Gambaran Anemia pada Pasien Anak Pasca Operasi yang Dirawat di PICU RSUD Arifin Achmad Periode 2018-2020
Abstract
Surgery is an invasive treatment that consists of major and minor surgery. Post-major surgery patients require comprehensive intensive care, including checking hemoglobin levels to detect anemia. Post-operative anemia can occur in 80-90% of patients undergoing major surgery. The purpose of this study was to describe anemia in post-operative pediatric patients treated in PICU Arifin Achmad Hospital for the 2018-2020 period. The design of this study is descriptive cross sectional with retrospective approach using medical record of pediatrics with 169 samples. The results showed that the majority of preoperative pediatrics patients were not anemic (73,4%) and were not given blood transfusions (76,3%). Postoperative pediatric patients dominantly anemic (53,8%). The majority of postoperative anemia incidence occurred in the age group 6-59 months (54,9%), male gender (57,1%), and location of abdominal surgery (71,4%). The type of anemia based on erythrocyte index in postoperative was microcytic hypochromic (61,5%). These findings highlight the importance of monitoring anemia in pediatric patients post-surgery to improve clinical outcomes and reduce complications.
Keywords
Full Text:
PDF (Bahasa Indonesia)References
Agustantina R. Profil Analgetik Pasca Operasi pada Pasien Pediatri yang Menjalani operasi elektif di RSUD DR.SOETOMO. ADLN - Perpustakaan Universitas Airlangga. 2016;
Landry EK, Gabriel RA, Beutler S, Dutton RP, Urman RD. Analysis of Unplanned Intensive Care Unit Admissions in Postoperative Pediatric Patients. Journal of Intensive Care Medicine. 2017;32(3):204–11.
Muñoz M, Acheson AG, Bisbe E, Butcher A, Gómez-Ramírez S, Khalafallah AA, et al. An international consensus statement on the management of postoperative anaemia after major surgical procedures. Anaesthesia. 2018;73(11):1418–31.
Gómez-Ramírez S, Bisbe E, Shander A, Spahn DR, Muñoz M. Management of Perioperative Iron Deficiency Anemia. Acta Haematol. 2019;142(1):21–9.
Naik S, Nirale A, Bharadwaj S, Sangeetha RP, Shukla D, Kamath S. Post-operative anemia in children undergoing elective neurosurgery: An analysis of incidence, risk factors, and outcomes. J Neurosci Rural Pract. 2024 Jan-Mar;15(1):29-33. doi: 10.25259/JNRP_338_2023. Epub 2023 Aug 12. PMID: 38476436; PMCID: PMC10927067.
Putri K, Wande IN, Mahartini NN. Gambaran Indeks Eritrosit pada Ibu Hamil dengan Anemia di Puskesmas Abiansemal 1 Kabupaten Bandung Tahun 2019. Jurnal Medika Udayana. 2021;10(5):8–13.
Lim CH, Kim SW, Kim WC, Kim JS, Cho YK, Park JM, et al. Anemia after gastrectomy for early gastric cancer: Long-term follow-up observational study. World Journal of Gastroenterology. 2012;18(42):6114–9.
Gómez-Ramirez S, Jericó C, Muñoz M. Perioperative anemia: Prevalence, consequences and pathophysiology. Transfusion and Apheresis Science. 2019 Aug;58(4):369–74.
Faraoni D, Dinardo JA, Goobie SM. Relationship between preoperative anemia and in-hospital mortality in children undergoing noncardiac surgery. Anesthesia and Analgesia. 2016 Dec 1;123(6):1582–7.
Muñoz M, Laso-Morales MJ, Gómez-Ramírez S, Cadellas M, Núñez-Matas MJ, García-Erce JA. Pre-operative haemoglobin levels and iron status in a large multicentre cohort of patients undergoing major elective surgery. Anaesthesia. 2017;72(7):826–34.
Musallam KM, Tamim HM, Richards T, Spahn DR, Rosendaal FR, Habbal A, et al. Preoperative anaemia and postoperative outcomes in non-cardiac surgery: A retrospective cohort study. Lancet. 2011;378:1396–407.
Clevenger B, Richards T. Pre-operative anaemia. Anaesthesia. 2015;70:20–8.
Muñoz M, Gómez-Ramírez S, Kozek-Langeneker S. Pre-operative haematological assessment in patients scheduled for major surgery. Anaesthesia. 2016;71:19–28.
Sander MA. Invaginasi Ileo-Kolo-Kolika : Bagaimana Mengenali Gejala Klinis Sejak Awal Dan Penatalaksanaannya? Jurnal Keperawatan. 2014;5:16–22.
Ningsih DF, Suwarman S, Bisri T. Kadar Hemoglobin, Jumlah Perdarahan dan Transfusi pada Pasien yang Menjalani Operasi Tumor Otak di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Tahun 2015–2016. Jurnal Neuroanestesi Indonesia. 2018;7(2):71–9.
Tohme S, Varley PR, Landsittel DP, Chidi AP, Tsung A. Preoperative anemia and postoperative outcomes after hepatectomy. HPB : the official journal of the International Hepato Pancreato Biliary Association. 2016;18(3):255–61.
Wahidiyat PA, Adnani NB. Transfusi Rasional pada Anak. Sari Pediatri. 2017;18(4):325.
Lang Z, Wu Y, Bao M. Coagulation Status and Surgical Approach as Predictors of Postoperative Anemia in Patients Undergoing Thoracic Surgery: A Retrospective Study. 2021;
Feng S, MacHina M, Beattie WS. Influence of anaemia and red blood cell transfusion on mortality in high cardiac risk patients undergoing major non-cardiac surgery: A retrospective cohort study. British Journal of Anaesthesia. 2017;0(0):1–9.
Kalra SK, Thilagar B, Khambaty M, Manjarrez E. Post-operative Anemia After Major Surgery: a Brief Review. Current Emergency and Hospital Medicine Reports. 2021 Jun 16;9:89–95.
Bergkvist E, Zimunhu T, Mbanje C, Hagander L, Muguti GI. Nutritional status and outcome of surgery: A prospective observational cohort study of children at a tertiary surgical hospital in Harare, Zimbabwe. Journal of Pediatric Surgery. 2021;56(2):368–73.
Yuwono E, Suryawan IWB, Sucipta AAM. Faktor – faktor yang berhubungan dengan kejadian anemia pada anak usia 6-59 bulan di RSUD Wangaya, Denpasar, Bali, Indonesia tahun 2019. Intisari Sains Medis. 2020;11(1):75–80.
Singh RK, Patra S. Extent of Anaemia among Preschool Children in EAG States, India: A Challenge to Policy Makers. Anemia. 2014;2014.
Khan L. Anemia in childhood. Pediatric Annals. 2018;47(2):42–7.
Haryanti L, Antonius H., Pudjiadi, Evita Kariani B., Ifran, Amir Thayeb, et al. Prevalens dan Faktor Risiko Infeksi Luka Operasi Pasca-bedah. Sari Pediatri. 2018;15(4):207–9.
Jun JH, Yoo JE, Lee JA, Kim YS, Sunwoo S, Kim BS, et al. Anemia after gastrectomy in long-term survivors of gastric cancer: A retrospective cohort study. International Journal of Surgery. 2016;28:162–8.
Surya PAIL, Dharmajaya IM. Gejala dan Diagnosis Penyakit Hirschprung. Fakultas Kedokteran Universitas Udayana. 2013;1–5.
Broadway-Duren JB, Klaassen H. Anemias. Critical care nursing clinics of North America. 2013 Dec;25:411–26.
Morison MJ. Manajemen Luka. Florinda, Ester M, Kurnianingsih S, editors. Jakarta: Penerbit Buku Kedokteran EGC; 2004.
Perdana WY, Jacobus DJ. Hepcidin dan Anemia Defisiensi Besi. Cdk-235. 2015;42(12):919–26.
Refbacks
- There are currently no refbacks.