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Adinda Putra Pradhana
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Neurologico Spinale Medico Chirurgico
Published by Universitas Udayana
ISSN : -     EISSN : 26212064     DOI : https://doi.org/10.36444/nsmc
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience
Neurologico Spinale Medico Chirurgico (NSMC) is an open-access, single-blind peer-reviewed journal, published by Indonesian Neurospine Society (INSS) under the flag of Indonesian Neurosurgery Society (INS) and Faculty of Medicine, Udayana University. NSMC publishes articles which encompass all aspects of basic research/clinical studies. The journal facilitates, bridge and integrate the intellectual, methodological, and substantive diversity of medical knowledge, especially in the field of surgery, neurology, neurosurgery, spine, neuroanesthesia, medicine, and health. The journal appreciates any contributions which promote the exchange of ideas between practising educators and medical researchers all over the world.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 12 Documents
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Search results for , issue "Vol 5 No 1 (2022)" : 12 Documents clear
Comparison of Alvarado scores, Tzanakis scores, and RIPASA scores in the diagnosis of acute appendicitis in Sanglah Hospital I Made Maha Satya Dwi Palguna; Made Agus Dwianthara Sueta; Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 5 No 1 (2022)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v5i1.204

Abstract

Background: Acute appendicitis (AA) is the most common cause of gastrointestinal emergency surgery worldwide. However, to confirm the diagnosis of acute appendicitis, it is largely dependent on clinical judgment, causing the rate of negative appendectomy or misdiagnosis reach 20 – 40%. Several scoring systems have been developed to identify patients who did not require surgery, thereby reducing the burden of negative appendectomy. Methods This study is a cross-sectional observational study with diagnostic tests. The study was conducted at the Surgical Department of Sanglah Hospital, Denpasar from January 1st, 2020 to December 31st, 2020. All patients enrolled in this study were calculated with Alvarado, Tzanakis, and RIPASA scores to determine the need for appendectomy. In patients undergoing surgery, the diagnosis of AA was confirmed by histopathological examination. Descriptive analysis, receiver operating characteristics (ROC) analysis, and diagnostic tests were used to assess the effectiveness of the three scoring systems. Results: The total respondents in this study who met the inclusion and exclusion criteria were 103 people. This study found that acute appendicitis was more common in male patients with a mean age of 28.26 years. The RIPASA scoring system has better sensitivity and accuracy than the Alvarado and Tzanakis scores, so it is recommended to use the RIPASA score as a diagnosis of acute appendicitis. However, if an ultrasound facility is available, the Tzanakis score can be used. Conclusion: RIPASA score is the best score to diagnose acute appendicitis.
Validity of predictive score of mortality in peptic ulcer perforation (POMPP) in predicting perforated peptic ulcer mortality operated in Sanglah General Hospital, Denpasar, Bali I Gusti Putu Agung Pratama Putra; Ketut Sudiasa; Tjokorda Gde Bagus Mahadewa
Neurologico Spinale Medico Chirurgico Vol 5 No 1 (2022)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36444/nsmc.v5i1.210

Abstract

Introduction: Peptic ulcer perforation is a non-traumatic emergency that is often encountered and gives a mortality rate of up to 70%. The need for a system that is easy and simple in predicting and screening patients in the initial triage to predict the incidence of mortality after surgery is important. This study aim to test the validity of predictive score of mortality in peptic ulcer perforation (POMPP) in predicting mortality in patients with perforated peptic ulcer surgery. Methods: This study was a diagnostic study with 50 peptic ulcer perforation patients operated between February 2019 to February 2020, and collected with consecutive sampling method. All patients who were operated was calculated for the preoperative POMPP scores, with parameters of age, blood urea nitrogen, and albumin. Patients who were deceased or refused to participate were excluded. The best cut-off point was calculated, then sensitivity, specificity, positive and negative predictive value (PPV/NPV), accuracy of score and POMPP score validity were calculated in predicting post-operative patient mortality. Results: The best cut-off value obtained from receiver operating characteristic (ROC) curve was ≥1.5, where patients with POMPP ≥1 were exposed to a high risk of postoperative mortality (80.8%), and POMPP <1.5 had a low risk of postoperative mortality (19.2%). Other scores were calculated as follow: sensitivity 80.7%, specificity 91.6%, PPV 91.3%, NPV 81.4%, accuracy 86% and the validity test score of 50 patients reached 100%. Conclusion: POMPP has good validity and can be used as a screening tool for patients with perforated peptic ulcer surgery.

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