Faktor Mobilisasi Dini, Obesitas dan Usia Tua Sebagai Prediktor Lama Rawat Inap Pasien Fraktur Femur Pasca Bedah
Abstract
This study aims to explore the factors that influence the length of stay in post-surgical femur fracture patients, specifically the interaction between early mobilization, obesity, and old age as potential predictors of hospitalization. The research method used was a systematic review using the PRISMA search strategy. The databases used in this research are ProQuest, Sage Journal, Embrace, Science Direct, and Scopus. The results of the study show that factors that influence the length of stay of postoperative femur fracture patients from the results of the literature review are mobility, comorbidities, related fractures, intraoperative blood loss, postoperative blood transfusion, occurrence of pressure ulcers, higher BMI or obesity, choice of anesthesia, and drainage status. The average length of stay in the literature review is 5.64 days to 14.4 days. In conclusion, many factors influence LOS such as mobility, comorbidities, related fractures, intraoperative blood loss, postoperative blood transfusion, and the occurrence of wounds. pressure, higher BMI or obesity, choice of anesthesia, drainage status. The average length of stay in research journals is 5.64 days to 14.4 days.
Keywords: Fracture, Femur, Early Mobilization, Obesity, Old Age.
References
Arshi, A., Lai, W. C., Iglesias, B. C., McPherson, E. J., Zeegen, E. N., Stavrakis, A. I., & Sassoon, A. A. (2021). Blood TransfusionRates and Predictors Following Geriatric Hip Fracture Surgery. Hip Int, 31(2), 272-279. https://doi.org/10.1177/1120700019897878.
Canbek, U., Akgun, U., Aydogan, N. H., Canbek, T. D., Turgut, A., & Erciyes, O. S. (2020). Factors Associated with Prolonged Wound Drainage After Hemiarthroplasty for Hip Fractures in Elderly. International Orthopaedics, 44(9), 1823-1831. https://doi.org/10.1007/s00264-020-04738-z.
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Elmhiregh, A., Ahmed, A. F., Dabboussi, A. M., Ahmed, G. O., Abdelrahman, H., & Ibrahim, T. (2022). The Impact of Obesity on Polytraumatized Patients with Operatively Treated Fractures. Injury, 53(7), 2519-2523. https://doi.org/10.1016/j.injury.2022.03.059.
Foudah, M. R., Ahmed, M. E., Hammad, A. A., & Attia, S. M. (2023). Inpatient Length of Stay in Femur Fracture Patients in Emergency Hospital, Mansoura University. The Egyptian Journal of Hospital Medicine, 93, 7240-7247.10.21608/ejhm.2023.322108.
Ibrahim, Y. B., Mohamed, A. Y., Ibrahim, H. S., Mohamed, A. H., Cici, H., Mohamed, Y. G., Yasin, N. A., & May, H. (2023). Risk Factors, Classification, and Operative Choices of Femur Fractures at a Tertiary Hospital: First Report From Somalia. Scientific Reports, 13(1), 12847. https://doi.org/10.1038/s41598-023-39671-9.
Herawati, V. D. (2023). Pengaruh ROM Exercise Aktif pada Pasien Post Operasi Fraktur Ekstremitas Bawah terhadap Lama Hari Rawat. Triage Jurnal Ilmu Keperawatan, 10(1), 15–21.https://ejournal.umkla.ac.id/index.php/triage/article/view/650.
Jamaludin, D. J., Kusumaningsih, D. K., & Prasetyo, H. P. (2022). Efektifitas ROM Pasif terhadap Tonus Otot Pasien Post-Operasi Fraktur Ekstremitas di Kecamatan Bekri Lampung Tengah. Jurnal Kreativitas Pengabdian kepada Masyarakat (Pkm), 5(10), 3627–3639.https://karya.brin.go.id/17734/1/Jurnal_Djunizar%20Jamaludin_Universitas%20Malahayati_2022.pdf.
Karokaro, T. M., Muliani, D., & Kesumawardani, N. U. (2024). Factors Influencing Early Ambulation in Patients Post Operative for Lower Extremity Fractures. Jurnal Kesmas dan Gizi (Jkg), 6(2), 367–374.https://ejournal.medistra.ac.id/index.php/JKG/article/view/2046.
Khasanah, S. U., & Yulistiani, M. (2021). Pemberian Rom Pasif terhadap Hemodinamika Pasien Post Operasi di Ruang Rawat Inap RSUD Banyumas. Adi Husada Nursing Journal, 6(2), 99-105.https://doi.org/10.37036/ahnj.v6i2.171 .
Klimkiewicz, J., Klimkiewicz, A., Gutowski, M., Rustecki, B., Kochanowski, D., Ryczek, R., & Lubas, A. (2022). Femoral and Lateral Femoral Cutaneous Nerve Block as Anesthesia for High-Risk Intertrochanteric Fracture Repair Patients. J Clin Med, 11(13). https://doi.org/10.3390/jcm11133708.
Muller, M., Gutwerk, A., Greve, F., Volker, L., Zyskowski, M., Kirchhoff, C., Biberthaler, P., Pforringer, D., & Braun, K. (2020, Jul 2). The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures. Journal Clin Med, 9(7). https://doi.org/10.3390/jcm9072076.
Munir, S. (2022). Hubungan Hipertensi Dan Diabetes Melitus pada Pasien Fraktur Tulang Panjang Lansia terhadap Lama Rawat Inap Pasca Bedah di RSUD Abdul Wahab Sjahranie Samarinda. Verdure: Health Science Journal, 4(1), 176–182. http://jurnal.stikesmm.ac.id/index.php/verdure/article/view/202.
Muzakky, A. N., Dhedie, A., Kidingallo, Y., Mula, F., & Irsandy, F. (2024). Faktor-faktor yang Mempengaruhi Tingkat Keberhasilan Terapi pada Fraktur Terbuka dan Tertutup. Jurnal Pendidikan Tambusai, 8(1), 11030–11037. https://jptam.org/index.php/jptam/article/view/14037.
Nur, A. A. M., & Hasriani. (2021). Faktor yang Berhubungan dengan Lama Perawatan pada Pasien Post Operasi Fraktur di Ruang Rawat Bedah RSUD Tenriawaru Watampone. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 1(1), 33-38. https://doi.org/10.35892/jimpk.v1i1.491 .
Putri, A. N., Hamarno, R., & Yuswanto, T. J. A. Komorbid, Usia, dan Jenis Fraktur Ekstremitas Bawah Berhubungan dengan Lama Rawat Inap pada Pasien Post Open Reduction Internal Fixation (ORIF). Jurnal Penelitian Kesehatan "SUARA FORIKES", 14(4), 671-674. http://forikes-ejournal.com/index.php/SF/article/view/sf14403.
Ritawati, R., Nurleli, N., Faisal, T. I., Asnita, R., & Khaira, N. (2023). Korelasi Kondisi Kesehatan, Tingkat Nyeri, Gaya Hidup dan Pengetahuan dengan Mobilisasi Dini pada Pasien Post Op Fraktur Ekstremitas Bawah. Journal Keperawatan, 2(1), 62–71. https://jptam.org/index.php/jptam/article/view/14037.
Rozi, I. F., Tekwan, G., & Nugroho, H. (2021). Hubungan Usia Pasien, Jenis Fraktur dan Lokasi Fraktur Tulang Panjang terhadap Lama Rawat Inap Pasca Bedah di RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Jurnal Sains Dan Kesehatan, 3(5), 661666. https://doi.org/10.25026/jsk.v3i5.568.
Samsir, Sulasri, & Arnoli, A. (2023). Correlation between Age, Type of Fracture and Location of Long Bone Fracture on Length of Hospitalization of Post Op Patients. Formosa Journal of Science and Technology, 2(7), 1759–1770. https://doi.org/10.55927/fjst.v2i7.4684.
Slobogean, G. P., Bzovsky, S., O’Hara, N. N., Marchand, L. S., Hannan, Z. D., Demyanovich, H. K., Connelly, D. W., Adachi, J. D., Thabane, L., & Sprague, S. (2023). Effect of Vitamin D3 Supplementation on Acute Fracture Healing: A Phase II Screening Randomized Double-Blind Controlled Trial. JBMR Plus, 7(1). https://doi.org/10.1002/jbm4.10705.
Tangchitphisut, P., Khorana, J., Phinyo, P., Patumanond, J., Rojanasthien, S., & Apivatthakakul, T. (2022). Prognostic Factors of the Inability to Bear Self-Weight at Discharge in Patients with Fragility Femoral Neck Fracture: A 5-Year Retrospective Cohort Study in Thailand. Int J Environ Res Public Health, 19(7). https://doi.org/10.3390/ijerph19073992.
Canbek, U., Akgun, U., Aydogan, N. H., Canbek, T. D., Turgut, A., & Erciyes, O. S. (2020). Factors Associated with Prolonged Wound Drainage After Hemiarthroplasty for Hip Fractures in Elderly. International Orthopaedics, 44(9), 1823-1831. https://doi.org/10.1007/s00264-020-04738-z.
'
Elmhiregh, A., Ahmed, A. F., Dabboussi, A. M., Ahmed, G. O., Abdelrahman, H., & Ibrahim, T. (2022). The Impact of Obesity on Polytraumatized Patients with Operatively Treated Fractures. Injury, 53(7), 2519-2523. https://doi.org/10.1016/j.injury.2022.03.059.
Foudah, M. R., Ahmed, M. E., Hammad, A. A., & Attia, S. M. (2023). Inpatient Length of Stay in Femur Fracture Patients in Emergency Hospital, Mansoura University. The Egyptian Journal of Hospital Medicine, 93, 7240-7247.10.21608/ejhm.2023.322108.
Ibrahim, Y. B., Mohamed, A. Y., Ibrahim, H. S., Mohamed, A. H., Cici, H., Mohamed, Y. G., Yasin, N. A., & May, H. (2023). Risk Factors, Classification, and Operative Choices of Femur Fractures at a Tertiary Hospital: First Report From Somalia. Scientific Reports, 13(1), 12847. https://doi.org/10.1038/s41598-023-39671-9.
Herawati, V. D. (2023). Pengaruh ROM Exercise Aktif pada Pasien Post Operasi Fraktur Ekstremitas Bawah terhadap Lama Hari Rawat. Triage Jurnal Ilmu Keperawatan, 10(1), 15–21.https://ejournal.umkla.ac.id/index.php/triage/article/view/650.
Jamaludin, D. J., Kusumaningsih, D. K., & Prasetyo, H. P. (2022). Efektifitas ROM Pasif terhadap Tonus Otot Pasien Post-Operasi Fraktur Ekstremitas di Kecamatan Bekri Lampung Tengah. Jurnal Kreativitas Pengabdian kepada Masyarakat (Pkm), 5(10), 3627–3639.https://karya.brin.go.id/17734/1/Jurnal_Djunizar%20Jamaludin_Universitas%20Malahayati_2022.pdf.
Karokaro, T. M., Muliani, D., & Kesumawardani, N. U. (2024). Factors Influencing Early Ambulation in Patients Post Operative for Lower Extremity Fractures. Jurnal Kesmas dan Gizi (Jkg), 6(2), 367–374.https://ejournal.medistra.ac.id/index.php/JKG/article/view/2046.
Khasanah, S. U., & Yulistiani, M. (2021). Pemberian Rom Pasif terhadap Hemodinamika Pasien Post Operasi di Ruang Rawat Inap RSUD Banyumas. Adi Husada Nursing Journal, 6(2), 99-105.https://doi.org/10.37036/ahnj.v6i2.171 .
Klimkiewicz, J., Klimkiewicz, A., Gutowski, M., Rustecki, B., Kochanowski, D., Ryczek, R., & Lubas, A. (2022). Femoral and Lateral Femoral Cutaneous Nerve Block as Anesthesia for High-Risk Intertrochanteric Fracture Repair Patients. J Clin Med, 11(13). https://doi.org/10.3390/jcm11133708.
Muller, M., Gutwerk, A., Greve, F., Volker, L., Zyskowski, M., Kirchhoff, C., Biberthaler, P., Pforringer, D., & Braun, K. (2020, Jul 2). The Association between High Body Mass Index and Early Clinical Outcomes in Patients with Proximal Femur Fractures. Journal Clin Med, 9(7). https://doi.org/10.3390/jcm9072076.
Munir, S. (2022). Hubungan Hipertensi Dan Diabetes Melitus pada Pasien Fraktur Tulang Panjang Lansia terhadap Lama Rawat Inap Pasca Bedah di RSUD Abdul Wahab Sjahranie Samarinda. Verdure: Health Science Journal, 4(1), 176–182. http://jurnal.stikesmm.ac.id/index.php/verdure/article/view/202.
Muzakky, A. N., Dhedie, A., Kidingallo, Y., Mula, F., & Irsandy, F. (2024). Faktor-faktor yang Mempengaruhi Tingkat Keberhasilan Terapi pada Fraktur Terbuka dan Tertutup. Jurnal Pendidikan Tambusai, 8(1), 11030–11037. https://jptam.org/index.php/jptam/article/view/14037.
Nur, A. A. M., & Hasriani. (2021). Faktor yang Berhubungan dengan Lama Perawatan pada Pasien Post Operasi Fraktur di Ruang Rawat Bedah RSUD Tenriawaru Watampone. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 1(1), 33-38. https://doi.org/10.35892/jimpk.v1i1.491 .
Putri, A. N., Hamarno, R., & Yuswanto, T. J. A. Komorbid, Usia, dan Jenis Fraktur Ekstremitas Bawah Berhubungan dengan Lama Rawat Inap pada Pasien Post Open Reduction Internal Fixation (ORIF). Jurnal Penelitian Kesehatan "SUARA FORIKES", 14(4), 671-674. http://forikes-ejournal.com/index.php/SF/article/view/sf14403.
Ritawati, R., Nurleli, N., Faisal, T. I., Asnita, R., & Khaira, N. (2023). Korelasi Kondisi Kesehatan, Tingkat Nyeri, Gaya Hidup dan Pengetahuan dengan Mobilisasi Dini pada Pasien Post Op Fraktur Ekstremitas Bawah. Journal Keperawatan, 2(1), 62–71. https://jptam.org/index.php/jptam/article/view/14037.
Rozi, I. F., Tekwan, G., & Nugroho, H. (2021). Hubungan Usia Pasien, Jenis Fraktur dan Lokasi Fraktur Tulang Panjang terhadap Lama Rawat Inap Pasca Bedah di RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Jurnal Sains Dan Kesehatan, 3(5), 661666. https://doi.org/10.25026/jsk.v3i5.568.
Samsir, Sulasri, & Arnoli, A. (2023). Correlation between Age, Type of Fracture and Location of Long Bone Fracture on Length of Hospitalization of Post Op Patients. Formosa Journal of Science and Technology, 2(7), 1759–1770. https://doi.org/10.55927/fjst.v2i7.4684.
Slobogean, G. P., Bzovsky, S., O’Hara, N. N., Marchand, L. S., Hannan, Z. D., Demyanovich, H. K., Connelly, D. W., Adachi, J. D., Thabane, L., & Sprague, S. (2023). Effect of Vitamin D3 Supplementation on Acute Fracture Healing: A Phase II Screening Randomized Double-Blind Controlled Trial. JBMR Plus, 7(1). https://doi.org/10.1002/jbm4.10705.
Tangchitphisut, P., Khorana, J., Phinyo, P., Patumanond, J., Rojanasthien, S., & Apivatthakakul, T. (2022). Prognostic Factors of the Inability to Bear Self-Weight at Discharge in Patients with Fragility Femoral Neck Fracture: A 5-Year Retrospective Cohort Study in Thailand. Int J Environ Res Public Health, 19(7). https://doi.org/10.3390/ijerph19073992.
Published
2024-06-01
Section
Articles
Copyright (c) 2024 Muhammad Fikri Indra, Masfuri Masfuri, Sri Yona
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