Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients
<p><strong><em>A</em></strong><strong><em>bstrak</em></strong><strong><em> </em></strong></p> <p><strong> </strong></p> <p><strong><em>Latar Belakang: </em></strong&...
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| Format: | Article |
| Language: | English |
| Published: |
Badan Penelitian dan Pengembangan Kesehatan
2017-07-01
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| Series: | Health Science Journal of Indonesia |
| Subjects: | |
| Online Access: | http://ejournal.litbang.kemkes.go.id/index.php/HSJI/article/view/6434 |
| _version_ | 1818570448914350080 |
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| author | Christine Ernita Banggai |
| author_facet | Christine Ernita Banggai |
| author_sort | Christine Ernita Banggai |
| collection | DOAJ |
| description | <p><strong><em>A</em></strong><strong><em>bstrak</em></strong><strong><em> </em></strong></p> <p><strong> </strong></p> <p><strong><em>Latar Belakang: </em></strong><em>Identifikasi dini kondisi klinis serta penanganan yang tepat terhadap pasien dengue merupakan hal penting untuk mencegah perkembangan penyakit menjadi lebih berat. Hal ini akan berdampak positif bagi perawatan pasien yang menjadi lebih singkat dan dengan sendirinya biaya semakin rendah. Tujuan kajian adalah untuk mengetahui pengaruh durasi demam sebelum pasien dirawat di rumah sakit dan hemokonsentrasi terhadap lama waktu perawatan pasien dengue.<strong> </strong></em></p> <p><em> </em></p> <p><strong><em>Metode: </em></strong><em>Studi potong lintang secara random sampling yang dilakukan terhadap catatan medis pasien dengue yang dirawat inap di RSPI Prof. Dr. Sulianti Saroso periode Januari 2014 s/d Desember 2015. Analisis dilakukan secara multivariat dengan regresi Cox.<strong> </strong></em></p> <p><strong><em> </em></strong></p> <p><strong><em>Hasil: </em></strong><em>Pada 153 sampel catatan medis pasien dengue yang dianalisis, hasil menunjukkan terdapat 21,6% pasien yang dirawat lebih dari 6 hari. Durasi demam sebelum pasien dirawat di rumah sakit dan hemokonsentrasi merupakan dua faktor yang berpengaruh signifikan terhadap lama perawatan pasien lebih dari 6 hari. Subyek dengan durasi demam 3 hari [aRR=0.38; P=0.024] dan lebih dari 3 hari sebelum dirawat di rumah sakit [aRR=0.27; P=0.000] berpengaruh signifikan terhadap lama perawatan lebih dari 6 hari. Subyek dengan hemokonsentrasi menunjukkan risiko 1,8 kali lebih besar untuk lama perawatan lebih dari 6 hari [aRR=1.84; P=0.042]. </em><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em>Kesimpulan:</em></strong><strong><em> </em></strong><em>Durasi demam 3 hari dan lebih dari 3 hari sebelum dirawat di rumah sakit serta adanya hemokonsentrasi pada pasien dengue di RSPI Prof. Dr. Sulianti Saroso, berperan signifikan terhadap lama waktu perawatan lebih dari 6 hari.<strong> </strong></em></p> <p><strong><em> </em></strong></p> <p><strong><em>Kata </em></strong><strong><em>k</em></strong><strong><em>unci: </em></strong><em>Dengue, </em><em>durasi demam, hemokonsentrasi, l</em><em>ama </em><em>perawatan</em><em> </em></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p> </p><p><strong>Abstract</strong></p> <p><strong>Background</strong><strong>s</strong><strong>:</strong> Early identification of clinical conditions and proper treatment to dengue patients is essential to prevent the development of more severe condition. This can lead to shorter length of stay and lower cost of patient care in hospitals. The objective of this study was to determine the effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients.</p> <p> </p> <p><strong>Methods:</strong> A cross-sectional study conducted by random sampling on the medical records of dengue patients hospitalized in RSPI Prof. Dr. Sulianti Saroso period January 2014-December 2015. Multivariate analyzes were performed with Cox regression.</p> <p> </p> <p><strong>Results:</strong> There were 153 samples of dengue patient’s medical record for analysis, 21.6% of them were hospitalized over 6 days. Duration of fever before hospitalization and hemoconcentration were significant to length of stay more than 6 days. Subjects with duration of fever for 3 days [aRR = 0.38; P = 0.024] and more than 3 days before hospitalization [aRR = 0.27; P = 0.000] were significant to length of stay more than 6 days. Subjects with hemoconcentration had higher risk by 1,8 times to length of stay more than 6 days [aRR = 1.84; P = 0.042].</p> <p><strong> </strong></p> <p><strong>Conclusion:</strong> Fever duration for 3 days, for more than 3 days before hospitalization, and hemoconcentration in dengue patients were significantly related to length of stay more than 6 days.</p> <p> </p> <p><strong>Keywords:</strong> Dengue, fever duration, hemoconcentration, length of stay</p> <p> </p> <p> </p> <p> </p> |
| first_indexed | 2024-12-14T13:41:27Z |
| format | Article |
| id | doaj.art-bb6e64cf1b5645ea8bd49650fa55d9cd |
| institution | Directory Open Access Journal |
| issn | 2087-7021 2338-3437 |
| language | English |
| last_indexed | 2024-12-14T13:41:27Z |
| publishDate | 2017-07-01 |
| publisher | Badan Penelitian dan Pengembangan Kesehatan |
| record_format | Article |
| series | Health Science Journal of Indonesia |
| spelling | doaj.art-bb6e64cf1b5645ea8bd49650fa55d9cd2022-12-21T22:59:26ZengBadan Penelitian dan Pengembangan KesehatanHealth Science Journal of Indonesia2087-70212338-34372017-07-018110.22435/hsji.v8i1.6434.5047Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patientsChristine Ernita Banggai0Sulianti Saroso Infectious Disease Hospital<p><strong><em>A</em></strong><strong><em>bstrak</em></strong><strong><em> </em></strong></p> <p><strong> </strong></p> <p><strong><em>Latar Belakang: </em></strong><em>Identifikasi dini kondisi klinis serta penanganan yang tepat terhadap pasien dengue merupakan hal penting untuk mencegah perkembangan penyakit menjadi lebih berat. Hal ini akan berdampak positif bagi perawatan pasien yang menjadi lebih singkat dan dengan sendirinya biaya semakin rendah. Tujuan kajian adalah untuk mengetahui pengaruh durasi demam sebelum pasien dirawat di rumah sakit dan hemokonsentrasi terhadap lama waktu perawatan pasien dengue.<strong> </strong></em></p> <p><em> </em></p> <p><strong><em>Metode: </em></strong><em>Studi potong lintang secara random sampling yang dilakukan terhadap catatan medis pasien dengue yang dirawat inap di RSPI Prof. Dr. Sulianti Saroso periode Januari 2014 s/d Desember 2015. Analisis dilakukan secara multivariat dengan regresi Cox.<strong> </strong></em></p> <p><strong><em> </em></strong></p> <p><strong><em>Hasil: </em></strong><em>Pada 153 sampel catatan medis pasien dengue yang dianalisis, hasil menunjukkan terdapat 21,6% pasien yang dirawat lebih dari 6 hari. Durasi demam sebelum pasien dirawat di rumah sakit dan hemokonsentrasi merupakan dua faktor yang berpengaruh signifikan terhadap lama perawatan pasien lebih dari 6 hari. Subyek dengan durasi demam 3 hari [aRR=0.38; P=0.024] dan lebih dari 3 hari sebelum dirawat di rumah sakit [aRR=0.27; P=0.000] berpengaruh signifikan terhadap lama perawatan lebih dari 6 hari. Subyek dengan hemokonsentrasi menunjukkan risiko 1,8 kali lebih besar untuk lama perawatan lebih dari 6 hari [aRR=1.84; P=0.042]. </em><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em>Kesimpulan:</em></strong><strong><em> </em></strong><em>Durasi demam 3 hari dan lebih dari 3 hari sebelum dirawat di rumah sakit serta adanya hemokonsentrasi pada pasien dengue di RSPI Prof. Dr. Sulianti Saroso, berperan signifikan terhadap lama waktu perawatan lebih dari 6 hari.<strong> </strong></em></p> <p><strong><em> </em></strong></p> <p><strong><em>Kata </em></strong><strong><em>k</em></strong><strong><em>unci: </em></strong><em>Dengue, </em><em>durasi demam, hemokonsentrasi, l</em><em>ama </em><em>perawatan</em><em> </em></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p><strong><em> </em></strong></p> <p> </p><p><strong>Abstract</strong></p> <p><strong>Background</strong><strong>s</strong><strong>:</strong> Early identification of clinical conditions and proper treatment to dengue patients is essential to prevent the development of more severe condition. This can lead to shorter length of stay and lower cost of patient care in hospitals. The objective of this study was to determine the effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients.</p> <p> </p> <p><strong>Methods:</strong> A cross-sectional study conducted by random sampling on the medical records of dengue patients hospitalized in RSPI Prof. Dr. Sulianti Saroso period January 2014-December 2015. Multivariate analyzes were performed with Cox regression.</p> <p> </p> <p><strong>Results:</strong> There were 153 samples of dengue patient’s medical record for analysis, 21.6% of them were hospitalized over 6 days. Duration of fever before hospitalization and hemoconcentration were significant to length of stay more than 6 days. Subjects with duration of fever for 3 days [aRR = 0.38; P = 0.024] and more than 3 days before hospitalization [aRR = 0.27; P = 0.000] were significant to length of stay more than 6 days. Subjects with hemoconcentration had higher risk by 1,8 times to length of stay more than 6 days [aRR = 1.84; P = 0.042].</p> <p><strong> </strong></p> <p><strong>Conclusion:</strong> Fever duration for 3 days, for more than 3 days before hospitalization, and hemoconcentration in dengue patients were significantly related to length of stay more than 6 days.</p> <p> </p> <p><strong>Keywords:</strong> Dengue, fever duration, hemoconcentration, length of stay</p> <p> </p> <p> </p> <p> </p>http://ejournal.litbang.kemkes.go.id/index.php/HSJI/article/view/6434Dengue, fever duration, hemoconcentration, length of stay |
| spellingShingle | Christine Ernita Banggai Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients Health Science Journal of Indonesia Dengue, fever duration, hemoconcentration, length of stay |
| title | Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients |
| title_full | Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients |
| title_fullStr | Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients |
| title_full_unstemmed | Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients |
| title_short | Effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients |
| title_sort | effect of fever duration before hospitalization and hemoconcentration to length of stay of dengue patients |
| topic | Dengue, fever duration, hemoconcentration, length of stay |
| url | http://ejournal.litbang.kemkes.go.id/index.php/HSJI/article/view/6434 |
| work_keys_str_mv | AT christineernitabanggai effectoffeverdurationbeforehospitalizationandhemoconcentrationtolengthofstayofdenguepatients |