Correlation of Characteristics and Nutritional Status on Length Of Stay of ICU Patients in Purwakarta
Abstract
Length of stay shows the level of management efficiency and quality of care provided by the hospital. The length of stay from the economic aspect for the patient will increase the cost of care that they have to pay. Characteristics, nosocomial infections, complications, and wound healing can affect the patients' length of stay. This study aims to analyze the correlation between characteristics and nutritional status with the length of stay of ICU patients in Purwakarta. This study is a quantitative analytical study using secondary data, namely the patient's medical record. The accidental sampling technique selected a total of 80 patient data in this study. The variables studied were gender, age, occupation, type of diagnosis, nutritional status, and length of stay. Data were analyzed using chi-square. The results of the analysis using the Chi-square test showed that there were three variables related to the length of stay of ICU patients, namely age (p = 0.040), type of disease (p = 0.005), and nutritional status (p = 0.047). Gender (p=0.96) and occupation (p=0.234) were not related to the length of stay of ICU patients. Age, type of diagnosis, and nutritional status related to the length of stay of ICU patients. Hospitals need to provide exceptional services to elderly and malnourished patients to speed up the healing process.
Keywords
Full Text:
PDFReferences
Barbara J, Billie F., Brahm Pendit (2006). Buku Ajar Perawatan Perioperatif Vol. 2. Praktik. Penerbit Buku Kedokteran EGC. Cetakan I. Jakarta
Iezzoni, Lisa I, Michael DP. Patient's Perspective: Hard Lessons from aLong Hospital Stay. American Journal of Nursing, volume 112, Desember 2012
Depkes. R.I. (2005). Indikator Mutu pelayanan. Ditjen Yankes, Jakarta
Richard Johnson, Jennifer Simpson (2009). Reducing Length of Stay for Colorectal Surgery Patients using Enhanced Recovery Techniques. Cancer Inpatient Case Study. NHS Improvement.
Kemenkes, (2010). Permenkes 1778/MENKES/SK/XII/ 2010. Pedoman Penyelenggaraan Pelayanan ICU di Rumah Sakit.
Solowiej, Mason, & Upton. Review of the relationship between stress and wound healing: part 1. Journal of wound care. 2009; 18(9)
Imbalo S. (2007). Jaminan Mutu Layanan Kesehatan: Dasar-Dasar Pengertian dan Penerapan, EGC, Jakarta
Gouin & Glaser. The Impact of psychological stress on wound healing: methods and mechanism. Immuno Allergy Clin North Am. 2011; 31(1): 81-93
Guo & Di Pietro. Factors affecting wound healing. Journal Dent Res. 2010; 89(3): 219-229
Velnar, Bailey & Smrkolj. The wound healing process ;an overview of the celluler and moleculer mechanism. Journal of international medical research. 2009; 37(5): 1528-1542
Marchetti J, Reis AM Dos, Santos AF Dos, Franzosi OS, Luft VC, Steemburgo T. High nutritional risk is associated with unfavorable outcomes in patients admitted to an intensive care unit. Rev Bras Ter intensiva. 2019;31(3):326–32
David F, Bruce R, Irwin and Rippe's Intensive Care Medicine 7ed, (2011). Parenteral and Enteral Nutrition in the Intensive Care Unit, Chapter 191. Lippincott William & Wilkins
Imran K, Pratik Doshi, Bruno DiGlovine. Early Enteral Nutrition and Outcomes of Critically Ill Patients Treated with Vasopressors and Mechanical Ventilation. Am J Crit Care. 2010; 19(6): 261-268
Farid, S. Rerata waktu penggunaan ventilator pada pasien surgical ICU RSUP Dr. Kariadi pada bulan Januari 2010-Januari 2011 [dissertation]. Semarang (Indonesia): Universitas Diponegoro, 2011
Dewanti IP. Lama Rawat Intensive Care Unit (ICU) Pasien Pasca Operasi Jantung di RSUP Dr. Kariadi Semarang. Universitas Diponegoro Fakultas Kedokteran. Naskah tidak dipublikasikan, 2014
Sasmita ED. Hubungan Karakteristik Personal Pasien Dengan Lama Rawat Pasien Moderate Care di Rumah Sakit Ortopedi Prof. Dr. R. Soeharso Surakarta. Universitas Muhammadiyah. Skripsi. Naskah tidak diterbitkan, 2017
Afif, Ahmad. Hubungan Faktor Komorbid, Usia dan Status Gizi dengan Lama Rawat Inap pada Pasien Hernia Inguinalis Lateralis Reponibilis yang Dioperasi Herniorepair Tanpa Mesh di RS PKU Muhammadiyah Surakarta Periode 2005-2007. Skripsi, 2008
Schirmer B., Sabiston Jr. Petrus A (2005). Persiapan Praoperasi Pasein Bedah Dalam Buku Ajar Bedah. Penerbit Buku Kedokteran EGC. Jakarta
Nasa P, Juneja D, Singh O. (2012) Severe sepsis and septic shock in the elderly: an overview. World J Crit Care Med.;1(1):23-30
Amiman RC, Tumboimbela MJ, Kembuan MA. Gambaran length of stay pada pasien stroke rawat inap di RSUP Prof. Dr. RD Kandou Manado periode Juli 2015-Juni 2016. e-CliniC. 2016;4(2).
Saxena A, Prasad RN, Verma K, Saxena S. (2016). Factors Predicting Length of Hospital Stay in Acute Stroke Patients Admitted in a Rural Tertiary Care Hospital. J Gerontol Geriatr Res. S5: 003
Arboix A, Massons J, Eroles LG, Targa C, Oliveres M, Comes E. Clinical predictors of prolonged hospital stay after acute stroke: relevance of medical complications. Clin Med. 2012; 3:502-7
Arboix, M. Oliveres, L. García-Eroles, C. Maragall, J. Massons and C. Targa (2001), Acute Cerebrovascular Disease in Women, European Neurology, 45(4):199-205
A. Förster, A. Gass, R. Kern, M. E. Wolf, C. Ottomeyer, K. Zohsel, M. Hennerici and K. Szabo. (2009). Gender Differences in Acute Ischemic Stroke. Etiology, Stroke Patterns and Response to Thrombolysis. Stroke. 40(7):2428-2432
Hardisman. (2008). Lama Rawatan Dan Mortalitas Pasien Intensive Care Unit (ICU) RS Dr. Djamil Padang Ditinjau dari beberapa Aspek. Majalah Kedokteran Andalas, 32(2), 142–150
Pickkers P, de Keizer N, Dusseljee J, Weerheijm D, van der Hoeven JG,Peek N. (2013). Body mass index is associated with hospital mortality in critically ill patients: an observational cohort study. Crit Care Med 2013; 41:1878–1883
Oreopoulos A, Kalantar-Zadeh K, Sharma AM, Fonarow GC. The obesity paradox in the elderly: potential mechanisms and clinical implications. Clin Geriatr Med. 2009;25:643–659, viii
Dominic J, Irwin and Rippe's Intensive Care Medicine 7ed, (2011). Nutritional Therapy in the Critically Ill Patient, Chapter 190. Lippincott William & Wilkins,
Braunchweig, C., Gomez, S., & Sheeam, P. Impact of declines in nutritional status on outcomes in adult patients hospitalized for more than 7 days. Journal of the American Dietation Association. 2000; 100:1316 – 1324
Nurmala, Susetyowati, Budiningsari D Perubahan asupan zat gizi tidak berpengaruh terhadap lama rawat inap pada pasien dewasa di RSUP Dr. Sardjito Yogyakarta. 14 Nurmala, Susetyowati, R. Dwi Budiningsari. Jurnal Gizi dan Dietetik Indonesia. 2014; 2(1):14-22
DOI: https://doi.org/10.17509/jafn.v1i1.44176
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Journal of Applied Food and Nutrition
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.