Article Per Year (5 Year)
p-Index From 2019 - 2024
0
P-Index
This Author published in this journals
All Journal The New Ropanasuri Journal of Surgery Jurnal Ilmu Bedah Indonesia
Harisandi, Sandra
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Risk Factors Associated with Limb Amputation in Necrotizing Fasciitis at dr. Cipto Mangunkusumo General Hospital Jakarta Pratama, Dedy; Harisandi, Sandra
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction. Early diagnosis and management of necrotizing fasciitis of the extremities has an impact on mortality and morbidity. Studies have shown a correlation of risk factors (e.g. gender, gangrene, and comorbid) with increased risk of amputations in necrotizing fasciitis. Method. A cross sectional study conducted on subjects diagnosed as necrotizing fasciitis managed at dr.Cipto Mangunkusumo General Hospital during January 2012 to December 2015. The subject characteristics i.e. gender, age, comorbid, wound presentation, pulse, respiratory rate, temperature, serum creatinine level, hemoglobin content, sodium, and leukocytes level were the variables subjected to statistical analysis. Results. There were 70 subjects enrolled; fifty percent were males. and 60% were less than 60 years old. The most comorbid found were hypertension (34.3%), diabetes mellitus (28.6%). and kidney disease (22.9%). Amputation occurred in 24.28% subjects. Female was shown to have a greater risk of amputation than male (p = 0.012). Diabetes mellitus, skin necrosis, gangrene and serum creatinine level ≥1.6 mg/dL were significantly associated as an amputation risk factor (p <0.005). Based on modified LRINEC scoring, 45 subjects were of high risk and 25 were of medium risk. Multivariate analysis showed three strong predictors for amputation were diabetes mellitus (risk ratio 7.685; 95% CI 1.898– 31.122; p = 0.004), gangrene (risk ratio 6.151; 95% CI 1.539–24.584; p = 0.010), and serum creatinine level >1.6 mg/dL (risk ratio 4.098; 95% CI; 0.937–17.255; p = 0.054). Conclusion. Diabetes mellitus, gangrene, and serum creatinine level >1.6 mg/dL referred as risk factors associated with limb amputation in necrotizing fasciitis .
Blood flow Rate Intraoperatif Sebagai Prediktor Maturitas Arteriovenous Fistula Brakiosefalika Pada Penderita Nefropati Diabetik Harisandi, Sandra; Pratama, Dedy
Jurnal llmu Bedah Indonesia Vol 46 No 1 (2018): Artikel Penelitian
Publisher : Ikatan Ahli Bedah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46800/jibi-ikabi.v46i1.30

Abstract

Latar Belakang: Penelitian ini merupakan penelitian lanjutan untuk melakukan pengkajian nilai batasan blood flow rate (BFR) intraoperatif menggunakan ultrasonografi Doppler dalam memprediksi maturitas fistula brakiosefalika dengan sampel yang lebih besar dan lebih spesifik untuk mendapatkan nilai dengan tingkat error dan bias lebih rendah, sehingga dapat dijadikan referensi di divisi Bedah Vaskular RSCM. Metode: Dilakukan studi potong lintang analitik di Divisi Vaskular Departemen Ilmu Bedah FKUI-RSCM, Jakarta yang melibatkan semua penderita gagal ginjal stadium 4-5 akibat nefropati diabetik yang akan dihemodialisis dengan akses vaskular fistula brakiosefalika. Hasil: Terdapat 71 subjek dengan rerata BFR 249,15 + 86,86 mL/menit, rerata diameter arteri 3,3 mm (2,0–7,4 mm) dan rerata diameter vena 3 mm (2,1–5,6 mm). Analisis statistik menunjukkan bahwa hanya BFR yang berhubungan bermakna dengan maturitas AVF (p&lt;0,001). Sensitivitas dan spesifisitas tertinggi BFR intraoperatif di 211,3 mL/menit. Nilai ini yang selanjutnya ditentukan sebagai cut-off value untuk batasan prediksi maturitas (95,45%, 92,59%) dengan positive predictive value sebesar 95,5% dan negative predictive value sebesar 92,6%. Simpulan: BFR intraoperatif menggunakan ultrasonografi Doppler sesaat setelah kreasi AVF brakiosefalika memprediksi maturasi jangka pendek dengan sensitivitas dan spesifisitas &gt;80%.
Co-Authors Dedy Pratama