Gambaran Umum Perawatan Ulcus Diabeticum Pada Pasien Rawat Inap Di Rumah Sakit Immanuel Bandung Periode Juli 2007-Agustus 2008

Abstract

The treatment of diabetic ulcer will determine its outcome. The purpose of this study is to describe the general treatment of diabetic ulcer in Immanuel Hospital Bandung, in July 2007--August 2008. The data of this descriptive-retrospective study were collected from the medical records of the hospitalized patients during that period. There were 41 patients: 37% male, 63% female, 46% > 60 years old, 39% 45-60, and 15% 15-45 years old. Conventional dressing was applied to 63% patients, while the 37% were given advanced dressing. Necrotomy-debridement procedure was used to treat 83% patients. Whereas IV nutrition supplementation was given to 7% patients, subcutaneous insulin was given to the patients in 46% cases. The patients hospitalized less than three days were 12% (40% dead case, 40% amputated, 20% discharged without improvement). The patients hospitalized for 3-4 days were 49% (65% with improvement, 10% without improvement, 15% amputated, 10% dead case), The patients hospitalized > 7 days were 39% (52.94% with improvement, 5.88% without improvement, 35.29% amputated, and no dead case). Cases treated with advanced dressing, necrotomy debridement procedure, IV nutrition supplementation and without subcutaneous insulin showed a better outcome; those showing improvement respectively were 86.67%, 55.88%, 54.54%, 63.63%, and those showing shorter hospitalization period respectively  were 80%, 47.05%, 63.63%, 54.54%