http://localhost:8080/xmlui/handle/123456789/8757 2026-04-15T16:10:10Z 2026-04-15T16:10:10Z Andrian Singgih, Nicholas Kristian Lionardi, Stevan Mintardi, Mintardi http://localhost:8080/xmlui/handle/123456789/8771 2024-12-06T02:56:13Z 2023-12-31T00:00:00Z

Title: Giant Pyonephrosis Due to Calculus of Ureter: A Case Report Authors: Andrian Singgih, Nicholas; Kristian Lionardi, Stevan; Mintardi, Mintardi Abstract: Abstract Giant pyonephrosis (GP) is a rare and severe form of pyonephrosis characterized by a massive enlargement of the affected kidney due to the accumulation of infected fluid. This study presents case of a 51-year-old male patient with giant pyonephrosis who underwent nephrectomy as treatment. The clinical manifestations of giant pyonephrosis are nonspecific, necessitating the use of imaging and laboratory techniques to aid in diagnosis. Nephrectomy is the preferred treatment option for these patients. One week after nephrectomy, the laboratory results showed improvements. Making the right treatment decision is challenging in this particular case. Keywords: Abdominal mass, case report, giant pyonephrosis, ureteropelvic junction obstruction

2023-12-31T00:00:00Z Tjahjodjati, Tjahjodjati Kuddah, Yasser Wijayanti, Zola http://localhost:8080/xmlui/handle/123456789/8770 2024-12-06T02:54:11Z 2023-12-31T00:00:00Z

Title: Continuous Ambulatory Peritoneal Dialysis Cost-Effectiveness in National Health Insurance Era of Indonesia Authors: Tjahjodjati, Tjahjodjati; Kuddah, Yasser; Wijayanti, Zola Abstract: Abstract Essential treatments for patients with end-stage renal disease include Renal Replacement Therapy (RRT) consisting of hemodialysis, peritoneal dialysis, and kidney transplantation. In 2014, dialysis coverage in Indonesia was more than 1.5 trillion, making it the second highest expense in the National Health Insurance (BPJS) expenses. This study compared the cost-effectiveness between Continuous Ambulatory Peritoneal Dialysis (CAPD) and Hemodialysis (HD) in patients treated in Dr. Hasan Sadikin General Hospital. Data were collected from the Urology Department from 2014 to 2017. This was a retrospective observational study on 3 groups of patients: patients with effective CAPD each year as the first group; patients who had experienced repair of CAPD and continued to use it as the second group; and patients who discontinued CAPD due to complications and returned to hemodialysis as the third group. Each group expense was calculated with standard cost insurance for one year in the hospital. The expense was then be compared to the expense of hemodialysis for one year. A total of 89 patients in the CAPD program from 2014–2017 were treated at the department. When compared to HD, the first, second, and third group of CAPD patients experienced a cost reduction of IDR 23.227.857/person, IDR 18.127.857/person, and IDR 1.661.972.000, respectively. Total savings from the CAPD program in the hospital was IDR 1.661.972.000 from 2014. It is then concluded that CAPD could reduce the burden of government insurance in a cost-effective manner and is considered a treatment of choice in the National Health Insurance Era. Keywords: Chronic kidney disease, continuous ambulatory peritoneal dialysis, cost-effectiveness analysis, hemodialysis national health insurance

2023-12-31T00:00:00Z Putriasni Kurnia, Chyntia Wasilah Leni Lismayanti, Fajar http://localhost:8080/xmlui/handle/123456789/8769 2024-12-06T02:52:10Z 2023-12-31T00:00:00Z

Title: Validity Test For C-Reactive Protein and Ferritin Level in Moderate and Severe Covid-19 Patients Authors: Putriasni Kurnia, Chyntia; Wasilah Leni Lismayanti, Fajar Abstract: Abstract Mild, moderate, severe, and critical COVID-19 are associated with hyperinflammation. The CRP and ferritin are acute phase proteins that marks incidence of inflammation and used as the paramaters of hyperinflammation. This study aimed to determine the validity of CRP and ferritin level examination in moderate and severe COVID-19 since the time of admission. This was a cross-sectional analytical retrospective study with on moderate and severe COVID-19 patients admitted to Dr. Hasan Sadikin General Hospital Bandung, Indonesia, during the period of March 2020 to December 2020. The CRP and ferritin levels were obtained since the beginning of admission to the fourth day since admission on patients without any history of anemia. Subjects in this study were divided into moderate and severe COVID-19 groups based on the 3rd edition of COVID-19 Prevention and Control Guideline issued by the Ministry of Health Republic of Indonesia. Each group consisted of 30 subjects. The cut-off value was 7.65 mg/dL (AUC 0.698) for CRP and 963.1 mcg/L (AUC 0.938) for ferritin. The validity of ferritin vs CRP were reflected respectively as follows: 93.3% vs 76.7% sensitivity; 80.0% vs 63.3% specificity; 82.4% vs 67.6% PPV; and 92.3% vs 73.1% NPV. The validity of ferritin was proven to be superior as it significantly increases since day one, persisted longer and reaches its peak on the16th day. Meanwhile, CRP increases within 6-8 hours and reaches its peak within 48 hours after inflammation, then declines soon afterwards. Keywords:

2023-12-31T00:00:00Z Usman, Nurhayat Ruchimat, Tommy Rahmawan, Andhika http://localhost:8080/xmlui/handle/123456789/8768 2024-12-06T02:51:20Z 2023-12-31T00:00:00Z

Title: Accuracy of Kampala Trauma Score as a Predictor in Assessing the Prognostic Value of Multiple Trauma Authors: Usman, Nurhayat; Ruchimat, Tommy; Rahmawan, Andhika Abstract: Abstract Determining a trauma scoring system appropriate for certain conditions will help in predicting mortality and morbidity, and can determine the need for treatment in patients. Kampala Trauma Score (KTS) is a trauma scoring system that uses a decent number of assessment variables and can be used in all general groups. This study was a retrospective prognostic test conducted in Dr. Hasan Sadikin Hospital Bandung, Indonesia, from December 2021 to July 2022. Data obtained was processed using Microsoft Excel and SPSS spreadsheets. The respondents were 66 people with multiple trauma. Results showed that this study was dominated by patients with blunt trauma (n=63, 95.45%). The mean KTS score in this study was 13.08±1.03. In 49 (74.24%) patients who survived, the mean KTS score was 13.41±0.89 and in 17 (25.76%) patients who died, the mean KTS score was 12.12±0.79. The greatest mortality accuracy was at the cutoff point of the KTS score >12 (81.82% accuracy; 70.59% sensitivity; 85.71% specificity). The accuracy value of the KTS score is in line with the ROC where the optimal KTS score is >12 (85.77%). In conclusion, the Kampala trauma score can be used as a predictor in assessing the prognostic value of multiple trauma patients with the obtained cut-point value as it has high accuracy, sensitivity, and specificity values. Keywords: Accuracy, KTS, multiple traumas, trauma scoring

2023-12-31T00:00:00Z