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Prevalence of Pressure Injury in Inpatients at H. Adam Malik Hospital Medan in 2020-2022 Regina, Christanti; Arwina Dalimunthe, Dina; Siregar, Irma Sepala Sari; Kamal Kharrazi Ilyas
SCRIPTA SCORE Scientific Medical Journal Vol. 6 No. 1 (2024): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v6i1.15602

Abstract

Background: Pressure injury is a frequently occurring health issue in healthcare environments, especially within hospitals. The risk is increased in hospital settings where patients are frequently confined to beds or wheelchairs. Objectives: This study evaluated the prevalence of pressure injury in regular inpatients at H. Adam Malik Hospital, Medan, from 2020 to 2022. Methods: This study employs a descriptive design with a cross-sectional research approach, describing all variables using secondary data from patient medical records. Results: The research findings indicate that the most common age group is 41-60  years old (28,4%), with females comprising the majority (52,9%). The primary diagnoses related to the occurrence of pressure injury is neurological disorders (25.5%). The most frequent location of injury is the buttocks region (45.1%), and the most prevalent stage of injury is stage III (36.3%), with the most common management approach being debridement (43.6%). Conclusion: In H. Adam Malik Hospital, Medan, from 2020 to 2022, pressure injury was mostly found at ages 41-60 years old, in women, the most prevalent underlying primary disease was neurological disorders, on the buttocks region, at stage III, and the most common management approach being debridement. Latar Belakang: Ulkus Dekubitus merupakan masalah kesehatan yang sering terjadi di lingkungan perawatan kesehatan, terutama di rumah sakit. Risiko ini meningkat di rumah sakit yang pasiennya sering terbaring di tempat tidur atau kursi roda. Tujuan: Mengetahui gambaran Ulkus Dekubitus pasien rawat inap reguler di RSUP H. Adam Malik Medan pada tahun 2020 - 2022. Metode: Penelitian ini merupakan studi deskriptif dengan rancangan penelitian cross-sectional yang seluruh variabel dilihat menggunakan data sekunder berupa rekam medis pasien. Hasil: Penelitian ini menunjukkan bahwa kelompok usia yang paling banyak adalah usia 41-60 tahun (28,4%), dengan mayoritas adalah perempuan (52,9%). Diagnosis utama yang berhubungan dengan terjadinya Ulkus Dekubitus adalah gangguan neurologis (25,5%). Lokasi ulkus yang paling sering adalah daerah bokong (45,1%), dan derajat ulkus yang paling banyak terjadi adalah stadium III (36,3%), dengan penatalaksanaan yang paling banyak dilakukan adalah debridemen (43,6%). Kesimpulan: Di RSUP H. Adam Malik Medan pada tahun 2020 hingga 2022, Ulkus Dekubitus umumnya dijumpai pada usia 41-60 tahun, wanita, diagnosis utama gangguan neurologis, lokasi bokong, derajat III, dan tata laksana debridemen.
Evaluating the MEDAN score: An alternative diagnostic instrument to acute myocardial infarction for resource-limited settings Napitupulu, Friendina; Lubis, Anggia Chairuddin; Teuku Bob Haykal; Lubis, Hilfan Ade Putra; Kamal Kharrazi Ilyas; Harris Hasan
Heart Science Journal Vol. 7 No. 3 (2026): Predicting Restenosis in Coronary Artery Disease
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.03.7

Abstract

Background: Acute Myocardial Infarction (AMI) is one of the leading cause of death worldwide. Limited access to biomarker testing, especially troponin, poses a significant challenge for rapid and accurate diagnosis, particularly in resource-limited settings. We previously proposed Myocardial infarction Early DiAgnosis instrumeNt (MEDAN) score as a tool for predicting AMI. Objective: To conduct internal validation and assess the reproducibility of the MEDAN score in distinct patient cohorts. Methods: This study was conducted at Adam Malik Hospital in Medan, Sumatera Utara. A research form was used to gather data from electronic medical records. Data were collected retrospectively from January to December 2024 and prospectively since January 2025. Chi-square tests were applied to determine sensitivity values, specificities, negative predictive value (NPV), and positive predictive value (PPV). ROC analysis was used to compare MEDAN score to the HEART and GRACE scores. Result: This study included 685 patients: 417 with AMI and 268 without AMI. Patients with AMI had higher heart rate as well as HEART, GRACE, and MEDAN scores, but lower systolic blood pressure. The MEDAN score demonstrated a sensitivity of 78.2%, specificity of 60.7%, PPV of 71.2%, and NPV of 69%. The MEDAN score showed good diagnostic ability, outperforming the HEAR score and GRACE score without troponin point, but remained less effective than HEART and GRACE scores when troponin was included. Conclusion: The MEDAN score demonstrates good diagnostic ability for detecting AMI and may serve as practical alternative in healthcare facilities with limited access to biomarker testing.