Gambaran Umum Perawatan Ulcus Diabeticum pada Pasien Rawat Inap di Rumah Sakit Immanuel Bandung Periode Juli 2007-Agustus 2008
Abstract: The treatment of
diabetic ulcer will determine its outcome. The purpose of this study is to
describe the general treatment of diabetic
ulcer in Immanuel Hospital Bandung, in July 2007--August 2008. The data of
this
descriptive-retrospective
study were collected
from the medical
records of the
hospitalized patients during that period. There were 41 patients: 37%
male, 63% female, 46% > 60 years old, 39% 45-60, and 15% 15-45 years old.
Conventional dressing was applied to 63% patients, while the 37% were given
advanced dressing. Necrotomy-debridement procedure was used to treat 83%
patients. Whereas IV nutrition supplementation was given to 7% patients, subcutaneous insulin was given
to the patients in 46% cases. The patients hospitalized less than three days
were 12% (40% dead case, 40% amputated, 20% discharged without
improvement). The patients
hospitalized for 3-4
days were 49%
(65% with improvement, 10%
without improvement, 15% amputated, 10% dead case), The patients hospitalized
> 7 days were 39%
(52.94% with improvement,
5.88% without improvement,
35.29% amputated, and no
dead case). Cases treated
with advanced dressing,
necrotomy debridement procedure,
IV nutrition supplementation and
without subcutaneous insulin showed a better outcome; those showing improvement
respectively were 86.67%,
55.88%, 54.54%, 63.63%,
and those showing
shorter hospitalization period respectively were 80%, 47.05%, 63.63%,
54.54%.
Penulis: Daniel Witanto, Yudhi
Handoko Gejali, Sandy
Kode Jurnal: jpkedokterandd090095
