AGREEMENT OF SIMPLIFIED FENCL-STEWART WITH FIGGESTEWART METHOD IN DIAGNOSING METABOLIC ACIDOSIS IN CRITICALLY ILL PATIENTS
| Main Authors: | Lenggogeni, Reni, Yaswir, Rismawati, ., Efrida, ., Desywar |
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| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
PERHIMPUNAN DOKTER SPESIALIS PATOLOGI KLINIK INDONESIA
, 2017
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| Subjects: | |
| Online Access: |
http://www.indonesianjournalofclinicalpathology.or.id/index.php/patologi/article/view/798 http://www.indonesianjournalofclinicalpathology.or.id/index.php/patologi/article/view/798/555 |
Daftar Isi:
- Metabolic acidosis is the most often case found in critically ill patients. The Henderson-Hasselbalch method fails to explain thecomplicated metabolic disorder because it is only focused on the correlation of pH with the partial pressure of carbon dioxide andbicarbonate ion. The Stewart method is more accurate and can describe complex metabolic disorder. Modifications of the Stewartmethod are the Figge-Stewart and simplified Fencl-Stewart methods, which can be used in a place with limited resources. The aimof the study was to determine the agreement of simplified Fencl-Stewart with Figge-Stewart method in diagnosing metabolic acidosisin critically ill patients. This was a cross-sectional analytical study on 40 critically ill patients admitted to the ICU, CVCU and HCUof the Dr. M. Djamil Hospital Padang in October-November 2015. Blood gas analysis was measured with potentiometric, electrolyteswith ion selective electrode and albumin with immunoturbidimetry. The results were analyzed with a computer program. Agreementbetween simplified Fencl-Stewart with Figge-Stewart method was analyzed by kappa test, significant if p value was <0.05. Fourtypatients (18 males, 22 females) was participated in this study. The mean age of the patients was 48.35 (18.4) years and the mostdiagnosis was heart failure (30%). Hyponatremia, hypernatremia, hypokalemia, hyperkalemia, hipocloremia and hypoalbuminemiawere found in 37.5%, 12.5%, 52.5%, 12.5%, 17.5%, 20% and 87.5% patients, respectively. There was a good agreement between simplified Fencl-Stewart with Figge-Stewart method with a kappa value=0,529 and statistically significant (p<0.001). Agreementof simplified Fencl-Stewart with Figge-Stewart method in diagnosing metabolic acidosis in critically ill patients was good.