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All Journal E-Jurnal Medika Udayana Jurnal Penyakit Dalam Indonesia
Dewi, Kadek Aprilia Sukma
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Health Professions Medicine & Pharmacology

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Atherogenic Index of Plasma is Correlated with Prolonged Length of Stay in COVID-19 Patients with Type 2 Diabetes Mellitus in RSUP Sanglah Denpasar Sastrawan, I Gede Gita; Upadhana, Putu Satyakumara; Handayani, Putu Novi; Laela, Tika Rizki Nur; Dewi, Kadek Aprilia Sukma; Wiguna, I Nyoman Bayu Andika; Trisna, Cindy Gracia; Putri, Komang Anjani; Agrasidi, Komang Adya Data; Sudarmika, Putu
Jurnal Penyakit Dalam Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Atherogenic index of plasma (AIP) is a logarithmic calculation of the ratio of triglycerides to HDL cholesterol as a marker of lipid profile abnormalities. In COVID-19 patients with comorbid type 2 diabetes mellitus (T2DM), higher AIP tend to worsen the patient conditions. This study aims to assess the correlation between AIP and length of stay (LOS) in COVID-19 patients with T2DM.Methods. An analytical observational study with a cross-sectional approach was conducted among COVID-19 patients with comorbid T2DM. Data were collected from online medical records of confirmed COVID-19 patients with comorbid T2DM who were treated at Sanglah Hospital Denpasar during the period August 1-December 31, 2021. Patients who were <18 years old and did not have lipid profile data during>treatment, were excluded from this study.Results. There were 83 data samples that met the study criteria. The median age of the patients was 64 (23- 91) years, the majority were male (59%; n=49), and 30 patients died during treatment (36.1%). The median LOS for all patients was 10 (1-26) days. Patients with prolonged LOS (≥10 days) had higher triglyceride levels (171.8 vs. 120 mg/dL; p<0.001) and AIP values (0.442 vs. 0.286; p=0.02). There was a strong relationship between AIP and LOS values in COVID-19 patients with T2DM (r=0.632; p<0.001). The AIP value can well-discriminated in prolonged LOS conditions (AUC=0.883; 95%CI 0.792-0.974) with the optimal cut-off value of 0.3045 (sensitivity 75.9% and specificity 83.3%).Conclusion. AIP is correlated with prolonged LOS in COVID-19 patients with T2DM. Holistic management of COVID-19 patients with T2DM is urgently needed, including lipid profile control.
Gambaran Pengetahuan dan Kepatuhan Terapi Pasien Tuberkulosis Paru di Puskesmas Kota Denpasar selama Pandemi COVID-19 Dewi, Kadek Aprilia Sukma; Widhiartini, Ida Ayu Alit; Aman, IGM
E-Jurnal Medika Udayana Vol 12 No 1 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i01.P12

Abstract

Kepatuhan dalam mengonsumsi obat merupakan kunci keberhasilan terapi Tuberkulosis (TB) Paru, dan pengetahuan diketahui sebagai salah satu faktor predisposisi kepatuhan. Keterbatasan pelayanan TB di Puskesmas selama pandemi COVID-19 berisiko pada penurunan pengetahuan dan kepatuhan terapi Obat Anti Tuberkulosis (OAT) pasien TB Paru. Penelitian ini bertujuan untuk menggambarkan pengetahuan dan kepatuhan terapi OAT pasien TB Paru rawat jalan di Puskesmas Kota Denpasar selama pandemi COVID19. Desain penelitian ini mengunakan studi deskriptif observasional potong lintang selama periode MaretAgustus 2021 di lima Puskesmas Kota Denpasar. Pengetahuan dan kepatuhan diukur menggunakan kuesioner pengetahuan yang dibuat peneliti dan Morisky Medication Adherence Scales (MMAS?8). Data diambil secara daring menggunakan aplikasi google form. Berdasarkan tingkat pengetahuan terdapat 37 pasien (73%) memiliki pengetahuan baik, 13 pasien (25%) memiliki pengetahuan cukup, serta 1 pasien (2%) dengan pengetahuan kurang. Sementara berdasarkan tingkat kepatuhan, sebanyak 29 pasien (57%) memiliki kepatuhan tinggi, 19 pasien (37%) memiliki kepatuhan sedang, dan 3 pasien (6%) dengan kepatuhan rendah. Sebagian besar pasien TB Paru rawat jalan di lima Puskesmas Kota Denpasar selama pandemi COVID-19 memiliki pengetahuan yang baik serta kepatuhan yang tinggi. Kata kunci : Tuberkulosis (TB) paru, kepatuhan, pengetahuan.
Co-Authors Agrasidi, Komang Adya Data Aman, IGM Handayani, Putu Novi I.A.A. Widhiartini Laela, Tika Rizki Nur Putri, Komang Anjani Sastrawan, I Gede Gita Sudarmika, Putu Trisna, Cindy Gracia Upadhana, Putu Satyakumara Wiguna, I Nyoman Bayu Andika