was done.Results: 34 of 36 family members of ICU patients completed the online survey questionnaire. Most participants experienced online visits (85.3%) and had high levels of satisfaction with the ICU. The average score of their satisfaction with the ICU was  (68.6±21,1). However, the Fisher test between online visits andthe patient’s family satisfaction with ICU resulted in a p-value of=0.56. P value >0.05 meant no significant relationship between both variables.Conclusion: there was no significant relationship between online visits and patient family satisfaction with the ICU. A high level of family satisfaction in the ICU might be influenced by other factors that are required to be studied.
Co-Authors Afridhia Bidari Fachrudin Afridhia Bidari Fachrudin Agit Seno Adisetiadi Benedictus Hangga Harinawantara Clarista Ardelia Rahardjo Clarista Rahardjo Desy Listyaningrum, Desy Greenwood, Melanie Happy Indah Kusumawati Hersinta Retno Martani Hidayanto, Muhammad Nur Khoironi Rachmad Damarjati Pitajeng, Mutik Sri Rahmadani Puji Lestari Ratna Dewi Puspita Ratnasari, Etika Renni Pusposari Rochmi Isnaini Rismawanti Rochmi Isnaini Rismawanti Rochmi Rismawanti Rosita Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto Rosita Yunanda Purwanto SRI SETIYARINI, SRI Walsh, Kenneth Wandira Lalitya Wandira Lalitya Wandira Lalitya Yanasta Yudo Pratama