Coagulation Parameters as a Prognostic Factor for Mortality in a Neonate with Duodenal Obstruction

Authors

  • Dito Desdwianto Pediatric Surgery Division, Departement of Surgery, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Ariandi Setiawan Pediatric Surgery Division, Departement of Surgery, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, Indonesia
  • IGB Adria Hariastawa Pediatric Surgery Division, Departement of Surgery, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, Indonesia https://orcid.org/0000-0001-5274-1079
  • Sarwendah Pratiwi Budiman Pediatric Surgery Division, Departement of Surgery, Faculty of Medicine Universitas Airlangga – Dr. Soetomo General Hospital, Surabaya, Indonesia

DOI:

https://doi.org/10.58427/apghn.3.2.2024.1-7

Keywords:

duodenal obstruction, neonates, prognostic factor

Abstract

Background: Although the mortality cases of duodenal obstruction are only about 5%, this abnormality remains a burden in pediatric surgery. Several conditions can worsen a patient’s outcome and a proper understanding of the coagulation parameters is vital for a good outcome.

Methods: This study was a descriptive-analytic study. Data of duodenal obstruction in neonate patients were taken from medical records from 2016 to 2020 .  The data were then processed using SPSS 26.0

Results: From 59 samples of neonates with duodenal obstruction, most of them were born aterm pregnancy 38 (64%) patients, with male 32 patients and female 27 patients. There were  neonates died based on complete obstruction 12 (20.3%), there was no significantly different neonates died between low birth weight and normal birth weight 9 (15.3%). The most commonly performed surgical procedure was kimura procedure 43 patients, with 14% patients was died. Coagulation parameters platelets, Protrombine time (PT), and Activated Partial Thromboplastin Time (APTT), only APTT there was significance correlation with P- value (0.016) , OR 3.98

Conclusion: There was a significant correlation between Activated Partial Thromboplastin Time (APTT) and mortality, with abnormal APTT had 3.98 times higher risk of dying than normal.  

 

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Published

2024-05-31

How to Cite

1.
Coagulation Parameters as a Prognostic Factor for Mortality in a Neonate with Duodenal Obstruction. Arch Pediatr Gastr Hepatol Nutr [Internet]. 2024 May 31 [cited 2024 Jun. 23];3(2):1-7. Available from: https://apghn.com/index.php/journal/article/view/58