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All Journal MIMBAR (Jurnal Sosial dan Pembangunan) Majalah Kedokteran Journal of General Procedural Dermatology and Venereology Indonesia SEIKO : Journal of Management & Business YUME : Journal of Management Jurnal Plastik Rekonstruksi AMMA : Jurnal Pengabdian Masyarakat Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Wardhana, Aditya
Department Of Plastic And Reconstructive Surgery, Faculty Of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia
Humanities Chemistry Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Jurnal Plastik Rekonstruksi

 1   2 
The Difference in TBSA Estimation Between Emergency Room and Burn Unit in Second Tier Hospital in Central Jakarta Aditya Wardhana; Gammaditya A. Winarno; Sanjaya F. Tanjunga; An’umillah Arini Zidna; Amani S. Augiani
Jurnal Plastik Rekonstruksi Vol. 8 No. 1 (2021): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i1.310

Abstract

Introduction: Burn TBSA estimation is essential to administer fluid resuscitation. There are some methods, including Rule of 9 and Lund-Browder Chart. This study aims to identify the difference in TBSA estimation in Emergency Room & Burn Unit. Method: We conducted a retrospective cross-sectional study in design. The Inclusion criteria are patients admitted to the Jakarta Islamic Hospital Cempaka Putih (JIHCP) burn unit between April 2015-September 2018, acute patients who have complete demographic data, complete TBSA estimation in the emergency room (ER) and burn unit (BU). Exclusion criteria are patients who do not have complete demographical data and incomplete TBSA estimation between the emergency room and burn unit. The estimation of TBSA in the emergency room is done by General Practitioner, while in the burn unit is done by Plastic Surgeon. Result: Of all 160 patients admitted, 142 patients are eligible in the inclusion criteria.  Most of it was adult males with an average of 28.3 years old, suffering a grade II burn injury caused by scald. There is a higher mean of TBSA estimation in the Emergency room with 15.83 (SD 12.21) compared to the Burn Unit with 12.92 (SD 12.00). The maximum TBSA overestimation in ER reaches 24% TBSA than BU, while the minimum is 0.5%. The Maximum TBSA underestimation in ER reaches 20% TBSA than BU, while the minimum underestimation is also 0.5%. On average, ER overestimates about 6.7% TBSA and underestimates about 2.8% TBSA compared to BU. Conclusion: The emergency room tends to overestimate the TBSA, with an almost 3% difference in mean (p<0.05). There is an occurrence of a maximum 24% TBSA overestimation while averaging 6.7% TBSA.
Nutrition Therapy in Type 2 Diabetic Burn Patient Dian Araminta Ramadhania; Aditya Wardhana; Wina Sinaga; Yohannessa Wulandari; Mulianah Daya; Lily Indriani Octovia
Jurnal Plastik Rekonstruksi Vol. 8 No. 1 (2021): March Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i1.314

Abstract

Summary: Severe burn patients experience pronounced metabolic changes that caused hyperglycemia. Other existing metabolic conditions such as diabetes mellitus may worsen this condition. Early, adequate, and personalized nutrition therapy may result in better glycemic control and prognosis.A 44-year-old male with severe burn injury involving 27,5% total body surface area (TBSA) and type 2 diabetes mellitus (T2DM) was given early and diabetes-specific nutrition therapy to meet the recommended energy and protein needs. Lower carbohydrate contents and higher mono-unsaturated fatty acids (MUFA) were components of diabetes-specific nutrition therapy. Desirable blood glucose levels, a positive trend of albumin levels, and reduced inflammatory markers were achieved while being given this nutrition therapy. Sepsis was not diagnosed in this patient. The patient was discharged from the hospital after an improvement in clinical condition. Hyperglycemia commonly occurs in critically ill patients, especially with pre-existing T2DM. The provision of prompt and personalized nutrition therapy will improve clinical outcomes.
Dietary Soluble Fiber Improved Fecal Consistency in Burned Patients with Diarrhea Evania Setiawan; Aditya Wardhana; Wina Sinaga; Ayu Diandra Sari; Metta Satyani; Lily Indriani Octovia
Jurnal Plastik Rekonstruksi Vol. 8 No. 2 (2021): September Issue
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v8i2.330

Abstract

Backgrounds: Diarrhea frequently occurs in severely burned patients attributable to impaired intestinal integrity and dysbiosis. Soluble fiber may improve intestinal barrier function, avoid bacterial translocation, then subsequently prevent and treat diarrhea. Soluble fiber is rapidly fermented by commensal bacteria and produces short-chain fatty acids (SCFA). Case Reports: A 51-year-old male with severe burn injury involving 53,5% total body surface area (TBSA) and diarrhea were given soluble fiber as part of his diet. Results: Administration of 6–10 g/d soluble fiber clinically improves stool consistency, assessed by Bristol Stool Scale, in the severely burned patient. The patient was discharged after 19 days of hospitalization with improvement in clinical condition. Summary: SCFA maintains intestinal integrity, supports the growth of commensal bacteria, and inhibits pathogens. There is no specific recommendation regarding fiber intake in burned patients
Increased Nutrition Intake from Day 1 to Day 7 and Its Correlation with LOS in The Burn Unit of Dr. Cipto Mangunkusumo Hospital Jakarta Wina Sinaga; Nurul Ratna Mutu Manikam; Aditya Wardhana; Nandita Melati Putri; Lily Indriani Octovia; Akhmad Noviandi Syarif
Jurnal Plastik Rekonstruksi Vol. 9 No. 2 (2022): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v9i2.339

Abstract

Introduction : Burn patients as well as the critically ill experience strong oxidative stress, an intense inflammatory response, and a prolonged months-long hypermetabolic and catabolic response that affect nutritional requirements. This study aimed to investigate the nutrition intake in the acute phase from day 1 to day 7 and the correlation with length of stay (LOS) in burn patients in Dr. Cipto Mangunkusumo General Hospital.Method : This cross-sectional study was conducted from January to December 2020 in the Burn Unit of Dr. Cipto Mangunkusumo General Hospital. Research subjects were burns patients who were willing to take part in this research and met the research criteria. The characteristics data included gender, age, burn area, cause of burns, body mass index, and intake analysis were obtained from medical records and were analyzed using Spearman’s correlation and linear regression.Result : A total of 68 subjects were included in this study. There was an increase in energy intake from day 1 to day 7 of 10.81 + 12.73 Kcal/kgBW. There was a significant negative weak correlation between energy changes from day-1 to day-7 and length of stay (r = -0.25, p = 0.03).Conclusion: The higher energy increases within 7 days of treatment, the shorter the LOS of burn patients. Further research is still needed to assess the components that influence nutrition intake and how they impact the clinical outcome of burn patients.
Co-Authors A. S Augiani Aded Rifaldy Afriyanti Sandhi Akhmad Noviandi Syarif Amani S. Augiani An’umillah Arini Zidna An’umillah Arini Zidna Aulya Rahman Putri Pratama Ayu Diandra Sari Bintang Mahesa Nugraha Chintya Tedjaatmadja Cindy D. Christie DHITA KURNIASARI Dian Araminta Ramadhania Dyah Juliana Pudjiti Ednas Prasetio Eliza Miranda Ellyne Annida Pramesti Erdina Hardiono D Pusponegoro Evania Setiawan Fajar Mujadid Gammaditya A. Winarno Gammaditya Adhibarata Winarno Gammaditya Adhibarata Winarno Irmia Kusumadewi Isabella Kurnia Liem Jessica Halim Karina Kaltha Khalil gibran Almaulidi Lily Indriani Octovia Lily Indriani Octovia Lily Indriani Octovia Lily Indriani Octovia Mahir Pradana Metta Satyani Michelle Valeria Mohamad Rachadian Ramadan Muhamad Buge Mahara Muhamad Pahmil Mahdi Mulianah Daya Nandita Melati Putri Natalia Widiasih Raharjanti Novialdi . Nurhayati M Rasyid Nurul Ratna Mutu Manikam Piprim B. Yanuarso Rismala Dewi Rizki Aniza Winanda Sanjaya F. Tanjunga Sanjaya Faisal Tanjunga Siphora Dien Sudung O Pardede, Sudung O Sugiarto, Adhrie Tera Kispa Tjhin Wiguna Wina Sinaga Wina Sinaga Wina Sinaga Wina Sinaga Yoanni Maria Lauda Feroniasanti Yohannessa Wulandari Yohannessa Wulandari