HUBUNGAN HIPERTENSI DAN DIABETES MELITUS PADA PASIEN FRAKTUR TULANG PANJANG LANSIA TERHADAP LAMA RAWAT INAP PASCA BEDAH DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA

Yohanes Abelio Dirgusma Dalung muya; Danial; Sirajul Munir

Yohanes Abelio Dirgusma Dalung Program Studi Kedokteran, Fakultas Kedokteran, Universitas Mulawarman
Danial Laboratorium Ilmu Bedah Fakultas Kedokteran, Universitas Mulawarman
Sirajul Munir Laboratorium Ilmu Anatomi Fakultas Kedokteran, Universitas Mulawarman

Keywords: Elderly Fracture, Hipertension, Diabetes Mellitus, Length of Stay

Abstract

The elderly are at risk for fractures with a high prevalence. A fracture is a break in the continuity of normal bone tissue. Geriatric patients have a higher risk of fracture. Complications that often occur in geriatric patients in cases of fractures are the addition of postoperative care. The elderly also have a risk of suffering from diabetes melitus and hypertension. Elderly fracture patients with comorbid hypertension may experience prolonged postoperative hospitalization due to postoperative complications and longer surgical wound healing. The purpose of this study was to determine Hipertension and Diabetes Melitus with length of stay in elderly fracture patients at Abdul Wahab Sjahranie Hospital, Samarinda. This study is an analytic observational study with a cross sectional approach. The sampling method in this study is purposive sampling and obtained as many as 98 samples that include in research criteria. Based on the chi square test, there was a significant relationship between comorbid diseases and the length of stay of elderly long bone fracture patients at Abdul Wahab Sjahranie Hospital Samarinda with a p-value of 0.000.

References

1. Alduna, F, (2013), Pasien Sectio Caesarea Di RSUP. H. Adam Malik Medan Tahun 2009 - 2011, repository.usu.ac.id/bitstream/12345678 9/37949/4/ Chapter%20II.pdf.
2. Bakkara, C.J. (2012). Pengaruh Perawatan Luka Bersih Menggunakan Sodium Clorida 0,9% dan Povidine Iodine 10% Terhadap Penyembuhan Luka Post Appendiktomi di RSU Kota Tanjung Pinang Kepulauan Riau , repository.usu.ac.id/bitstream/12345678 9/31496/6/Chapter%20II.pdf. Di akses tanggal 18 Juni 2018.
3. Black, J., & Hawks, J. (2014). Keperawatan Medikal Ilmu Bedah Manajemen Klinis Untuk Hasil Yang Diharapkan (edisi 8). Jakarta:salemba medika.
4. Desborough JP. The stress response to trauma and surgery. Br J Anaesth. 2000;85(1):109-17.
5. Gortler, H., Rusyn, J., Godbout, C., Chahal, J., Schemitsch, E. H., & Nauth, A. (2018). Diabetes and Healing Outcomes in Lower Extremity Fractures: A Systematic Review. Injury, 49(2), 177–183. https://doi.org/https://doi.org/10.1016/j.injury.2017.11.006
6. Heryani, R. (2012). Asuhan Kebidanan Ibu Nifas dan Menyusui. Jakarta: CV Trans Info Medika.
7. Hongli Jiao,E. Xiao, D. T. G. (2019). Diabetes and Its Effect on Bone and Fracture Healing. Physiology & Behavior, 176(3), 139–148. https://doi.org/10.1007/s11914-015-0286-8.Diabetes
8. Khudin, M.K. (2014). Hubungan Kadar Gula Darah Sewaktu dengan Kejadian Stroke Iskemik Ulang di Rumah Sakit Umum Daerah. Karya Tulis Ilmiah strata satu, Universitas Muhammadiyah Surakarta, Surakarta
9. Kepel, F. R., & Lengkong, A. C. (2020). Fraktur geriatrik. E-CliniC, 8(2), 203–210. https://doi.org/10.35790/ecl.8.2.2020.30179
10. Murray et al., (2009). Biokimia Harper. 27th ed. Jakarta : EGC.
11. Schumaier, A., & Grawe, B. (2018). Proximal Humerus Fractures: Evaluation and Management in the Elderly Patient. Geriatric Orthopaedic Surgery & Rehabilitation, 9, 215145851775051. https://doi.org/10.1177/2151458517750516
12. Solomon L, Warwick D, Nayagam S. Apley’s and Solomon’s Concise System of Orthopaedic and trauma. London: Hodder Education. 2014
13. Sun Y, Wang H, Zang F. Incidence and risk factor surgical site infection after Open Reduction Internal Fixation of ankle fracture. Wolters Kluwer Health. 2018
14. Suryadi, et al. (2013). Proses Penyembuhan dan Penanganan Luka. http://download.portalgaruda.org/article. php?article=14468&val=970.
15. Wei, J., Zeng, L., Li, S., Luo, F., Xiang, Z., & Ding, Q. (2019). Relationship between comorbidities and treatment decision-making in elderly hip fracture patients. Aging Clinical and Experimental Research, 31(12), 1735–1741. https://doi.org/10.1007/s40520-019-01134-5