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All Journal e-CliniC Syntax Literate: Jurnal Ilmiah Indonesia Medical Scope Journal (MSJ) Eduvest - Journal of Universal Studies
Lengkong, Andriessanto C.
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Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Neuroscience Nursing Public Health Social Sciences Other

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Journal : e-CliniC

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Perbandingan Luaran Fungsi Pada Kasus Neglected Fraktur Leher Femur dan Early Treatment Menggunakan Harris Hip Score Oey, Friginia J. C.; Lengkong, Andriessanto C.; Arianto, Eko
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.55368

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Abstract:  Femoral neck fracture is a serious injury to the upper femur that is very common in the elderly population due to falls or trauma. To restore patient mobility, prompt and timely treatment is an important factor in the management of this condition. One of the methods used to measure the functional outcome of these patient is the Harris hip score (HHS). This study aimed to compare the results of HHS on the functional outcome of the neglected femoral neck fracture patients with those who received early treatment at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective, observational, and analytical study with a cross-sectional design using medical record data. Data were analyzed using the Fisher’s exact test through the SPSS Statistical Version program. There was no significant difference between the HHS of the neglected femoral neck fracture group and the group that received early treatment (p=0.14). In conclusion, there is no significant difference in the functional outcome of the patients in the early treatment and neglected groups. Keywords: neck femoral fracture; Harris hip score; neglected fracture; early treatment   Abstrak: Fraktur leher femur merupakan cedera serius pada tulang paha bagian atas yang sangat umum terjadi pada populasi lanjut usia akibat jatuh ataupun trauma. Dalam upaya untuk mengembalikan mobilitas pasien, penanganan yang diberikan dengan cepat dan tepat waktu menjadi faktor penting dalam manajemen kondisi ini. Salah satu metode yang digunakan untuk mengukur luaran fungsi panggul ialah Harris hip score (HHS). Penelitian ini bertujuan untuk membandingkan hasil HHS pada luaran fungsional pasien fraktur leher femur yang neglected  dengan yang mendapatkan early treatment di RSUP Prof Dr. R. D. Kandou Manado. Jenis penelitian ialah  analitik observasional retrospektif dengan desain potong lintang menggunakan data rekam medik.. Analisis data dilakukan dengan Fisher’s exact test menggunakan program SPSS Statistic Version. Hasil penelitian mendapatkan bahwa tidak terdapat perbedaan bermakna antara hasil HHS kelompok neglected dengan kelompok yang mendapatkan early treatment (p=0,14). Simpulan penelitian ini ialah tidak terdapat perbedaan bermakna pada luaran fungsional pasien kelompok early treatment dan neglected. Kata kunci:  fraktur leher femur; Harris hip score; fraktur neglected; early treatment
Perbandingan Luaran Open Surgical Repair dan Endovascular Aneurysm Repair pada Pasien Aneurisma Aorta Abdominalis di Asia Aritonang, Ochta C.; Tangel, Stephanus J. C.; Lengkong, Andriessanto C.
e-CliniC Vol. 14 No. 1 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v14i1.65774

Abstract

Abstract: Abdominal aortic aneurysm (AAA) is a pathological dilation of the aorta that carries a risk of rupture and high mortality. Two methods of AAA management are Open Surgical Repair (OSR) and Endovascular Aneurysm Repair (EVAR). However, comparative data on the outcomes of these two methods in Asia is still limited. This study aimed to analyze the comparison of OSR and EVAR outcomes in AAA patients in Asia, including length of hospital stay, mortality, complications, and reintervention. This was a systematic review study using articles searched in the Epistemonikos, PubMed, Sage Journals, and ScienceDirect databases. The results obtained a total of 18 articles that met the inclusion and exclusion criteria based on the PICOS framework were obtained. The analysis was performed descriptively on postoperative outcome data. EVAR showed a significantly shorter length of hospital stay compared to OSR, but was accompanied by higher rates of reintervention and long-term complications, such as endoleak. Conversely, OSR was superior in terms of long-term durability and stability. The 30-day mortality rates showed inconsistent and statistically insignificant results. In conclusion, EVAR provides better short-term outcomes, while OSR is more reliable for the long term. The choice of method should consider the patient's condition. Keywords: abdominal aortic aneurysm; Open Surgical Repair; Endovascular Aneurysm Repair   Abstrak: Aneurisma aorta abdominalis (AAA) merupakan dilatasi patologis aorta yang berisiko ruptur dan menimbulkan mortalitas tinggi. Terdapat dua metode dalam penatalaksanaan AAA yaitu Open Surgical Repair (OSR) dan Endovascular Aneurysm Repair (EVAR), namun, data perbandingan luaran keduanya di Asia masih terbatas. Penelitian ini bertujuan untuk menganalisis perbandingan luaran OSR dan EVAR pada pasien AAA di Asia yang meliputi lama rawat inap, mortalitas, komplikasi, dan reintervensi. Jenis penelitian ialah systematic review dari artikel-artikel yang ditelusuri pada basis data Epistemonikos, PubMed,  Sage Journals, dan ScienceDirect. Didapatkan sebanyak 18 artikel yang memenuhi kriteria inklusi dan eksklusi berbasis PICOS framework. Analisis dilakukan secara deskriptif terhadap data luaran pascaoperatif. EVAR menunjukkan lama rawat inap yang lebih singkat secara bermakna dibandingkan OSR, namun disertai angka reintervensi dan komplikasi jangka panjang, seperti endoleak, yang lebih tinggi. Sebaliknya, OSR unggul dalam durabilitas dan stabilitas jangka panjang. Tingkat 30-day mortality menunjukkan hasil yang tidak konsisten dan tidak bermakna secara statistik. Simpulan penelitian ini ialah EVAR memberikan hasil jangka pendek lebih baik, sedangkan OSR lebih andal untuk jangka panjang. Pemilihan metode perlu mempertimbangkan kondisi pasien. Kata kunci: aneurisma aorta abdominalis; Open Surgical Repair; Endovascular Aneurysm Repair
Co-Authors Antony B. M. Sundah ARIANTO, EKO Aritonang, Ochta C. Bagy, Raynald G. Harsali F. Lampus Iddo Posangi Joulanda A. M. Rawis Kambey, Stefan A.G.P Lampah, Christopher Mahama, Inggrid C. Oey, Friginia J. C. Rawung, Rangga B. V. Rawung, Rangga B.V Tangel, Stephanus J. C. Tooy, Christorei D.