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All Journal International Journal of Integrated Health Sciences Sari Pediatri Paediatrica Indonesiana
Ahmedz Widiasta
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Umum Pusat Dr. Hasan Sadikin, Bandung
Health Professions Medicine & Pharmacology

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Length of Stay Children Hospitalized with Chronic Kidney Disease Based on Etiology and Stage in Dr. Hasan Sadikin Hospital Bandung Angelreika Libowo; Ahmedz Widiasta; Dedi Rachmadi
International Journal of Integrated Health Sciences Vol 8, No 1 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v8n1.1880

Abstract

Objectives: This study aims to describe the LOS children hospitalized with CKD based on the etiology and stage at Dr. Hasan Sadikin General Hospital, Bandung in 2016–2018.Methods: This was a retrospective study with a cross-sectional design from June–October 2019. The inclusion were all medical records of pediatric inpatient diagnosed with CKD and exclusion criteria were incomplete medical record data and hospital readmission patients. The variables studied were CKD etiology, CKD stage, and length of stayResults: From 103 patients, the etiologies found were steroid-resistant nephrotic syndrome (SRNS) (58.25%), congenital anomalies of kidney and urinary tract (9.71%), urinary tract infection (5.83%), and chronic glomerulonephritis (21.36%). The mean LOS was 19 days. The longest LOS found in CKD stage 5 patients caused by SRNS (141 days). Meanwhile, the shortest LOS was found in CKD stage 2 patients caused by chronic glomerulonephritis and CKD stage 5 patients were caused by SRNS who died (1  day). Conclusion: Pediatric patients with CKD stage 5 with SRNS has the potential to have a longer LOS than other etiologies.
Subclinical hypothyroidism in pediatric nephrotic syndrome: the correlations with albumin, globulin, and proteinuria Erni Nuraeni; Faiisal Faisal; Ahmedz Widiasta; Novina Novina
Paediatrica Indonesiana Vol 60 No 2 (2020): March 2020
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.05 KB) | DOI: 10.14238/pi60.2.2020.91-5

Abstract

Background Nephrotic syndrome causes loss of medium-sized plasma proteins and binding proteins, resulting in thyroid hormone deficiency. Objective To assess for potential correlations between subclinical hypothyroidism in pediatric nephrotic syndrome with albumin, globulin, and proteinuria. Methods This cross-sectional study was conducted in the Department of Pediatrics, Hasan Sadikin General Hospital, Bandung, West Java. All types of nephrotic syndrome patients aged 1 month to < 18 years were included. Blood and urine specimens were collected from the patients for albumin, globulin, thyroid function (T3, fT4 and TSH), and proteinuria tests and analyzed with standard techniques. Results There were 26 subjects, 20 males and 6 females. Ten subjects developed subclinical hypothyroidism, with mean albumin and thyroid-stimulating hormone (TSH) levels of 0.92 g/dL and 6.9 mIU/L, respectively. There was a negative correlation between albumin level and subclinical hypothyroidism (rpb=-0.702; P<0.001) and a positive correlation between proteinuria and subclinical hypothyroidism (r=0.573; P=0.003). Univariate logistic regression analysis revealed that globulin had no impact on the presence of subclinical hypothyroidism, but albumin and proteinuria did have such an impact. The odds ratios of albumin and proteinuria with subclinical hypothyroidism were 27.00 (95%CI 1.69 to 17.7) and 19.80 (95%CI 1.94 to 201.63), respectively. Conclusion Subclinical hypothyroidism correlates with serum albumin level and proteinuria in nephrotic syndrome patients. Tha low serum albumin level has a high likelihood of subclinical hypothyroidism.
Kualitas Hidup Anak dengan Penyakit Ginjal Kronik di Rumah Sakit Umum Pusat Hasan Sadikin Bandung Fairuz Sani; Rodman Tarigan; Ahmedz Widiasta
Sari Pediatri Vol 24, No 1 (2022)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp24.1.2022.31-5

Abstract

Latar belakang. Penyakit ginjal kronik (PGK) dapat mengakibatkan kualitas hidup anak penderita menjadi menurun baik secara fisik, emosional, sosial, maupun prestasi belajar. Terdapat sekitar 52 kasus PGK per tahunnya yang terjadi di Rumah Sakit Hasan Sadikin Bandung.Tujuan. Mengetahui kualitas hidup anak pasien penyakit ginjal kronik di RSUP Dr. Hasan Sadikin Bandung.Metode. Penelitian menggunakan metode deskriptif kategorikal dengan rancangan potong lintang (Cross-sectional) pada periode Juli – Agustus 2019. Subjek penelitian terdiri atas seluruh pasien anak berusia 2-18 tahun dan orangtua pasien dengan PGK. Sampel penelitian diperoleh dengan metode konsekutif. Subjek diekslusi apabila pasien anak PGK sedang mengalami eksaserbasi akut dan pasien atau orangtua pasien yang tidak kooperatif. Data diperoleh menggunakan kuesioner PedsQL 4.0 Generic Core Scales.Hasil. Sebanyak 60% anak dengan PGK di RSUP Dr. Hasan Sadikin Bandung memiliki kualitas hidup yang buruk berdasarkan self-report dengan rata-rata skor total yaitu 56,85 ± 7,53. Berdasarkan parent-report, kualitas hidup anak dengan PGK termasuk ke dalam kategori yang buruk dengan rata-rata skor total sebesar 69,43±17,07.Kesimpulan. Sebagian besar anak dengan PGK yang ada di RSUP Dr. Hasan Sadikin Bandung memiliki kualitas hidup yang buruk. Skor total terendah terdapat pada pasien anak dengan PGK yang sudah memasuki derajat akhir (PGK 5).
Co-Authors Angelreika Libowo Dedi Rachmadi Erni Nuraeni Faiisal Faisal Fairuz Sani Novina Novina Rodman Tarigan