Andreas Wahyu Wicaksono
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Factors Affecting Amputation in Patient with Diabetic Foot Ulcer at Sardjito General Hospital Andreas Wahyu Wicaksono
Journal of Global Pharma Technology Volume 12 Issue 02 (2020) Feb. 2020
Publisher : Journal of Global Pharma Technology

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Abstract

Background: Diabetic foot ulcer (DFU) can cause significant morbidity and need for surgical intervention due to the high prevalence of diabetic foot problems in general population. The incidence of DFU is 15% of all diabetic patients. Eighty-two percent (82 %) of DFU will lead to lower extremity amputation. Therefore, the factors that affecting the needs of distal limb amputation should be described for prevention and decrease the need of amputation and morbidity of the patients. Objective: The aim of this study is to determine factors affecting distal limb amputation in patient with DFU. Methods: The design of this study is retrospective cohort, using data of DFU patient treated surgically from January 2012 to September 2016. Socioeconomic factors, Blood profile, Diabetes Mellitus (DM) profile and Ankle Brachial Index (ABI) were collected. All the data were then analyzed using SPSS. Result: There were 119 patients were enrolled in this study. Thirty-nine patients (32.7%) had distal limb amputation. The amputation level was forefoot (34 patients, 87%), mid foot (2 patients, 5%), hind foot (2 patients, 5%) and Trans tibial (1 patient, 3%) amputation. This study showed that socioeconomics factors were not significantly correlated with distal limb amputations in patients with diabetic ulcer. The level of DLA was not affected by patient’s blood profile, DM profile and ABI. Conclusion: Decision to perform surgical intervention can not only rely on the laboratory profile and socioeconomic factors of the patients. Clinical judgement of the doctor and the patients' general conditions should also be considered.
Pattern and Characteristic of Sports Related Injury in Emergency Department Sardjito Hospital Andreas Wahyu Wicaksono
Journal of Global Pharma Technology Volume 11 Issue 04.
Publisher : Journal of Global Pharma Technology

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Abstract

Objective. Sport activites have been encouraged to everyone due to its benefits to the physical fitness, improving the endurance, and has psychological good impacts. But, sport activites also carries risk of injury to the body. Sports-related injuries are not an uncommon cause of ED visit. The aim of this study was to identify the pattern and characterize emergency department (ED) visits that result from sports-related injuries across the Sardjito Hospital.Methods. The study took place retrospectively observational study over a period of two years from January 2014 to December 2015 and included people 3 years of age or over. Any patient presenting with an injury attributable to participation in organised sport had their details and phone number noted in the medical record form by the orthopaedic resident. The patient medical record were analysed retrospectively. Demographic trends, pattern and characterstic for each patient were recorded.Results. A total of 133 elligible patients were enrolled to this study, 98 were male with the mean of age was 17.5. The most common type of sport that cause of injury was cycling (22.6%), followed by running (21.8%) and then football (17.3%). The majority of the patient sustained upper extremity injury (75.9%). 108 patients sustained fracture, 15 dislocation, and 10 soft tissue injury. There was statistical differences between type of injury as compared with age group (p = 0,000), the age group of <10 years old, 11-20 years old, 31-40 years old and >40 years old suffered more fracture than dislocation and soft tissue injury. There was statistical differences between type of injury as compared with injured extremity (p = 0.03), the injury mostly affected superior extremity, but there was no statistical difference between type of injury as compared with type of sports, gender and side of injury (left or right) (p > 0.05). Conclussions. Sports can cause musculoskeletal injuries, good preparation must be taken to avoid severe injury. High percentage of upper extremity injury and lower extremity injury, the specific type and location of injuries of each sport should be known by health professionals.Keyword: sport injury, emergency department, age group, gender, location and types of injuries