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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK)
Hutomo, Yugi Tri
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The Role Of Point-Of-Care Testing In The Rapid Diagnosis Of Catastropic Disease Emergencies Hutomo, Yugi Tri
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2542

Abstract

Catastrophic diseases, such as heart attack, stroke, or septic shock, are emergency conditions that require prompt diagnosis and proper treatment. One promising approach to speed up diagnosis is the use of Point-of-Care Testing (POCT), which allows diagnostic test results to be obtained directly at the point of care. The purpose of this study is to evaluate the role of POCT in the rapid diagnosis of catastrophic diseases in emergency patients and to determine its impact on the speed of medical decision-making as well as clinical outcomes of patients. This study uses an observational research design with a prospective approach in patients with suspected catastrophic diseases who are treated in the emergency department (ER). Data were collected from patients undergoing POCT in the ER and compared with conventional diagnostic results. Univariate and bivariate analyses were performed to evaluate the relationship between the use of POCT and the time to diagnosis, decision-making, and clinical outcomes of patients. Statistical tests using t-or chi-square tests for comparison between groups with univariate analysis results showed that the use of POCT significantly accelerated the time to diagnosis (p<0.05) compared to conventional diagnostic methods. In addition, the use of POCT results in faster and more precise treatment decisions. In bivariate analysis, there was a significant association between the use of POCT and improved patient clinical outcomes, such as reduced mortality rates and shorter recovery times. Patients who get a quick diagnosis using POCT show faster and better improvement in their condition. In contrast, in patients who do not use POCT, late diagnosis often results in decreased organ function and further complications with POCT conclusions play an important role in the rapid diagnosis of catastrophic diseases in the ER and can improve the speed of medical decision-making and improve the patient's clinical outcomes.
The Optimization of Fluid Management in Septic Shock Emergencies: A Hemodynamic-Based Approach: Optimization of Fluid Management in Septic Shock Emergencies: A Hemodynamic-Based Approach Hutomo, Yugi Tri
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2548

Abstract

Sepsis is a medical emergency condition that can cause shock and multi-system organ failure. Proper management of fluid management in patients with sepsis shock is essential to prevent death. The purpose of this study is to optimize fluid management in patients with sepsis shock through a hemodynamics-based approach, as well as to evaluate its impact on clinical outcomes, including improvements in hemodynamic parameters and organ function. This study uses an observational study design with a retrospective approach. Univariate analysis showed that the application of hemodynamic-based fluid management successfully improved the hemodynamic parameters of patients, with a significant reduction in mortality rates and an increase in mean blood pressure. In contrast, patients who did not get hemodynamics-based fluid management showed longer symptoms of shock. In bivariate analysis, there was a significant relationship between the volume of fluid administered based on hemodynamic monitoring and improvement of organ function. Hemodynamic-based fluid management optimization in patients with septic shock has been shown to improve hemodynamic parameters, improve prognosis, and reduce mortality rates. This approach is recommended to be integrated in clinical practice in intensive care units to improve the quality of sepsis shock care.
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