Journal of Medical and Health Research

Characteristics of Leukocyte Count, Platelet Count, and Hematocrit Levels in Hospitalized Patients with Dengue Hemorrhagic Fever at Anutapura Regional General Hospital, Palu, 2024

Suriyanti — 2026-08-24

ABSTRACT

Background: Dengue Hemorrhagic Fever (DHF) is an endemic disease in Indonesia with a high incidence rate globally and nationally, including in Palu City and RSUD Anutapura Palu in 2024. Complete blood tests in dengue patients showed the main characteristics in the form of leukopenia, thrombocytopenia, and increased hematocrit as a plasma reveal and the severity of the disease. Therefore, this study aims to analyze the characteristics of leukocytes, platelets, and hematocrit in dengue patients at RSUD Anutapura Palu in 2024.

Objective: To determine the characteristics of the number of leukocytes, platelets, and hematocrit in dengue hemorrhagic fever patients treated at RSUD Anutapura Palu in 2024.

Methods: This type of research is quantitative research with a cross-sectional approach using secondary data as a reference. The sampling technique was carried out using the Non-Probability Sampling method with a total sampling technique. Data analysis was conducted using univariate analysis using the SPSS 30 program.

Results: The demographic characteristics of dengue patients are mostly female, namely 55 people (52.4%) and the most age is found in the Late Adolescents: 17 - 25 years old, namely 51 sufferers (48.6%). The highest number of leukocytes was low leukocytes of 53 people (50.5%). Meanwhile, the highest number of platelets was low platelets of 70 people (66.7%). And most dengue patients had a low hematocrit value of 60 people (57.1%).

Conclusion: This study shows that the demographic distribution of dengue patients at RSUD Anutapura Palu in 2024 is most common among women (52.4%) and late adolescents (48.6%). Based on laboratory examinations, most patients had low leukocyte counts (50.5%), low platelet counts (66.7%), and low hematocrit values (57.1%).

Risk Factor Analysis of Mortality Among Patients with Sepsis Admitted to the Intensive Care Unit at Anutapura Regional General Hospital, Palu, 2023-2025

Andi Meutiah Ilhamjaya — 2026-08-24

ABSTRACT

Sepsis is a condition of organ failure that can be life-threatening due to the host's improper response to infection. Sepsis is often the leading cause of morbidity and mortality in the world. This study to analyze risk factors related to mortality in sepsis patients hospitalized in the ICU of RSUD Anutapura Palu in 2023-2025. This study is an analytical study with a case-control study design, using secondary data and total sampling. Each data obtained was analyzed univariate, bivariate and multivariate using SPSS 30.0. The results showed that the distribution of mortality frequency in sepsis patients was recorded as many as 24 patients who died from 47 patients hospitalized in the ICU of RSUD Anutapura Palu in 2023-2025. Based on demographic characteristics, age and sex were not associated with mortality (p=0.618; p=0.181). In terms of clinical characteristics, GCS, heart rate, and respiratory rate were associated with mortality (p<0.001), while MAP, comorbid diseases, and body temperature were not associated with mortality (p=1.000; p=0.137; p=1.000; p=0.471; p=0.260; p=0.474; p=1.000; p=0.266). Based on the characteristics of the action, the amount of antibiotic administration was not associated with mortality (p=0.434), but the amount of invasive device use was associated with mortality (p=0.002). In terms of treatment characteristics, length of treatment and duration of infusion were not associated with mortality (p=0.181; p=0.423), while catheter urine duration and duration of NGT were associated with mortality (p=0.021; p<0.001). Multivariate analysis showed that increased respiratory rate (OR=1,335; p=0.003) and duration of NGT (OR=9,849; p=0.003) were independent risk factors for mortality in people with sepsis

Analysis of Risk Factor of Pulmonary Tuberculosis Among Patients Receiving Treatment at the Pulmonary Clinic of Anutapura Regional General Hospital, Palu, In 2024

Salmah Suciaty — 2026-08-24

ABSTRACT

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis andi s still one of the major health problems in the world. Transmission occurs through nuclear droplets that are inhaled until they reach the pulmonary alveoli. Globally, in 2024, there will bea n estimated 10.6 million cases of TB with 1.2 million deaths. Indonesia ranks second with the highest number of cases after India, and in Central Sulawesi, there are 44.555 cases, including 294 cases found at RSUD Anutapura Palu. The high incidence rate shows the need to identify risk factors related to pulmonary TB as a basis for disease prevention and control planning.

Objective: This study aims to find out and analyze factors related to the incidence of pulmonary TB in patients undergoing treatment at the Pulmonary Polyclinic of RSUD Anutapura Palu in 2024.

Methods: This study used an analytical observasional design with a case-control approach. The sample consisted of patients diagnosed and undiagnosed with pulmonary TB and undergoing outpatient treatment at the Pulmonary Polyclinic of RSUD Anutapura Palu in 2024, who met the research inclusion criteria, namely 122 patiens. Data analysis was carried out univariate and bivariate using the chi-sqaure test.

Results: Based on the results of the univariate analysis, it was shown that the majority of respondents were male in the age group of late adulthood to eldery, with normal nutritional status and no history of comorbid disease. Bivariate analysis showed that sex had a meaningfull relationship with the incidance of pulmonary TB (p=0.039), where males had a higher risk than females. Meanwhile, age (p=0.494), nutritional status (p=0.209), and history of comorbidities (p=0.088) did not show a statistically significant relationship.

Conclusion: This study concludes that the risk factor related to the incidance of pulmonary TB in patients treated at RSUD Anutapura Palu in 2024 is gender. Meanwhile, age, nutritional status and history of comorbidities did not show a meaningful relationship.03) were independent risk factors for mortality in people with sepsis

Association Between Antenatal Care and the Incidence of Low Birth Weight (LBW) in Palu City

Mohamad Zulfikar — 2026-08-24

ABSTRACT

Low Birth Weight (LBW) remains one of the major perinatal health problems, particularly in developing countries. LBW is defined as infants born with a birth weight of less than 2500 grams regardless of gestational age. One of the important efforts in preventing LBW is through antenatal care (ANC) services. Antenatal care is a health service provided regularly to pregnant women to monitor pregnancy conditions, enable early detection of risk factors, and prevent complications during pregnancy and childbirth. This study aimed to determine the relationship between antenatal care and the incidence of Low Birth Weight (LBW) in Palu City. The research employed an analytical method with a case–control approach. The case group consisted of mothers who delivered LBW infants, while the control group consisted of mothers who delivered infants with normal birth weight. Risk factor assessment was conducted retrospectively. The results showed that there was a statistically significant relationship between antenatal care and the incidence of LBW in Palu City. Mothers who did not receive adequate ANC had a higher risk of delivering LBW infants compared to those who received adequate ANC.

Analysis of Factor Associated with the Incidence of Chronic Kidney Disease Among Internal Medicine Inpatients at Anutapura Regional General Hospital, Palu, in 2024

Muh. Idham Rahman — 2026-08-24

ABSTRACT

Background: Chronic Kidney Disease (CKD) continues to increase and is the cause of global death with various risk factors. Data from RSUD Anutapura Palu shows an increase in cases every year, but there is no comprehensive analysis that evaluates the influence of risk factors on the incidence and changes in kidney function.

Objective: This study aims to determine the factors that affect the incidence of CKD in inpatients with internal diseases at RSUD Anutapura Palu Hospital in 2024.

Methods: This study used an analytical observational design with a case-control approach. Data was obtained from the medical records of inpatients in 2024. The analysis used the Chi-Square test and the calculation of the Odds Ratio (OR) to assess the relationship between risk factors and the incidence of CKD.

Result: Adult-elderly age (OR=0.421; p<0.001), domicile (OR=1.640; p=0.034), hypertension (OR=5.821; p<0.001) and diabetes mellitus (OR=3.320; p<0.001) were significantly associated with the incidence of CKD. Meanwhile, gender, education, occupation and heart failure did not show a meaningful relationship. The majority of CKD patients were >45 years old, male, highly educated, working and domiciled in Palu City.

Conclusion: Age, domicile, hypertension and diabetes mellitus are significantly related to the incidence of CKD in inpatients with diseases in RSUD Anutapura Palu in 2024. Hypertension and diabetes mellitus are the clinical risk factors that play the most role in the incidence of CKD.