Page 133 - Abstract Book KONIKA 18

Developmental Behavioral & Community Pediatrics

P-DBCP-003
Children with Developmental Problems
in Tertiary Academic Hospital Yogyakarta

Braghmandita Widya Indraswari, Retno Sutomo, Mei Neni Sitaresmi
Department of Child Health, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada/
Dr. Sardjito General Hospital, Yogyakarta, Central Jakarta, Indonesia

Abstract
Background Early childhood is a critical period in development as rapid gains in physical, cognitive, and
socioemotional also their growth. Growth and developmental problem are common in this period. There is
an increasing number of children with growth and developmental problems in the last 5 years. In contrast,
during Covid-19 pandemic there are some barriers to access healthcare facilities for diagnosis and treatment.
Objective To investigate numbers and type of diagnosis for all patient who were presented in Growth and
Development outpatient clinic Dr. Sardjito General Hospital over three years period. Methods A cross-
sectional study was conducted using outpatient registry in Growth and Development Clinic Dr. Sardjito
Hospital Yogyakarta from 2018 to 2020. Descriptive analysis was used to evaluate number and type of
diagnosis for all patients. Results A total number of 14.844 children were assessed in outpatient clinic during
time period. There was a trend increasing number of patients before covid 19 pandemic from 5 .439 (2018)
to 5.744 (2019). A significant decreasing number of patients during first three months of Covid 19 pandemic
(2020) were 67.1% from same period in the previous year. Patients classified as children under five years
70.1%, school age 23.1%, and adolescent 6.8%. The first five diagnosis were global developmental delay,
learning disability, attention deficit hyperactivity disorder, microcephaly, and speech - language disorder.
Conclusion There were increasing number of patients from 2018 to 2019 and covid 19 pandemic substantially
impact number of outpatient visits. The most common diagnosis was global developmental delay.
Keywords: children; growth and development problems; outpatient clinics

P-DBCP-004
Telemedicine for Pediatric Care in Java during COVID-19 Pandemic:
A Challenging Milestones

Della Sabrina Marta , Ellen Wijaya 2
1
1
2
School of Medicine and Health Sciences and Department of Pediatric , School of Medicine and Health Sciences,
Universitas Kristen Atma Jaya, Jakarta, Indonesia
Abstract
Background Telemedicine offers a significant role to deliver medical care for children that minimize physical
contact during COVID-19 pandemic as recommended by government and Indonesian Pediatric Society.
Multiple challenges need to be acknowledged to maintain the quality of this new innovation. No study
was found yet about characteristic of pediatric telemedicine practice in Java during COVID-19 pandemic.
Objective To determine characteristic of pediatric telemedicine practice in Java during COVID-19
pandemic.Methods Online questionnaire was distributed with total sampling from 25th November 2020
until 20th February 2021 to parents with child aged <18 years old that live in Java for the last 1 year are
included. Parents with medical background were excluded. Analysis was done with SPSS 20 program.
Results Total of 398 parents with mean aged 36 years old answer the questionnaire. Of which, 311 (78.1%)
children were 0-5 years old and 87 (21.9%) were >5 years old. Telemedicine was used by 77 (19.4%)
subjects during COVID-19 pandemic. Consultation was given by video call in 62 (80.5%) subjects.
Pediatric consultation was given by 63 (81.8%) pediatricians, 13 (16.9%) general practitioners and 1
(1.3%) subspecialist pediatrician. Informed consent were not given to 39 (50.7%) subjects. Most presented
symptom is fever (19 subjects, 24.7%). Antibiotics were prescribed for 20 (26%) subjects. Parents with 0-5
years age child are more likely to use telemedicine during pandemic compared with parents with >5 years
old child (P=0.039, OR 2.1). Conclusion Parents with younger child are more likely to use telemedicine
during pandemic.
Keywords: telemedicine; children; COVID-19; Indonesia

KONIKA XVIII Abstract Book 85