Hapsari, Brigitta Devi Anindita
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Concordance Level between Impulse Oscillometry and Spirometry for Pulmonary Function Test Hapsari, Brigitta Devi Anindita; Melita , Melita; Siregar, Sihsusetyaningtyas Tiominar; Apriningsih, Hendrastutik; Adhiputri, Artrien
Jurnal Respirologi Indonesia Vol 45 No 4 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i4.920

Abstract

Background: The most widely used lung function test, spirometry, requires constant coaching and more effort. An alternative modality of impulse oscillometry (IOS) was introduced, which is simpler than spirometry, requiring only basic tidal breathing and less cooperation, but with less stringent standards. Methods: This research was a diagnostic test research with medical records data of patients who underwent spirometry and oscillometry procedures within the same period. The study was conducted in Sebelas Maret University General Hospital from March to September 2024. Results: A total of 77% of examinations gave the same results, namely restriction in 32 people (30.8%) and obstruction in 48 people (46.2%). Meanwhile, as many as 23% of IOS examinations gave different results compared to spirometry examinations (discordance). Six normal results from spirometry showed the impression of obstruction in IOS. The agreement between the IOS examination and spirometry was moderately significant (P=0.0001). Conclusion: Impulse oscillometry is a useful adjunct to spirometry, which is still the gold standard, especially for patients who are incapable of performing forced maneuvers.
Does the SOFA Score Have the Ability to Predict Length of Stay and Mortality as well as Other Scorings? Adhiputri, Artrien; Hapsari, Brigitta Devi Anindita; Reviono, Reviono; Alfarizi, Aditya; Damayanti, Raninditya
Jurnal Respirologi Indonesia Vol 45 No 1 (2025)
Publisher : Perhimpunan Dokter Paru Indonesia (PDPI)/The Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/jri.v45i1.637

Abstract

Background: In the intensive care unit (ICU), critically sick pneumonia has a high mortality rate, so forecasting the prognosis is crucial for making decisions. Early detection of clinical deterioration and the implementation of early intervention and care can be achieved through the use of scoring systems. The Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring system is a better system in predicting mortality in critically ill patients. However, in this study, we aim to observed  the use of the Sequential Organ Failure Assessment (SOFA) score as a predictor of mortality and length of stay (LOS). Methods: From April to August 2023, we treated 125 critically sick pneumonia patients in the ICU as part of a prospective observational research. An integrated ICU mortality calculator was used to assess the performance of the APACHE II, Simplified Acute Physiology Score II (SAPS II), and SOFA scores. Descriptive statistics will be used for data analysis, and the Fisher exact test and Chi-square test will be used for testing. logistic regression and linear regression methods are used in multivariate analysis. If the p-value is less than 0.05, it will be statistically significant. Results: APACHE II, SAPS II, and SOFA scores were significant in predicting the outcome of critically ill pneumonia patients (cut-off of ≥14.5, ≥34.5, and ≥3.5, respectively). The Spearman rank correlation for LOS shows that APACHE II, SOFA, and SAPS II scores have a very weak relationship with the p-values are 0.121, 0.766, and 0.436, respectively. Conclusion: The SOFA score is a good mortality predictor in critically ill pneumonia patients yet is simpler and easier to use in all settings in the hospital.
Telusur Infeksi Tuberkulosis Laten pada Populasi Berisiko dan Investigasi Kontak pada Lingkup Puskesmas Gajahan Surakarta Apriningsih, Hendrastutik; Hapsari, Brigitta Devi Anindita; Siregar, Sihsusetyaningtyas Tiominar; Prabowo, Nurhasan Agung; Putri, Desy Puspa; Landiasari, Debby Andina; Mirshanti, Farahdila; ., Yunita; Fahmiati, Cahyani
Smart Society Empowerment Journal Vol 5, No 3 (2025): November
Publisher : Faculty of Medicine, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/ssej.v5i3.105855

Abstract

Pendahuluan: Indonesia merupakan salah satu dari negara dengan beban Tuberkulosis (TB) tertinggi di dunia. Penemuan Infeksi TB laten (ITBL) dan pemberian Terapi Pencegahan Tuberkulosis (TPT) merupakan salah satu strategi dalam upaya menurunkan beban TB nasional. Program Penanggulangan TB merubah strategi penemuan pasien TB aktif secara intensif dan masif berbasis keluarga dan Masyarakat. Pelacakan populasi berisiko dan investigasi kontak memiliki peran penting pada strategi ini. Diagnosis ITBL saat ini menggunakan Tuberculin Skin Test (TST) atau Interferon Gamma-Release Assay (IGRA). Metode: Tujuan kegiatan pengabdian ini untuk memberikan penyuluham mengenai ITBL dan pemberian TPT, serta peningkatan penemuan kasus ITBL pada investigasi kontak dan populasi berisiko yaitu pasien Diabetes Melitus (DM) di lingkup Puskesmas Gajahan Surakarta. Dilakukan pre-test dan post-test untuk evaluasi kegiatan penyuluhan tersebut.Hasil dan pembahasan: Pemeriksaan tes tuberkulin pada 26 responden IK didapatkan 11 responden dengan hasil positif (42,3%) dan 25 responden dengan penyakit komorbid DM didapatkan 10 responden (40,0%) hasil positif.Kesimpulan: Kegiatan telusur ITBL pada investigasi kontak dan populasi DM sangat diperlukan untuk membantu penurunan angka kejadian TB aktif.