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All Journal Jurnal Anestesiologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Parasian, Luther Holan
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Pengetahuan dan Sikap terhadap Situasi Bencana dan Kegawatdaruratan: Sebuah Studi Multisenter Jayalie, Vito Filbert; Anisa, Beryliana Maya; Zahra, Rania; Parasian, Luther Holan; Surbakti, Caren Andika; Lutfiana, Nela; Sudirman, Adrian Reynaldo; Sari, Lintang Sekar; Rachmah, Indah Nur; Ibadurrahmi, Hasna; Dahlan, M. Sopiyudin; Firdaus, Riyadh; Indonesia Emergency Knowledge and Attitude Evaluator Team
Majalah Kedokteran Indonesia Vol 68 No 12 (2018): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.68.12-2018-204

Abstract

Introduction: Being in the ring of fire have caused Indonesia prone to emergency and disasters. This condition should make a positive correlation to level of citizen’s knowledge and attitude towards emergency and disaster situation. However, there is no study to assess this condition. This study aims to assess the knowledge and attitude of Indonesian in emergency and disaster using a cross-sectional study collected from questionnaire interviewed by trained medical students in four centers (Jakarta, Depok, Padang, and Makassar).Method: Samples were collected using random cluster sampling. Out of 570 samples participated, most of the respondents had a poor knowledge (56.1%) and attitude (60.7%). Result: There is a significant relationship between knowledge and attitude (p less than 0.001). Age, education, and training on disaster can affect both knowledge and attitude towards emergency and disaster situation (p less than 0.05). However, disaster experience only had a significant contribution towards knowledge (p less than 0.05) but not the attitude (p = 0.856). Conclusion: Most of the population in this study had poor knowledge and attitude in emergencies. These presented data also indicate that training on disaster is urgently needed to give impact on citizen’s awareness. Moreover, further research is needed.
Rapid Response Systems as Secondary Responders to In-Hospital Clinical Deterioration: A Four-Year Observational Study Manggala, Sidharta Kusuma; Ramlan, Andi Ade Wijaya; Aditianingsih, Dita; Firdaus, Riyadh; Cahyadi, Arief; Auerkari, Aino Nindya; Hafidz, Noor; Parasian, Luther Holan; Sugiarto, Adhrie; Devina, Yoan; Mujono, Aivi; Cresma, Avisa Cetta
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.80762

Abstract

Background: In-hospital cardiac arrest (IHCA) is a major cause of preventable inpatient mortality, especially in low- and middle-income countries (LMICs) where rapid response systems (RRS) are still developing. Evidence regarding RRS performance in Indonesia is limited. This study evaluated the performance and operational challenges of an institutional RRS over four years at a large tertiary referral hospital in Jakarta.Objective: This study aimed to determine the proportion of immediate survival following RRS activation and to investigate secondary outcomes, including the association between activation indications and mortality, and system-level barriers.Methods: This retrospective observational cohort study included all inpatient RRS activations at Cipto Mangunkusumo National General Hospital (RSCM), Jakarta, Indonesia, from January 1, 2021, to December 31, 2024. Data from the hospital’s RRS registry were analyzed for activation triggers, interventions, immediate outcomes, and operational issues.Results: Among 246,367 inpatient admissions, there were 5,900 eligible inpatient RRS activations, yielding an activation rate of 23.9 per 1,000 admissions. Immediate survival occurred in 4,763 (80.7%) events, while 1,137 (19.3%) patients did not survive. Cardiac arrest (8.0%) and respiratory arrest (6.5%) were the strongest predictors of non-survival odds ratio (OR) 48.17 and 27.13 vs. red early warning score (EWS) reference, both p<0.001). Most activations occurred out of hours (63.0%), and mortality was significantly higher (71.3% vs. 61.1%; p < 0.001). The most frequent single-parameter triggers were oxygen saturation ≤90% (38.5%) and sudden deterioration of consciousness (15.8%). Mismatched activations, where the patient’s condition upon team arrival differed from the activation indicationwere strongly associated with higher mortality (OR 17.3, 95% confidence interval (CI) 14.3–20.2, p<0.001).Conclusion: The institutional RRS demonstrated a moderate activation rate and favorable immediate survival compared with similar LMIC settings. However, outcomes were influenced by delayed recognition, out-of-hours activation, and limited critical-care capacity. Strengthening early-escalation culture, monitoring afferent-limb failure (ALF), expanding nighttime coverage, and increasing intensive care unit (ICU) capacity are essential to enhance RRS effectiveness and reduce preventable in-hospital mortality in resource-limited settings.
Co-Authors Anisa, Beryliana Maya Arief Cahyadi Auerkari, Aino Nindya Cresma, Avisa Cetta Dahlan, M. Sopiyudin Devina, Yoan Dita Aditianingsih Firdaus, Riyadh Hafidz, Noor Hasna Ibadurrahmi, Hasna Indonesia Emergency Knowledge and Attitude Evaluator Team Lutfiana, Nela Manggala, Sidharta Kusuma Mujono, Aivi Rachmah, Indah Nur Ramlan, Andi Ade Wijaya Sari, Lintang Sekar Sudirman, Adrian Reynaldo Sugiarto, Adhrie Surbakti, Caren Andika Vito Filbert Jayalie, Vito Filbert Zahra, Rania