OVERVIEW OF ANEMIA AFTER SCOLIOSIS SURGERY IN THE INTENSIVE CARE UNIT (ICU) SOEHARSO ORTHOPEDIC HOSPITALINDONESIA

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Abstract

Anemia is a condition where the hemoglobin concentration is lower than normal. This condition reflects the lack of the normal number of erythrocytes in the body's circulation and consequently the amount of oxygen delivered to the body's tissues is also reduced. Miller & Thompson (2019) scoliosis comes from the Greek word "scoliosis" which means crooked. Scoliosis is a complex three-dimensional deformity of the spine characterized by a lateral deviation of at least 10 degrees with spinal rotation and is usually associated with a reduction in the normal kyphotic curvature of the spine / hypokyphosis. The cause of bleeding in spinal surgery usually occurs more in cases of rigid scoliosis, pedicle subtraction osteotomy and vertebral column resection often referred to as triple column osteotomy and is considered a procedure with a high risk of complications with massive blood loss, reaching more than 10 liters (Jun. 2019). Based on its classification, this type of research is retrospective descriptive research. studies that discuss one or more variables separately, one-by-one, but do not examine the relationship between these variables, using the observation method with the subject being observed by looking at past conditions (Harlan &Sutjiati, 2022). Using total sampling technique in sampling, the population is the medical records of patients admitted to the ICU, postoperative diagnosis of scoliosis with anemia, the sample size is 58 patient medical records. The variables observed were: indications for ICU admission and postoperative scoliosis, the inclusion criteria were medical record data for postoperative scoliosis patients with anemia admitted to the ICU for the period January 1 - December 31, 2022 and patients with the first scoliosis surgery. Based on this study, the following results were obtained: Most respondents were female (81%), the average age of respondents was 17 years. The most common type of scoliosis is adolescence idiopathic scoliosis (89.7%). The most Lenke classification is Lenke 3 (44.8%), the most types of surgery are stabilization, fusion, discectomy, laminectomy and osteotomy (56.9%). The duration of surgery was mostly 180-240 minutes (46.6%) with an average duration of surgery of 257 minutes, the average amount of bleeding was 884.5 ml, the average preoperative Hb was 13.3g/dL, the average postoperative Hb was 8.8 g/dL. The average postoperative Hemoglobin decrease was 5.3 g/dL, patients who were given blood transfusions (87.9%) with an average of 2.9 bags per patient, the most common type of transfused blood was PRC (90.2%).
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印度尼西亚soeharso矫形外科医院重症监护室脊柱侧弯手术后贫血概况
贫血是指血红蛋白浓度低于正常水平。这种情况反映了人体血液循环中缺乏正常数量的红细胞,因此输送到人体组织的氧气量也随之减少。Miller & Thompson(2019)脊柱侧弯源于希腊语 "scoliosis",意为弯曲。脊柱侧弯是一种复杂的脊柱三维畸形,其特征是脊柱旋转时侧向偏离至少10度,通常伴有脊柱正常畸形弧度的减小/畸形率过低。脊柱手术中出血的原因通常更多地发生在刚性脊柱侧弯、椎弓根减低截骨术和椎柱切除术(通常称为三柱截骨术)的病例中,被认为是一种具有高并发症风险的手术,大量失血,失血量超过10升(2019年6月)。根据其分类,这类研究属于回顾性描述研究。研究对一个或多个变量逐一进行单独讨论,但不研究这些变量之间的关系,采用观察法,通过观察过去的状况来观察研究对象(Harlan &Sutjiati, 2022)。在抽样中使用总体抽样技术,研究对象为入住重症监护室、术后诊断为脊柱侧弯伴贫血的患者病历,样本量为 58 份患者病历。观察变量为:入住 ICU 的适应症和术后脊柱侧弯,纳入标准为 2022 年 1 月 1 日至 12 月 31 日期间入住 ICU 的术后脊柱侧弯伴贫血患者和首次脊柱侧弯手术患者的病历数据。研究结果如下:大多数受访者为女性(81%),平均年龄为 17 岁。最常见的脊柱侧弯类型是青少年特发性脊柱侧弯(89.7%)。最常见的伦克分类是伦克 3(44.8%),最多的手术类型是稳定、融合、椎间盘切除、椎板切除和截骨术(56.9%)。手术时间多为 180-240 分钟(46.6%),平均手术时间为 257 分钟,平均出血量为 884.5 毫升,术前平均血红蛋白为 13.3 克/分升,术后平均血红蛋白为 8.8 克/分升。术后血红蛋白平均下降 5.3 g/dL,输血患者(87.9%)平均每人输血 2.9 袋,最常见的输血类型是 PRC(90.2%)。
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OVERVIEW OF ANEMIA AFTER SCOLIOSIS SURGERY IN THE INTENSIVE CARE UNIT (ICU) SOEHARSO ORTHOPEDIC HOSPITALINDONESIA EFFECT OF VERONIAAMYGDALINA ON THE ACTIVITIES OF HEPATIC ENZYMES IN WISTAR ALBINO RAT FED WITH CRUDE OIL CONTAMINATED DIET PATIENT SAFETY GOALS, AFRICA: DEVELOPMENT OF A CONTEXT FITTING TOOL FOR PATIENT SAFETY AND CARE QUALITY ASSESSMENT IN AFRICA USING THE DECIDE(HUMAN FACTORS) MODEL. IS THERE ANY RELATIONSHIP BETWEEN HUMAN BODY WEIGHT AND URINE NITRITE ALTERNATIVE THERAPIES FOR OXIDATIVE STRESS
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