Gading Yudha Pratama (2020) Kesesuaian Endoskopi Terhadap Sheffield Scoring Pada Pasien Anak Dengan Perdarahan Saluran Cerna Atas Di RSUD Dr. Soetomo Periode 2016–2018. Skripsi thesis, UNIVERSITAS AIRLANGGA.

	Text (HALAMAN JUDUL) 1. Halaman Judul.pdf Download (1MB)
	Text (ABSTRAK) 2. Abstract.pdf Download (394kB)
	Text (DAFTAR ISI) 3. Daftar Isi.pdf Download (210kB)
	Text (PENDAHULUAN) 4. Bab I Pendahuluan.pdf Download (324kB)
	Text (TINJAUAN PUSTAKA) 5. Bab II Tinjauan Pustaka.pdf Restricted to Registered users only until 18 February 2024. Download (580kB) | Request a copy
	Text (KERANGKA KONSEPTUAL) 6. Bab III Kerangka Konseptual dan Hipotesis Penelitian.pdf Restricted to Registered users only until 18 February 2024. Download (322kB) | Request a copy
	Text (MATERI DAN METODE) 7. Bab IV Materi dan Metode Penelitian.pdf Restricted to Registered users only until 18 February 2024. Download (336kB) | Request a copy
	Text (HASIL PENELITIAN) 8. Bab V Hasil Penelitian.pdf Restricted to Registered users only until 18 February 2024. Download (345kB) | Request a copy
	Text (PEMBAHASAN) 9. Bab VI Pembahasan.pdf Restricted to Registered users only until 18 February 2024. Download (345kB) | Request a copy
	Text (PENUTUP) 10. Bab VII Penutup.pdf Restricted to Registered users only until 18 February 2024. Download (313kB) | Request a copy
	Text (DAFTAR PUSTAKA) 11. Daftar Pustaka.pdf Download (344kB)
	Text (LAMPIRAN) 12. Lampiran.pdf Restricted to Registered users only until 18 February 2024. Download (861kB) | Request a copy
	Text (PERNYATAAN EMBARGO) FK.PD.48-21-Embargo Perpustakaan Gading - Gading Yudha Pratama.pdf Restricted to Registered users only Download (208kB) | Request a copy

Abstract

Background: Upper gastrointestinal bleeding is a problem that is rarely found in children, yet it can be life-threatening with global mortality rate ranges from 5% to 15%. The gold standard in managing upper gastrointestinal bleeding is through endoscopy. One way to determine whether endoscopy should be performed quickly is by using a scoring system. Thus, Sheffield scoring is the only method of assessment in children with gastrointestinal bleeding. Objective: To determine the suitability of endoscopy procedure toward Sheffield scoring in children with upper gastrointestinal bleeding at Dr. Soetomo General Hospital year 2016–2018. Method: This study is a retrospective analytic, using secondary data of medical records of children with upper gastrointestinal bleeding at Dr. Soetomo General Hospital year 2016–2018. Results: The majority of samples were male (70.2%). The common age-group was 5–9 years (35.7%). Clinical manifestations were predominantly hematemesis and melena (48.8%). Amongst the samples, 39.3% had a significant preexisting condition with 18 samples of malignancy and 13 samples of liver disease. Most (71.4%) samples had melena. A history of large amounts of hematemesis found in 77.4% samples. As many as 52.4% of samples experienced hemoglobin levels drop of >2 g/dl. Blood transfusion administered in 64.3% of samples. The total score of Sheffield in most (61.9%) samples was more than 8. Endoscopy was performed on 33.3% samples. The McNemar’s test showed p-value=0.002 (p<0,05). Conclusion: The majority of samples had Sheffield score more than 8. Based on the results of the McNemar’s test, it concluded that there was unsuitability between endoscopy and Sheffield scoring.

Actions (login required)

View Item