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Hasil Pencarian

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Rita Novariani
"[ABSTRAK
Latar belakang: Kasus baru dan kematian kanker paru semakin meningkat. Rokok tembakau sangat berperan tetapi hanya 15% yang menderita kanker paru. Oleh karena itu faktor genetik diduga berperan pada kanker paru. Penelitian-penelitian kohort selama ini menunjukan hubungan bermakna risiko kanker paru dengan riwayat kanker di keluarga.
Tujuan: Tujuan utama dari penelitian ini adalah untuk menentukan proporsi subjek kanker paru dengan riwayat kanker pada keluarga.
Metode: Penelitian ini adalah studi observasi deskriptif potong lintang dengan subjek kanker paru yang berobat jalan maupun inap di RSUP Persahabatan Jakarta 1 Januari 2013 sampai 31 Mei 2015.
Hasil: Subjek penelitian 380 dengan komposisi laki-laki lebih banyak dibandingkan perempuan (72,9% banding 27,1%) dengan median 56 tahun dan nilai minimum dan maksimum 20-86 (66) tahun. Sebanyak 65.3% subjek adalah perokok. Dari total subjek yang merokok, 33,2% termasuk perokok dengan Indeks Brickman (IB) sedang. Jenis sel kanker terbanyak adalah masuk kelompok Kanker Paru Karsinoma Bukan Sel Kecil (KPKBSK) yaitu adenokarsinoma 73,4%. Sebagian besar subjek terdiagnosis pada stage lanjut baik pada kelompok KPKBSK maupun Kanker Paru Karsinoma Sel Kecil (KPKSK). Proporsi subjek dengan riwayat kanker keluarga sebesar 8,2% dengan subjek laki-laki lebih besar dibandingkan perempuan (5,8% dibandingkan 2,4%). Nilai minimum-maksimum usia 35-72 tahun, median 55 tahun. Subjek yang merokok hanya ditemukan pada laki-laki sebanyak 71% dan jenis kanker terbanyak adenokarsinoma 71%. Hubungan keluarga 1 orang lebih banyak ditemukan dibandingkan lebih 1 orang (64,4% banding 35,6%) dengan dominasi ayah (25,8%). Jenis kanker keluarga paling banyak bukan kanker paru dibandingkan kanker paru (85,4% banding 14,6%).
Kesimpulan: Proporsi subjek kanker paru dengan riwayat kanker pada keluarga adalah 8,2%. Subjek dengan 1 anggota keluarga yang memiliki kanker paling banyak 64,4% dengan dominasi ayah 25,8%. Jenis kanker paru dengan riwayat kanker keluarga terbanyak adenokarsinoma 71%. Jenis kanker keluarga lebih banyak adalah bukan kanker paru 85,4%.

ABSTRACT
Background: The new cases and mortality of lung cancer are increasing. Smoking tobacco have a role play but only 15% smokers are suffering from lung cancer. Therefore, genetic factors thought to play a role in lung cancer. Many studies show a significant association with the risk of lung cancer in the family history of cancer.
Objective: To determine the proportion of lung cancer?s subjects with a cancer history in the family.
Methods: Using cross-sectional a descriptive observational study with the outpatient and inpatient lung cancer?s subject at Persahabatan Hospital, Jakarta started from January 1st, 2013 until April 30th, 2015.
Results: The total subject of the study are 380 with the composition of men higher than women (72.9% vs 27.1 %) with a median is 56 and a minimum-maximum age is 20-86 (66). From those subjects, 65.3% are smokers with the most moderate IB is 33.2%. The most type cancer cells in group of Non Small Cell Lung Cancer Carcinoma (NSCLCC) is adenocarcinoma (73.4%). Most subjects diagnosed at an advanced stage either in groups of NSCLCC or Small Cell Lung Cancer Carcinoma (SCLCC). The subject?s proportion with the family cancer history is 8.2% in which male subjects are larger than females (5.8% vs 2.4%). A minimum-maximum age is 35-72 (37) and median 55. Smoker is only found in male 71% and the most type cancer cells is adenocarcinoma 71%. Family relation of the subjects found that 1 person is much more found than more 1 person (64.4% vs 35.6%) with dominated by father (25,8%). The type of cancer in the family is non lung cancer higher than lung cancer (85,4% vs 14,6%).
Conclusions: The proportion of subjects with lung cancer in their family cancer is 8.2%. The most type family relation of the subjects is 1 person 64,4% with dominated by father 25,8%. The most type lung cancer cells which have family history cancer is adenocarcinoma 71%. The most type of cancer in the family is non lung cancer 64.4%.;Background: The new cases and mortality of lung cancer are increasing. Smoking tobacco have a role play but only 15% smokers are suffering from lung cancer. Therefore, genetic factors thought to play a role in lung cancer. Many studies show a significant association with the risk of lung cancer in the family history of cancer.
Objective: To determine the proportion of lung cancer?s subjects with a cancer history in the family.
Methods: Using cross-sectional a descriptive observational study with the outpatient and inpatient lung cancer?s subject at Persahabatan Hospital, Jakarta started from January 1st, 2013 until April 30th, 2015.
Results: The total subject of the study are 380 with the composition of men higher than women (72.9% vs 27.1 %) with a median is 56 and a minimum-maximum age is 20-86 (66). From those subjects, 65.3% are smokers with the most moderate IB is 33.2%. The most type cancer cells in group of Non Small Cell Lung Cancer Carcinoma (NSCLCC) is adenocarcinoma (73.4%). Most subjects diagnosed at an advanced stage either in groups of NSCLCC or Small Cell Lung Cancer Carcinoma (SCLCC). The subject?s proportion with the family cancer history is 8.2% in which male subjects are larger than females (5.8% vs 2.4%). A minimum-maximum age is 35-72 (37) and median 55. Smoker is only found in male 71% and the most type cancer cells is adenocarcinoma 71%. Family relation of the subjects found that 1 person is much more found than more 1 person (64.4% vs 35.6%) with dominated by father (25,8%). The type of cancer in the family is non lung cancer higher than lung cancer (85,4% vs 14,6%).
Conclusions: The proportion of subjects with lung cancer in their family cancer is 8.2%. The most type family relation of the subjects is 1 person 64,4% with dominated by father 25,8%. The most type lung cancer cells which have family history cancer is adenocarcinoma 71%. The most type of cancer in the family is non lung cancer 64.4%., Background: The new cases and mortality of lung cancer are increasing. Smoking tobacco have a role play but only 15% smokers are suffering from lung cancer. Therefore, genetic factors thought to play a role in lung cancer. Many studies show a significant association with the risk of lung cancer in the family history of cancer.
Objective: To determine the proportion of lung cancer’s subjects with a cancer history in the family.
Methods: Using cross-sectional a descriptive observational study with the outpatient and inpatient lung cancer’s subject at Persahabatan Hospital, Jakarta started from January 1st, 2013 until April 30th, 2015.
Results: The total subject of the study are 380 with the composition of men higher than women (72.9% vs 27.1 %) with a median is 56 and a minimum-maximum age is 20-86 (66). From those subjects, 65.3% are smokers with the most moderate IB is 33.2%. The most type cancer cells in group of Non Small Cell Lung Cancer Carcinoma (NSCLCC) is adenocarcinoma (73.4%). Most subjects diagnosed at an advanced stage either in groups of NSCLCC or Small Cell Lung Cancer Carcinoma (SCLCC). The subject’s proportion with the family cancer history is 8.2% in which male subjects are larger than females (5.8% vs 2.4%). A minimum-maximum age is 35-72 (37) and median 55. Smoker is only found in male 71% and the most type cancer cells is adenocarcinoma 71%. Family relation of the subjects found that 1 person is much more found than more 1 person (64.4% vs 35.6%) with dominated by father (25,8%). The type of cancer in the family is non lung cancer higher than lung cancer (85,4% vs 14,6%).
Conclusions: The proportion of subjects with lung cancer in their family cancer is 8.2%. The most type family relation of the subjects is 1 person 64,4% with dominated by father 25,8%. The most type lung cancer cells which have family history cancer is adenocarcinoma 71%. The most type of cancer in the family is non lung cancer 64.4%.]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Dita Kurnia Sanie
"[ABSTRAK
Latar Belakang: Prevalens gangguan pernapasan dan fungsi paru meningkat pada pekerja pengumpul sampah. Belum terdapat data mengenai gangguan respirasi dan fungsi paru pada pemulung, khususnya di daerah Bantar Gebang, Bekasi.
Metode Penelitian: Penelitian ini menggunakan desain cross-sectional. Dilakukan pada pemulung yang bekerja dan tinggal di kelurahan Ciketing Udik, TPA Bantar Gebang, Bekasi pada bulan Januari - Maret 2014 dengan pengisian kuesioner, pemeriksaan spirometri, foto toraks dan CO udara ekshalasi.
Hasil: Jumlah sampel yang sesuai dengan kriteria inklusi 108 subjek. Gangguan respirasi sebanyak 92 subjek (85,2%). Gangguan respirasi yang dikeluhkan meliputi batuk kronik 73 subjek, sesak napas 65 subjek, berdahak 57 dan mengi 19 subjek. Gangguan fungsi paru sebanyak 18 (16,7%) subjek berupa obstruksi ringan 3 (2,8%) subjek, restriksi ringan 11 (10,2%) subjek dan campuran 4 (2,8%) subjek. Kelainan foto toraks ditemukan 16 subjek (14,8%). Kadar CO udara ekspirasi berada pada 5-10 ppm sebanyak 46 (42.6%) subjek.
Kesimpulan: Terdapat gangguan respirasi dan fungsi paru pada pemulung di Bantar Gebang, Bekasi.

ABSTRACT
Background: The prevalence of respiratory disorders and lung function increases in waste collection workers. There has been no data on respiratory disorders and lung function in scavengers, especially in Bantar Gebang, Bekasi.
Methods: This study used a cross-sectional design to the scavengers who work and live in Ciketing Udik, Bantargebang, Bekasi. Conducted in January-March 2014, doing interview with questionnaires, spirometry examination, chest X-ray and CO exhalation.
Results: The number of samples that suitable with the inclusion criteria are 108 subjects. Respiratory disorders are 92 subjects (85.2%). The respiratory disorders consist of 73 subjects with chronic cough, 65 subjects due to shortness of breath, 57 with phlegm and 19 subjects wheezing. Lung function impairment consist of 18 (16.7%) subjects in the form of mild obstruction 3 (2.8%) subjects, mild restriction 11 (10.2%) subjects and mixed 4 (2.8%) subjects. Chest radiographic abnormalities found in 16 subjects (14.8%). Expiratory CO levels at 5-10 ppm are 46 (42.6%) subjects.
Conclusion: There is respiratory disorders and lung function impairments of the scavengers in Bantar Gebang, Bekasi.;Background: The prevalence of respiratory disorders and lung function increases in waste collection workers. There has been no data on respiratory disorders and lung function in scavengers, especially in Bantar Gebang, Bekasi.
Methods: This study used a cross-sectional design to the scavengers who work and live in Ciketing Udik, Bantargebang, Bekasi. Conducted in January-March 2014, doing interview with questionnaires, spirometry examination, chest X-ray and CO exhalation.
Results: The number of samples that suitable with the inclusion criteria are 108 subjects. Respiratory disorders are 92 subjects (85.2%). The respiratory disorders consist of 73 subjects with chronic cough, 65 subjects due to shortness of breath, 57 with phlegm and 19 subjects wheezing. Lung function impairment consist of 18 (16.7%) subjects in the form of mild obstruction 3 (2.8%) subjects, mild restriction 11 (10.2%) subjects and mixed 4 (2.8%) subjects. Chest radiographic abnormalities found in 16 subjects (14.8%). Expiratory CO levels at 5-10 ppm are 46 (42.6%) subjects.
Conclusion: There is respiratory disorders and lung function impairments of the scavengers in Bantar Gebang, Bekasi., Background: The prevalence of respiratory disorders and lung function increases in waste collection workers. There has been no data on respiratory disorders and lung function in scavengers, especially in Bantar Gebang, Bekasi.
Methods: This study used a cross-sectional design to the scavengers who work and live in Ciketing Udik, Bantargebang, Bekasi. Conducted in January-March 2014, doing interview with questionnaires, spirometry examination, chest X-ray and CO exhalation.
Results: The number of samples that suitable with the inclusion criteria are 108 subjects. Respiratory disorders are 92 subjects (85.2%). The respiratory disorders consist of 73 subjects with chronic cough, 65 subjects due to shortness of breath, 57 with phlegm and 19 subjects wheezing. Lung function impairment consist of 18 (16.7%) subjects in the form of mild obstruction 3 (2.8%) subjects, mild restriction 11 (10.2%) subjects and mixed 4 (2.8%) subjects. Chest radiographic abnormalities found in 16 subjects (14.8%). Expiratory CO levels at 5-10 ppm are 46 (42.6%) subjects.
Conclusion: There is respiratory disorders and lung function impairments of the scavengers in Bantar Gebang, Bekasi.]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Nurfanida Librianty
"[ABSTRAK
Latar Belakang: Pengobatan TB MDR memiliki hasil yang buruk dengan keberhasilan hanya 48% di dunia. Salah satu indikator keberhasilan pengobatan adalah konversi dini. Identifikasi faktor yang mempengaruhi konversi merupakan hal yang penting.
Metode: Penelitian ini dilakukan secara kohort retrospektif dengan menggunakan rekam medik pasien TB MDR di RSUP Persahabatan Jakarta yang berobat selama bulan Agustus 2009 - Desember 2013.
Hasil: Dari 436 pasien terdapat 248 pasien laki-laki (56.6%). Sebanyak 256 pasien (58,7%) mengalami konversi biakan dalam dua bulan pengobatan. Nilai tengah waktu konversi adalah 44 hari. Faktor yang memperlambat lama konversi adalah jenis kelamin perempuan (aHR 0,808; [95%CI 0,659-0,991]), IMT pasien kurang (0,792; [0,637-0,983]), ditemukan gambaran kavitas pada foto toraks (0,781;[0,634-0,961]), bacterial load 2+ (0,617;[0,439-0,869]), bacterial load 3+ (0,701;[0,501-0,979]), riwayat pengobatan OAT sebelumnya dengan lini kedua (0,597;[0,415-0,858]), jumlah resisten obat > 2 OAT (0,614;[0,429-0,879]), kelompok pasien Pre XDR dan TB XDR (0,486;[0,305-0,776]), dan jumlah limfosit rendah (0,681;[0,524-0,885]).
Kesimpulan: Jenis kelamin perempuan, IMT kurang, gambaran kavitas pada foto toraks, tingginya bacterial load, riwayat pengobatan OAT sebelumnya dengan lini kedua, jumlah resisten obat > 2 OAT, kelompok pasien Pre XDR dan TB XDR serta limpositopenia berhubungan dengan lamanya konversi pada pasien TB MDR.

ABSTRACT
Introduction: Treatment for MDR-TB has a poor outcomes, success rate was only 48% worldwide. One indicator of treatment success is early culture conversion. Identification of potential factors associated with culture conversion are important.
Methods: A cohort rectrospective study using medical records of MDR-TB patients of Persahabatan Hospital during August 2009 until December 2013. Data were analyzed using multivariate analysis.
Results : Of a total 436 patients, there are 248 patients (56.6%) were males. Two hundred fifty six patients (58,7%) had sputum culture conversion at two months. The median time to culture conversion was 44 days. The factors for longer sputum culture conversion were female (aHR 0,808; [95%CI 0,659-0,991]), underweight patients (0,792; [0,637-0,983]), cavitaty on chest radiograph (0,781;[0,634-0,961]), bacterial load 2+ (0,617;[0,439-0,869]), bacterial load 3+ (0,701;[0,501-0,979]), previous TB treatment with second line drugs (0,597;[0,415-0,858]), resistance to more 2 TB drugs (0,614;[0,429-0,879]), pre XDR and XDR-TB (0,486;[0,305-0,776]), and lower lymphocites count (0,681;[0,524-0,885]).
Conclusion: Female, underweight patients, cavitaty, high bacterial load, previous TB treatment with second line drugs, resistance to more 2 TB drugs, resistance to rifampicine, isoniazid and other second line drugs, and lower lymphocites count were associated with longer time culture conversion in MDR-TB patients.;Introduction: Treatment for MDR-TB has a poor outcomes, success rate was only 48% worldwide. One indicator of treatment success is early culture conversion. Identification of potential factors associated with culture conversion are important.
Methods: A cohort rectrospective study using medical records of MDR-TB patients of Persahabatan Hospital during August 2009 until December 2013. Data were analyzed using multivariate analysis.
Results : Of a total 436 patients, there are 248 patients (56.6%) were males. Two hundred fifty six patients (58,7%) had sputum culture conversion at two months. The median time to culture conversion was 44 days. The factors for longer sputum culture conversion were female (aHR 0,808; [95%CI 0,659-0,991]), underweight patients (0,792; [0,637-0,983]), cavitaty on chest radiograph (0,781;[0,634-0,961]), bacterial load 2+ (0,617;[0,439-0,869]), bacterial load 3+ (0,701;[0,501-0,979]), previous TB treatment with second line drugs (0,597;[0,415-0,858]), resistance to more 2 TB drugs (0,614;[0,429-0,879]), pre XDR and XDR-TB (0,486;[0,305-0,776]), and lower lymphocites count (0,681;[0,524-0,885]).
Conclusion: Female, underweight patients, cavitaty, high bacterial load, previous TB treatment with second line drugs, resistance to more 2 TB drugs, resistance to rifampicine, isoniazid and other second line drugs, and lower lymphocites count were associated with longer time culture conversion in MDR-TB patients., Introduction: Treatment for MDR-TB has a poor outcomes, success rate was only 48% worldwide. One indicator of treatment success is early culture conversion. Identification of potential factors associated with culture conversion are important.
Methods: A cohort rectrospective study using medical records of MDR-TB patients of Persahabatan Hospital during August 2009 until December 2013. Data were analyzed using multivariate analysis.
Results : Of a total 436 patients, there are 248 patients (56.6%) were males. Two hundred fifty six patients (58,7%) had sputum culture conversion at two months. The median time to culture conversion was 44 days. The factors for longer sputum culture conversion were female (aHR 0,808; [95%CI 0,659-0,991]), underweight patients (0,792; [0,637-0,983]), cavitaty on chest radiograph (0,781;[0,634-0,961]), bacterial load 2+ (0,617;[0,439-0,869]), bacterial load 3+ (0,701;[0,501-0,979]), previous TB treatment with second line drugs (0,597;[0,415-0,858]), resistance to more 2 TB drugs (0,614;[0,429-0,879]), pre XDR and XDR-TB (0,486;[0,305-0,776]), and lower lymphocites count (0,681;[0,524-0,885]).
Conclusion: Female, underweight patients, cavitaty, high bacterial load, previous TB treatment with second line drugs, resistance to more 2 TB drugs, resistance to rifampicine, isoniazid and other second line drugs, and lower lymphocites count were associated with longer time culture conversion in MDR-TB patients.]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Efriadi
"ABSTRAK
Latar belakang : Penelitian ini merupakan studi awal untuk mengukur kapasitas
difusi paru DLCO-SB ipada pasien PPOK di RSUP Persahabatan Jakarta untuk
mengetahui prevalens penurunan nilai DLCO pada pasien PPOK.
Metode : Penelitian ini menggunakan desain studi potong lintang (cross sectional
study) pada pasien PPOK yang berkunjung di Poliklinik Asma-PPOK RSUP
Persahabatan Jakarta. Dilakukan uji spirometri dan DLCO pada pasien PPOK
yang diambil secara konsekutif antara bulan Mei-Juli 2015. Komorbiditas juga
dicatat.
Hasil : Uji Spirometri and DLCO dilakukan pada 65 subjek didapatkan 7 subjek
(10,8%) termasuk kedalam PPOK Grup A, 19 subjek (29,2%) PPOK Grup B, 21
subjek (32,3%) PPOK grup C dan 18 subjek (27,7%) PPOK grup D. rerata usia
64,15 (45-89) tahun;rerata VEP
1
% 46,05%, rerata nilai DLCO 19,42
ml/menit/mmHg dan rerata DLCO % adalah 72.00%. prevalens penurunan
DLCO pasien PPOK adalah 56,92% (37/65 subjek) sedangkan 28 subjek dengan
nilai DLCO normal. Ditemukan 15 subjek (23,07%) dengan penurunan ringan, 18
subjek (27.69%) penurunan sedang dan 4 subjek (6,15%) dengan penurunan berat.
Ditemukan 47 subjek (72,3%) memiliki komorbid. Terdapat hubungan bermakna
antara grup PPOK, derajat spirometri, VEP
1
, IMT dan komorbiditas dengan nilai
hasil uji DLCO. Tidak terdapat hubungan bermakna antara nilai DLCO dengan
jenis kelamin, umur, riwayat merokok, Indeks Brinkmann, obstruksi-restriksi dan
lama terdiagnosis PPOK.
Kesimpulan : Proporsi penurunan nilai DLCO pada pasien PPOK adalah
56,92%. Terdapat hubungan bermakna antara grup PPOK, derajat spirometri,
VEP
1
, IMT dan riwayat TB dengan nilai hasil uji DLCO. Tidak terdapat
hubungan bermakna antara nilai DLCO dengan jenis kelamin, umur, riwayat
merokok, Indeks Brinkmann, obstruksi-restriksi, komorbid dan lama terdiagnosis
PPOK.ABSTRACT
Background and the aim of study : This is a preliminary study to measure
DLCO-SB in COPD patients in Persahabatan Hospital. The aim of the study is to
know the magnitude of disturbance in diffusing capacity of the lung in COPD
patients.
Methods : This was a cross sectional study in which COPD patients attending
COPD-Asthma clinic in Persahabatan Hospital Jakarta were performed spirometry
and DLCO-SB consecutively between May 2015?July 2015. Comorbidities
conditions were also recorded.
Results : Spirometry and DLCO-SB measurement were conducted on 65 COPD
subjects of which 7 subjects (10.8%) were COPD Group A, 19 subjects (29.2%)
were Group B, 21 subjects (32.3%) were COPD group C and 18 subjects (27.7%)
were COPD group D. The mean age was 64.15 (45-89); mean FEV
1
% was
46.05%, mean DLCO measured was 19.42 ml/min/mmHg and the mean DLCO%
was 72.00%. The prevalence of decreasing in diffusing capacity of the lung in
COPD patients was 56.92% (37 subjects) While 28 subjects were normal. There
were 15 subjects (23.07%) with mild decrease in DLCO, 18 subjects (27.69%)
were moderate decrease and 4 subjects (6.15%) with severe decrease. 47 subjects
(72.3%) had comorbid conditions. There was significant correlation between grup
COPD, GOLD COPD grade, VEP
1
, BMI and comorbidities with magnitude of
decreasing DLCO value. There was no correlation between DLCO value with sex,
smoking history, Brinkmann index, age, obstruction-mix criteria, length of COPD
period.
Conclusion : The proportion of decreasing in DLCO in COPD patients are
56.92%. There is significant correlation among the group of COPD, GOLD
COPD grade, VEP
1
, BMI and previous TB history with magnitude of decreasing
DLCO value. There is no correlation between DLCO value with sex, smoking
history, brinkmann index, age, obstruction-mix criteria, comorbidities and length
of COPD period. ;Background and the aim of study : This is a preliminary study to measure
DLCO-SB in COPD patients in Persahabatan Hospital. The aim of the study is to
know the magnitude of disturbance in diffusing capacity of the lung in COPD
patients.
Methods : This was a cross sectional study in which COPD patients attending
COPD-Asthma clinic in Persahabatan Hospital Jakarta were performed spirometry
and DLCO-SB consecutively between May 2015?July 2015. Comorbidities
conditions were also recorded.
Results : Spirometry and DLCO-SB measurement were conducted on 65 COPD
subjects of which 7 subjects (10.8%) were COPD Group A, 19 subjects (29.2%)
were Group B, 21 subjects (32.3%) were COPD group C and 18 subjects (27.7%)
were COPD group D. The mean age was 64.15 (45-89); mean FEV
1
% was
46.05%, mean DLCO measured was 19.42 ml/min/mmHg and the mean DLCO%
was 72.00%. The prevalence of decreasing in diffusing capacity of the lung in
COPD patients was 56.92% (37 subjects) While 28 subjects were normal. There
were 15 subjects (23.07%) with mild decrease in DLCO, 18 subjects (27.69%)
were moderate decrease and 4 subjects (6.15%) with severe decrease. 47 subjects
(72.3%) had comorbid conditions. There was significant correlation between grup
COPD, GOLD COPD grade, VEP
1
, BMI and comorbidities with magnitude of
decreasing DLCO value. There was no correlation between DLCO value with sex,
smoking history, Brinkmann index, age, obstruction-mix criteria, length of COPD
period.
Conclusion : The proportion of decreasing in DLCO in COPD patients are
56.92%. There is significant correlation among the group of COPD, GOLD
COPD grade, VEP
1
, BMI and previous TB history with magnitude of decreasing
DLCO value. There is no correlation between DLCO value with sex, smoking
history, brinkmann index, age, obstruction-mix criteria, comorbidities and length
of COPD period. ;Background and the aim of study : This is a preliminary study to measure
DLCO-SB in COPD patients in Persahabatan Hospital. The aim of the study is to
know the magnitude of disturbance in diffusing capacity of the lung in COPD
patients.
Methods : This was a cross sectional study in which COPD patients attending
COPD-Asthma clinic in Persahabatan Hospital Jakarta were performed spirometry
and DLCO-SB consecutively between May 2015?July 2015. Comorbidities
conditions were also recorded.
Results : Spirometry and DLCO-SB measurement were conducted on 65 COPD
subjects of which 7 subjects (10.8%) were COPD Group A, 19 subjects (29.2%)
were Group B, 21 subjects (32.3%) were COPD group C and 18 subjects (27.7%)
were COPD group D. The mean age was 64.15 (45-89); mean FEV
1
% was
46.05%, mean DLCO measured was 19.42 ml/min/mmHg and the mean DLCO%
was 72.00%. The prevalence of decreasing in diffusing capacity of the lung in
COPD patients was 56.92% (37 subjects) While 28 subjects were normal. There
were 15 subjects (23.07%) with mild decrease in DLCO, 18 subjects (27.69%)
were moderate decrease and 4 subjects (6.15%) with severe decrease. 47 subjects
(72.3%) had comorbid conditions. There was significant correlation between grup
COPD, GOLD COPD grade, VEP
1
, BMI and comorbidities with magnitude of
decreasing DLCO value. There was no correlation between DLCO value with sex,
smoking history, Brinkmann index, age, obstruction-mix criteria, length of COPD
period.
Conclusion : The proportion of decreasing in DLCO in COPD patients are
56.92%. There is significant correlation among the group of COPD, GOLD
COPD grade, VEP
1
, BMI and previous TB history with magnitude of decreasing
DLCO value. There is no correlation between DLCO value with sex, smoking
history, brinkmann index, age, obstruction-mix criteria, comorbidities and length
of COPD period. "
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library