Diabetic foot ulcer is still a major health problem worldwide due to its increasing prevalence. This study was aimed to prove the correlation between PEDIS score and vascular Doppler examination performed on dorsalis pedis and posterior tibial arteries of patients with diabetic foot ulcers. This was an observational study with a cross sectional design. The results showed that during the period of August 2017 until January 2018, there were 62 patients with diabetic foot ulcers at the wards of Surgery Department and Internal Medicine Department of Prof. Dr. R. D. Kandou Hospital Manado. Most patients were in the age group of 60-69 years, had leukocytosis (74.1%), poor blood sugar control (70.9%), and hypoalbuminemia (98.3%). Moreover, smoking history in 20.9% of patients; hypertension in 35.4% of patients; and dyslipidemia in 20.9% of patients. The Doppler examination resulted in biphasic waveform in posterior tibial artery (40.3%) as well as in dorsalis pedis artery (41.9%). Perfusion score showed 50% of subjects had PAD. Most subjects (90.3%) had ulcers of >3 cm2 and were infected superficially in the subcutaneous area (56.4%). Most subjects (58%) suffered from severe infection with high leucocyte counts, however, only 29% of subjects had lost of sensoric ability. The correlation Spearman test obtained r = -0.486 and P = 0.000 in the posterior tibial artery; and r = -0.281 and P = 0.0027 in the dorsalis pedis artery. Conclusion: There was a significant correlation between vascular Doppler result and PEDIS score. The higher the PEDIS score, the worse the vascular Doppler result.Keywords: diabetic foot ulcer, PEDIS score, vascular DopplerAbstrak: Ulkus kaki diabetik masih merupakan masalah kesehatan utama sedunia dengan prevalensi yang terus meningkat. Penelitian ini bertujuan untuk membuktikan apakah terdapat hubungan antara skor PEDIS dan pemeriksaan spektral Doppler vaskuler pada arteri poplitea, dorsalis pedis, dan tibialis posterior pada pasien dengan ulkus kaki diabetik. Jenis penelitian ialah observasional dengan desain potong lintang. Hasil penelitian mendapatkan 62 pasien dengan ulkus kaki diabetik di bangsal Bagian Bedah dan Penyakit Dalam RSUP Prof. Dr. R. D. Kandou Manado selama periode Agustus 2017 sampai Januari 2018. Ukus diabetik tersering ditemukan pada kelompok usia 60-69 tahun dengan rerata usia 58,5 tahun. Sebagian besar pasien mengalami leukositosis (74,1%), kontrol gula darah buruk (70,9%), dan hipoalbuminemia (98,3%). Riwayat merokok didapatkan sebesar 20,9%; hipertensi 35,4%; dan dislipidemia 20,9%. Hasil pemeriksaan Doppler bifasik pada arteri tibialis posterior (40,3%) dan arteri dorsalis pedis (41,9%). Skor perfusi menunjukkan 50% subyek mengalami penyakit arteri perifer (PAD). Sebagian besar (90,3%) subjek memiliki ulkus >3 cm2 luas area. Infeksi sebagian besar superfisial di subkutan (56,4%), selebihnya menderita infeksi hingga fasia, otot, dan tendon. Sebagian besar subyek penelitian menderita infeksi berat (58%) dengan angka leukosit tinggi. Hanya 29% dari subjek penelitian mengalami kehilangan kemampuan sensorik. Hasil uji korelasi Spearman mendapatkan pada arteri tibialis posterior: r = -0,486 dengan P = 0,000 dan pada arteri dorsalis pedis: r = -0,281 dengan P = 0,0027. Simpulan: Terdapat hubungan bermakna antara hasil pemeriksaan spektral Doppler dan skor PEDIS. Semakin tinggi skor PEDIS semakin buruk hasil spektral Doppler.Kata kunci: ulkus kaki diabetik, skor PEDIS, Doppler spektral vaskular
Patients with end-stage renal failure are unable to survive without dialysis or renal transplantation. To achieve effective dialysis using a double lumen catheter, placement of the catheter tip plays an important role because it may affect blood flow/Quick of Blood (QB). The selection of femoral vein access is more favorable in critical patients. This study was aimed to obtain the correlation between the tip position of the non-tunneling short-term femoral double lumen catheter (DLC) and QB at the time of hemodialysis. This was an analytical correlative and prospective study with a cross-sectional design in patients with end-stage renal failure undergoing hemodialysis using a non-tunneling short-term femoral DLC. This study was conducted at the Hemodialysis Installation of Prof. Dr. R. D. Kandou Hospital Manado. Data were analyzed by using the Pearson's r test. The results showed that there were 31 patients enrolled in this study. The Pearson’s r test obtained an r of 0.147 (statistically weak) and Sig (2-tailed) of 0.430 which showed no correlation but the scatter plot showed a tendency of a weak positive relationship. Conclusion: There was no significant correlation between Qb and the tip position of DLC, albeit, there was a tendency of a weak positive relationship. Increasing the number of samples will more accurately predict the presence or absence of the correlation between Qb and the tip position of the DLC.Keywords: DLC, QB, hemodialysisAbstrak: Pasien dengan penyakit ginjal stadium akhir tidak dapat mempertahankan hidup tanpa dukungan terapi pengganti ginjal yaitu dialisis atau transplantasi ginjal. Untuk mencapai dialisis yang efektif dengan menggunakan kateter lumen ganda, penempatan kateter berperan penting karena dapat memengaruhi aliran darah/Quick of Blood (QB). Pemilihan akses vena femoralis lebih menguntungkan pada pasien kritis. Penelitian ini bertujuan untuk mengetahui korelasi letak ujung kateter lumen ganda femoralis jangka pendek (DLC) dengan QB pada saat hemodialisis. Jenis penelitian ialah analitik korelatif dan prospektif dengan desain potong lintang. Subyek penelitian ialah pasien dengan gagal ginjal tahap akhir yang menjalani hemodialisis menggunakan kateter lumen ganda femoralis jangka pendek non-tunneling. Penelitian dilakukan di Instalasi Hemodialisis RSUP Prof. Dr. R. D. Kandou, Manado. Data dianalisis menggunakan koefisien korelasi Pearson. Hasil penelitian mendapatkan 31 pasien sebagai subyek. Hasil analisis koefisien Pearson terhadap korelasi antara letak ujung DLC dan QB memperlihatkan hubungan statistik lemah (r = 0,147) dengan Sig (2-tailed) 0,430 yang menunjukkan tidak terdapat hubungan bermakna tetapi pada scatter plot terlihat adanya kecenderungan hubungan positif lemah. Simpulan: Tidak terdapat korelasi bermakna antara Qb dan letak ujung DLC tetapi terdapat kecenderungan hubungan positif lemah. Menambah jumlah sampel akan lebih akurat untuk memrediksi ada tidaknya hubungan antara Qb dan letak ujung DLC. Kata kunci: DLC, laju aliran dara (QB), hemodialisis
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