Dedy Kurnia
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Analysis of Determinants of Maternal Mortality due to Obstetric Complications at Dr. M. Djamil Padang Hospital in 2017 - 2020 Farah Tri Ulfa; Yusrawati Yusrawati; Dedy Kurnia
International Journal of Medicine and Health Vol. 3 No. 3 (2024): September : International Journal of Medicine and Health (IJMH)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i3.3828

Abstract

Maternal mortality is one of the unresolved health problems in the world. Obstetric complications directly in maternal mortality (pregnancy complications, childbirth, and the puerperium). This study aims to analyze the relationship between the determinants of maternal mortality due to obstetric complications. This type of research is an observational analytic study with a case-control design. In this study, there were 48 case samples and 144 control samples with a ratio of 1:3. The data obtained in the form of patient medical record data. Data analysised by univariate, bivariate and multivariate. The results showed that the most common cause of maternal death was preeclampsia/eclampsia. Risk factors that have a significant relationship with maternal mortality due to obstetric complications are anemia status (OR: 2.111; CI: 1.053-4.233; p: 0.035), history of maternal disease (OR: 2.514; CI: 1.260-5.015; p: 0.009) and HR (OR: 2.121; CI: 1.062-4.237; p: 0,033). In the multivariate results, the dominant risk factor was a history of maternal disease followed by anemia status and HR. The tendency of mothers who have a history of disease will increase the risk of maternal death compared to mothers who do not have a history of the disease.
Correlation Between C-Reactive Protein Level and Outcome In Coronavirus Disease 2019 Patients At COVID Intensive Care Unit RSUP. Dr. M. Djamil Padang Putri Ariani; Dedy Kurnia; Malinda Meinapuri; Rudy Afriant; Rina Gustia; Rikarni; Rinal Effendi
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 3 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan Special Issues: Jambi M
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i3.25078

Abstract

Background: Coronavirus Disease 2019 (COVID-19) is a respiratory system disease transmitted to humans and has infected humans in almost every country. Plasma cytokine levels, such as C-reactive protein (CRP), are elevated inflammatory markers in most COVID-19 patients and are routinely examined, especially in the intensive care Unit (ICU). Elevated CRP levels are associated with higher rates of severity and death. Objective: This study aimed to determine the correlation between CRP levels and outcomes in COVID-19 patients at COVID ICU RSUP. Dr. M. Djamil Padang Period July – December 2021. Method: This research was conducted using by analytic observational method with a retrospective cohort design. Secondary data was collected from the medical records of COVID-19 patients treated in the ICU COVID RSUP. Dr. M. Djamil Padang from July – December 2021, using total sampling as a technique, 107 samples met the inclusion criteria. Data analysis was carried out using univariate and bivariate methods. Result: The result shows more male patients (51.4%) than women (48.6%). From the age range, most age was found in the range > 59 years (54.2%). The most common type of comorbid disease was diabetes (32.7%). The highest CRP level at the initial ICU admission was >160 mg/L (70.1%), and the highest ferritin level was >434 ng/mL (86.0%). The most common patient outcome was death (65.4%). There is a relationship between CRP levels (p = 0.029) and the outcome of COVID-19 patients in the COVID ICU. Conclusion: This study concludes that there is a correlation between C-Reactive Protein (CRP) levels and Outcomes in COVID-19 patients at COVID ICU RSUP. Dr. M. Djamil Padang Period July – December 2021. Keywords : COVID-19, CRP, Patient Outcome, ICU