Page 173 - Abstract Book KONIKA 18

Emergency & Pediatric Intensive Care

P-EPIC-024
Characteristics of Post Operation Patients in the Pediatric Intensive Care Unit
Prof. Dr. R.D Kandou Hospital Manado

Zwinglie Sandag, Jose M Mandei
Department of Child Health, Faculty of Medicine Universitas Sam Ratulangi/Prof.Dr. RD Kandou Hospital,
Manado, North Sumatera, Indonesia

Abstract
Background There are many types of the characteristics of post-operative patients in terms of
causative factors, nutritional status and length of stay which admitted in PICU Objective To define the
characteristic of post-operative children at Pediatric Care Unit of Prof. Dr. R.D Kandou Hospital, Manado.
Methods This was a retrospective descriptive study. Data from medical records who admitted in PICU of
Prof. Dr. R.D Kandou Hospital, Manado from January 2017 to December 2020 Results There were 164
patient who admitted in PICU, consist of 112 boys (68%) and 52 girls (32%). With 128 patients survived
(78%) and 36 deceased (22%). Ninety three patients had good nutritional status (57%), overweight as 25
patients (15%), underweight as 46 patients (28%). The majority of survivors have good nutritional as 82
patients, with 16 patients overweight and 30 patients with underweight. Patients in the PICU were treated
bellow 5 days with 110 patients (67%), 79% with a good nutritional, 17% underweight and 5% overweight.
From the type of operation, the highest is laparatomy with 77 patients, craniotomy with 34 patients, and
herniotomy with 17 patients. The highest causative factors is mechanical intestinal obstruction in 47 cases,
followed by EDH with 15 cases. Conclusion Generally, patients with good nutritional status have a shorter
length of stay with a better outcome. The highest cause of post operation patients in PICU is mechanical
intestinal obstruction, which was followed by EDH.
Keywords: PICU room; postoperative patient; causative factors; nutritional status; length of stay

P-EPIC-025
Profile of Hypocalcemia in Pediatric Dengue Shock Syndrome in
Prof. Dr. R. D. Kandou Manado Hospital

Joko Purnomo Heroanto, Jose M. Mandei
Department of Child Health, Faculty of Medicine, Universitas Sam Ratulangi/Prof. Dr. R. D. Kandou Hospital,
Manado, North Sumatera, Indonesia

Abstract
Background Dengue infection is fast emerging pandemic-prone viral disease affecting mainly in
tropical countries. Dengue Shock Syndrome (DSS) may cause high morbidity and mortality, and
one of the important electrolyte disturbance documented in critical phase of DSS is hypocalcemia.
Objective To describe serum Ca level in pediatric DSS in Kandou Hospital Manado from January 2019 -
December 2020. Methods We conduct a cross-sectional study to pediatric DSS in Kandou Hospital from
January 2019 - December 2020. DSS was diagnosed and classified according to the WHO criteria and
confirmed by serology detection. We evaluate the serum Ca level and outcome from the medical records.
Results We enrolled total 411 patients with DSS who treated in PICU Kandou Hospital Manado from 2019
- 2020. There were 336 patients diagnosed with DHF grade III with total 8 mortality cases, and 75 patients
diagnosed with DHF grade IV with total 25 mortality cases. The mean serum Ca level of all patients was
7.56 mg/dL, while in DHF grade III was 7.82 mg/dL, and in DHF grade IV was 7.31 mg/dL. The mean
serum Ca level in all mortality cases was 7.32 mg/dL, while in grade III was 7.49 mg/dL, and 7.16 mg/dL in
grade IV. Conclusion Hypocalcemia was lower in DHF grade IV and in mortality cases than in DHF grade
III. Hypocalcemia correlate with severity of dengue illness and further well-designed studies are needed to
make a better outcome in pediatric DSS.
Keywords: dengue shock syndrome; calcium; mortality

KONIKA XVIII Abstract Book 125