Page 145 - Abstract Book KONIKA 18

Developmental Behavioral & Community Pediatrics

P-DBCP-027
The Impact of COVID-19 Pandemic on Outpatient Visits in Growth Development
- Social Pediatrics Cilinic Dr. Cipto Mangunkusumo Hopital

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Shela Putri Sundawa , Angga Wirahmadi , Bernie Endyarni , Rini Sekartini , Hartono Gunardi , Soedjatmiko 2
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Department of Child Health and Developmental Behavioral & Community Pediatrics Division, Department of Child
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Health , Faculty of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Abstract
Background The COVID-19 pandemic has dramatically changed the delivery of pediatric care. However its
impact on public health interventions on outpatient visits is unknown. Objective To understand the clinical
impact of the pandemic on outpatient visits in dr. Cipto Mangunkusumo Hospital (CMH) growth development-
social pediatrics (GDSP) clinic. Methods We collected data of visits to CMH GDSP outpatients clinics from
January 2020 to July 2021. Results From January 2020 to July 2021 there were 2597 visits to CMH GDSP
clinics. There was 68% decline in visits at the beginning of COVID-19 pandemic from average of 173 visits
in January-March 2020 to 54 visits on April 2020. The trend of visit was started to rebound on July 2020,
yet it didn’t exceed the average visits until March 2021. There was 34% decrease in visit for immunization
at the first 6 months of pandemic. Conclusion COVID-19 pandemic has impacted outpatient care reflected
from sharp decline in total visits. Further longitudinal studies are needed to evaluate the long term effect of
pandemic especially as there was decrease in immunization visits.
Keywords: COVID-19 pandemic; immunization; outpatient; growth and development; impact

P-DBCP-028
Major Depression in Adolescents with Chronic Illness

Sri Nindita, Bernie Endyarni Medise
Department of Child Health, Developmental Behavioral & Community Pediatrics Division, Faculty of Medicine,
Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Abstract
Background Depression is one of the most common complications of chronic illness. Adolescent with chronic
illness may feel different from his peers and experience peer rejection, which may have detrimental effects on
their self-concept and may cause feelings of helplessness and hopelessness. Objective To describe a case of
an 11 years old, with chronic illness who suffered major depression. Case A teenage boy with osteosarcoma
is on chemotherapy. He was repeatedly hospitalized due to side effect of chemotherapy: febrile neutropenia,
diarrhea, pressure ulcer, vomitus and loss of appetite. During hospitalized, we evaluated him with mental
health screening tools, we noticed a change in mood and behavior since 3 weeks ago. He was often silent,
looked unhappy and wanted to die. From PSC-17, internalization disorder was found, and from CDI, it was
found that he had major depression. Based on HEEADSS, he felt sad about the condition of the disease,
worried about the family, uncomfortable with his school and his friends, and had a suicidal ideation. In
this case, based on adolescent behavior screening tools, we detected depression and his suicidal idea early,
therefore we gave early intervention for him. We consulted the patient to psychiatric and managed the patient
together. The treatment not only about physical illness, but also mental health.
Keywords: major depression; adolescent; chronic illness; PSC-17; CDI; HEEADSSS

KONIKA XVIII Abstract Book 97