Orthopedic Case Burden at Nunukan Hospital: Focus On Trauma Case

Berkala Kedokteran Pub Date : 2019-03-14 DOI:10.20527/JBK.V15I1.6087

P. W. Nurikhwan, Ahmad Muhsinin, Z. Noor

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Abstract

Abstract: Incidence of orthopedic case is quite high in Nunukan Hospital, most of them need both non-operative and surgical intervention due to congenital, debridement, fracture, rupture of tendon and blood vessel, even amputation. Until now, data orthopedic case profile especially trauma case in Nunukan Hospital is not available. Also, the urgency of having an orthopedic surgeon is unbearable which unavailable in Nunukan, this made the management can’t be done comprehensively and as soon as possible. The aim of this research was to describe the incidence of orthopedic case at Nunukan hospital as basic data for further research. This Retrospective Study was conducted at Nunukan Hospital, North Kalimantan – Indonesia. The data is collected by using logbook and medical records during January 2016 - April 2017. Total of 231 cases were obtained. Male patients accounted for 73.6% (170 patients) and Female was 26.4% (61). The age ranged from 1 day to 82 years old. There are 8-21 cases happened per month (average: 14 cases). Based on case category, trauma occurred for 88.7%% (205). Five top diagnoses are; Close Fracture happened for 44.6% (103 cases), followed by Open Fracture 17.7% (41 cases), Lacerated wound 11.3% (26 cases), Traumatic Amputation 7.4% (17 cases) and CTEV 7.4% (17 cases). Most pathology within the period located in Foot for 29.9% (69). The multiple fracture, vascular, and soft tissue injury were observed. Orthopedic fractures were the most common injuries among patients with 88.7% in Nunukan Hospital from January 2016 to April 2017. There are 14 cases happened for each month with most of the patient were adult. Most of injuries happened at foot region.Abstract: Incidence of orthopedic case is quite high in Nunukan Hospital, most of them need both non-operative and surgical intervention due to congenital, debridement, fracture, rupture of tendon and blood vessel, even amputation. Until now, data orthopedic case profile especially trauma case in Nunukan Hospital is not available. Also, the urgency of having an orthopedic surgeon is unbearable which unavailable in Nunukan, this made the management can’t be done comprehensively and as soon as possible. The aim of this research was to describe the incidence of orthopedic case at Nunukan hospital as basic data for further research. This Retrospective Study was conducted at Nunukan Hospital, North Kalimantan – Indonesia. The data is collected by using logbook and medical records during January 2016 - April 2017. Total of 231 cases were obtained. Male patients accounted for 73.6% (170 patients) and Female was 26.4% (61). The age ranged from 1 day to 82 years old. There are 8-21 cases happened per month (average: 14 cases). Based on case category, trauma occurred for 88.7%% (205). Five top diagnoses are; Close Fracture happened for 44.6% (103 cases), followed by Open Fracture 17.7% (41 cases), Lacerated wound 11.3% (26 cases), Traumatic Amputation 7.4% (17 cases) and CTEV 7.4% (17 cases). Most pathology within the period located in Foot for 29.9% (69). The multiple fracture, vascular, and soft tissue injury were observed. Orthopedic fractures were the most common injuries among patients with 88.7% in Nunukan Hospital from January 2016 to April 2017. There are 14 cases happened for each month with most of the patient were adult. Most of injuries happened at foot region.

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努努坎医院骨科病例负担:以创伤病例为重点

摘要：努努坎医院骨科病例发生率较高，大多因先天性、清创、骨折、肌腱血管断裂甚至截肢等原因需要非手术和手术干预。到目前为止，还没有骨科病例资料，尤其是努努坎医院的创伤病例。此外，在努努坎找不到整形外科医生的紧迫性令人难以忍受，这使得管理无法尽快全面完成。本研究的目的是描述努努坎医院骨科病例的发生率，作为进一步研究的基础数据。这项回顾性研究在印度尼西亚北加里曼丹的努努坎医院进行。数据是通过使用日志和医疗记录在2016年1月至2017年4月期间收集的。共获得231例。男性患者占73.6%（170例），女性患者占26.4%（61例）。年龄1天至82岁。每月发生8-21例（平均14例）。根据病例类别，创伤发生率为88.7%（205）。五个最重要的诊断是：；闭合性骨折发生率为44.6%（103例），其次为开放性骨折17.7%（41例），裂伤11.3%（26例），创伤性截肢7.4%（17例），CTEV 7.4%（17%）。在此期间，大多数病理学位于足部，占29.9%（69）。观察到多发性骨折、血管和软组织损伤。2016年1月至2017年4月，努努坎医院的骨科骨折是患者中最常见的损伤，占88.7%。每个月发生14例，其中大多数患者为成年人。大部分受伤发生在脚部。摘要：努努坎医院骨科病例发生率较高，大多因先天性、清创、骨折、肌腱血管断裂甚至截肢等原因需要非手术和手术干预。到目前为止，还没有骨科病例资料，尤其是努努坎医院的创伤病例。此外，在努努坎找不到整形外科医生的紧迫性令人难以忍受，这使得管理无法尽快全面完成。本研究的目的是描述努努坎医院骨科病例的发生率，作为进一步研究的基础数据。这项回顾性研究在印度尼西亚北加里曼丹的努努坎医院进行。数据是通过使用日志和医疗记录在2016年1月至2017年4月期间收集的。共获得231例。男性患者占73.6%（170例），女性患者占26.4%（61例）。年龄1天至82岁。每月发生8-21例（平均14例）。根据病例类别，创伤发生率为88.7%（205）。五个最重要的诊断是：；闭合性骨折发生率为44.6%（103例），其次为开放性骨折17.7%（41例），裂伤11.3%（26例），创伤性截肢7.4%（17例），CTEV 7.4%（17%）。在此期间，大多数病理学位于足部，占29.9%（69）。观察到多发性骨折、血管和软组织损伤。2016年1月至2017年4月，努努坎医院的骨科骨折是患者中最常见的损伤，占88.7%。每个月发生14例，其中大多数患者为成年人。大部分受伤发生在脚部。

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Berkala Kedokteran

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24 weeks