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All Journal Jurnal Rekonstruksi dan Estetik Cermin Dunia Kedokteran
Djunaedi, Angela
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Health Professions Medicine & Pharmacology

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PRESSURE INJURY PATIENTS CHARACTERISTIC IN SOUTH EAST INDONESIA WARRANTS IMMEDIATE INITIATION OF PREDICTIVE ASSESSMENT TOOLS: A CHART REVIEW Djunaedi, Angela; Robertus Arian Datusanantyo
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.65076

Abstract

Highlights: The absence of Stage 1 pressure injuries reflects the need for a predictive assessment tool. The majority of patients were aged 60–71 and had unstageable pressure injuries. The main referring departments were Internal Medicine, Cardiology, and Pulmonology. Abstract: Introduction: Pressure injury (PI) is a worldwide health problem, a burden in many aspects, and influences life quality. Every PI case would be different due to several underlying factors and conditions which hindered the prevention strategies. We share the overview of PI patients on South East Indonesia. Method: A descriptive-retrospective study with chart review approach was held to review all case of PI consulted to plastic surgery from 2021-2023. Basic demographic data was collected along with the wound area, PI stage, and referrer department.   Result: PI was more frequent in Male patients insignificantly (p=0.069) developed more PI (55.13%) than female patients (44.87%). Almost half of PI case occurred in patients with more than 60 years old of age (48.71%). Most case were referred by the internal medicine, pulmology and cardiology department (43.59%) and mostly located in sacral region, (64.10%). Unstageable PI was found the most (48.72%) while no stage 1 PI was consulted. Discussion: The finding of the study existing knowledge about the risk factors for pressure injuries (PI), particularly sensory and motor impairment as well as immobility. The absence of stage 1 PI underscores the importance of a standardized predictive assessment tool to enhance early detection and intervention. Integrating routine visual inspection and palpation into the assessment process could improve the early recognition of PI. The intervention should be extended to educational program to family caregiver in discharge planning.   Conclusion: PI incidence corresponds with known risk populations. Hospital leadership should implement predictive PI assessment tools and incorporate PI education into discharge planning to improve early detection and intervention.
Profil Pasien Trauma Maksilofasial di Rumah Sakit Umum Daerah Waikabubak Sumba Barat Tahun 2018–2021: Hasil Penelitian Djunaedi, Angela; Karjosukarso, Adityas Sukmadi
Cermin Dunia Kedokteran Vol 51 No 7 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i7.1104

Abstract

Introduction: Maxillofacial trauma is related to head trauma, mostly caused by motorcycle traffic accidents in Sumba. The limitations in diagnostic evaluation at rural hospitals present unique challenges to healthcare providers. This research describes some characteristics of maxillofacial trauma cases in Waikabubak General Hospital, West Sumba, East Nusa Tenggara. Methods: A retrospective descriptive study based on medical records between 2018 – 2021. Results: A total of 37 patients were included; the majority were in the 16 to 64 year-old age group (78%), with males (81%). Motorcycle road traffic accidents (73%) were the main cause, and the most common fracture site was the mandibula (35%). Skull AP lateral plain radiography was the most commonly used x-ray technique (49%). Cases were mostly discharged against medical advice (54%). Conclusion: Motorcycle road traffic accidents were the main cause of maxillofacial injuries, and the mandibula was the most common site of fractures.
Profil Pasien Luka Bakar di Rumah Sakit Umum Daerah Waikabubak, Sumba Barat , Indonesia Tahun 2019–2021 Djunaedi, Angela; Sukmadi Karjosukarso, Adityas
Cermin Dunia Kedokteran Vol 51 No 9 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i9.1105

Abstract

Introduction: West Sumba, East Nusa Tenggara, is known as one of the areas with limited healthcare facilities. Burn injury can happen to anyone from all sorts of backgrounds. This research was conducted to observe the pattern of burn injury in Waikabubak General Hospital. Methods: A retrospective descriptive study was conducted using medical records data at Waikabubak General Hospital from 2019-2021. Results: Thirty-five burn injuries patients were evaluated. The majority of patients were male (71%) and ranging from the age of < 2 - 12 years old (54%). Scald burns by hot water were the most common cause (54%). The extremities were the common site of injury (34%), with the mean total body surface area (TBSA) was 16.8%, and the most common complications were severe dehydration (9%) and death (9%). The main comorbid disease was epilepsy (11%), most had a length of stay of 5-10 days, with an average of 6 days, and the most frequent intervention was debridement (54%). Most patients were discharged with improved condition (74%). Conclusion: Children and patients with epilepsy were at risk. It is important to equip caregivers and family members with specific preventive strategies and first aid training programs.
Co-Authors Karjosukarso, Adityas Sukmadi Robertus Arian Datusanantyo Sukmadi Karjosukarso, Adityas