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All Journal Folia Medica Indonesiana Journal of Agromedicine and Medical Sciences Global Medical and Health Communication Jurnal Media Gizi Indonesia (MGI) The Indonesian Biomedical Journal Sari Pediatri Paediatrica Indonesiana Health Notions Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Oto Rhino Laryngologica Indonesiana JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML) Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology Jurnal Pengabdian Kesehatan Masyarakat
Mahrus A. Rahman
Departement Of Child Health, Dr. Soetomo General Hospital, Faculty Of Medicine, Universitas Airlangga, Jl. Mayjen Prof. Dr. Moestopo No. 6-8, Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Journal : Folia Medica Indonesiana

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Mortality Risk Factors in Tetralogy of Fallot Patients Undergoing Total Correction Juliana Juliana; Yan Efrata Sembiring; Mahrus Abdur Rahman; Heroe Soebroto
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (389.537 KB) | DOI: 10.20473/fmi.v57i2.22107

Abstract

A total correction is a preferred treatment for Tetralogy of Fallot patients in every part of the world. However, the mortality in developing countries was as high as 6.9% to 15.3%. This was a retrospective analytic study that analyzed pre and post-operative risk factors that affected mortality on TOF patients that were performed total correction in Indonesia. A total of 47 TOF patients that were performed total correction from January 2016 to September 2019 were enrolled in this study based on the inclusion criteria. Preoperative and post-operative data were obtained from medical records. In this research, the majority of mortality was found in male patients (39.3%), while the female’s rate was lower (36.8%). Overall mortality was 38.3% and one operative death was found. The average age of patients was 84.12 months (12-210 months), whereas the average height (85.56 ± 36.17cm vs. 112.93 ± 21.73) and weight (17.22kg vs. 28.21kg) were lower for mortality patients. Some significant preoperative variables were identified as mortality risk factors such as: age below 60 months (p=0.047), smaller weight and height (p=0.008; p=0.002), abnormal hematocrit (p=0.002), and oxygen saturation below 75% (p=0.018). Significant post-operative risk factors included: temperature above 38.5⁰C (p=0.000), and ventilator time of more than 48 hours (p=0.033). In conclusion, the mortality of TOF patients undergoing a total correction in developing countries was quite high. It was associated with some risk factors, such as younger age, lower weight and height, low oxygen saturation, post-operative fever, and prolonged ventilator time.
Co-Authors Achmad Lefi Agus Harianto Alit Utamayasa Budiono budiono Chaq El Chaq Zamzam Multazam Cintya Dipta Dina Angelika Evisina Hanafiati Frans Fatchul Wahab Henry Wicaksono Heroe Soebroto I Dewa Gede Ugrasena Juliana Juliana Kartika Darma Handayani Kartika Hardiyani Martono Tri Utomo Mia Puspitasari Nabila Izzati Ni Wayan Thirthaningsih Nyilo Purnami Ovin Nada Saputri R Fatchul Wahabe Rina Elizabeth Rio Herdyanto Risa Etika, Risa Roedi Irawan Saraswati Dewi Sarmanu Sarmanu Saskia Ratna Desita Sunny Mariana Samosir Taufiq Hidayat Teddy Ontoseno Teddy Ontoseno Teddy Ontoseno Teddy Ontoseno Teddy Ontoseno Vinny Yoanna Viskasari P. Kalanjati Wiwin Retnowati Yan Efrata Sembiring Yudi Her Oktaviono, Yudi Her