Karakteristik Pasien Pasca-Apendektomi di Rumah Sakit Umum Daerah Tabanan

Authors

  • I Komang Ardhika Gunawan Universitas Warmadewa
  • Ni Putu Diah Witari Universitas Warmadewa
  • Ni Wayan Rusni Universitas Warmadewa
  • Ni Wayan Armerinayanti Universitas Warmadewa
  • Gde Candra Yogiswara Universitas Warmadewa
  • Ade Dwi Mahendra Universitas Warmadewa
  • I Gusti Ngurah Fajar Viwakananda Universitas Warmadewa
  • Made Bramastya Nugraha Teja Kusuma Mulyawan Universitas Warmadewa

DOI:

https://doi.org/10.55606/klinik.v5i2.6473

Keywords:

Appendectomy, Appendicitis, Length Of Stay, Leukocyte Count, Visual Analog Scale (VAS)

Abstract

Acute appendicitis is one of the most common abdominal surgical emergencies, primarily managed through appendectomy. Post-appendectomy patients require further hospitalization, where indicators such as length of stay, leukocyte levels, and pain intensity are essential to evaluate clinical outcomes. This study aims to describe the characteristics of post-appendectomy patients at Tabanan General Hospital (BRSU Tabanan) in 2023–2024. This research used a descriptive observational design with a cross-sectional approach, and data were collected retrospectively from medical records. Samples were selected using consecutive sampling, with a total of 120 patients who met the inclusion and exclusion criteria. Data were analyzed univariately and presented in frequency distributions and mean values.The results showed that the mean age of patients was 34.73 ± 13.62 years, with a higher proportion of females (56.7%) compared to males (43.3%). The mean leukocyte count was 12.65 ± 4.22 ×10³/µL, with most patients (56.7%) categorized as mild leukocytosis. The mean length of stay was 2.83 ± 1.54 days, with 93.3% of patients classified as having a short hospitalization period (≤5 days). Most patients had no comorbidities (85%), while hypertension was the most common comorbid disease (61.1%). The mean Visual Analog Scale (VAS) score before appendectomy was 5.34 ± 0.96 (moderate pain), which decreased to 2.42 ± 0.63 (mild pain) after surgery.

References

Amalina, A., Suchitra, A., & Saputra, D. (2018). Hubungan jumlah leukosit preoperasi dengan kejadian komplikasi pascaoperasi apendektomi pada pasien apendisitis perforasi di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 7(4), 491–497.

Ananda, A. A., Juhamran, R. P., Chalid, M. A., & Asdar, M. (2024). Karakteristik et operasi pada pasien apendisitis di Rumah Sakit Ibnu Sina Makassar tahun 2023. PREPOTIF: Jurnal Kesehatan Masyarakat, 8(1), 1016–1022.

Bilal, M., Yusufzai, A., Asghar, N., Sohail, A., Khan, Z. Z., Zahid, T., Mumtaz, H., & Ahmad, S. (2021). Total leukocyte count depicting the degree of inflammation in acute appendicitis. Cureus, 13(5), e14820. https://doi.org/10.7759/cureus.14820

Craig, S. (2017). Appendicitis: Practice essentials, background, anatomy. Medscape.

Goodman, L. S., & Gilman, A. (2023). The pharmacological basis of therapeutics (14th ed.). McGraw-Hill Education.

Guyton, A. C., & Hall, J. E. (2021). Textbook of medical physiology (15th ed.). Elsevier.

Harrison, T. R., Kasper, D. L., & Hauser, S. L. (2015). Harrison’s principles of internal medicine (19th ed.). McGraw-Hill Education.

Hermawan, H., & Dinar. (2019). Analisis nilai C-reactive protein pada pasien dengan apendisitis di RSUP Dr. Wahidin Sudirohusodo Makassar. Intisari Sains Medis, 10(3), 593–597.

Humes, L. E. (2007). The contributions of audibility and cognitive factors to the benefit provided by amplified speech to older adults. Journal of the American Academy of Audiology, 18(7), 590–603. https://doi.org/10.3766/jaaa.18.7.6

Katzung, B. G., Vanderah, T. W., & Trevor, A. J. (2021). Basic and clinical pharmacology (15th ed.). McGraw-Hill Education.

Kheru, A., Sudiadnyani, N. P., & Lestari, P. (2022). Perbedaan jumlah leukosit pasien apendisitis akut dan perforasi. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 161–167. https://doi.org/10.35816/jiskh.v11i1.729

Kumar, V., Abbas, A. K., & Aster, J. C. (2023). Robbins and Cotran pathologic basis of disease (11th ed.). Elsevier.

Lee, S. L. (2015). Inflammation of vermiform appendix: Background, anatomy, pathophysiology. Medscape.

Sastroasmoro, S., & Ismail, S. (2013). Dasar-dasar metodologi penelitian klinis (5th ed.). Sagung Seto.

Sjamsuhidajat, R., Karnadihardja, W., Prasetyono, T., & Rudiman, R. (2018). Buku ajar ilmu bedah. EGC.

Smeltzer, S. C. (2017). Keperawatan medikal bedah Brunner & Suddarth (Edisi ke-12). EGC.

Smeltzer, S. C., & Bare, B. G. (2022). Textbook of medical-surgical nursing (15th ed.). Lippincott Williams & Wilkins.

Syamsu, R. F., Pramono, S. D., Purnamasari, R., Juliani, S., Nasruddin, H., & Bima, I. J. (2021). Hubungan jenis kelamin dan jumlah leukosit pada pasien apendisitis perforasi dan nonperforasi. Jurnal Kesehatan.

Tortora, G. J., & Derrickson, B. H. (2017). Principles of anatomy and physiology (15th ed.). Wiley.

Tseng, J. H., & Lin, C. Y. (2016). Age-related differences in clinical features of appendicitis. Surgical Endoscopy, 30(11), 4897–4904.

Warsinggih, D. (2010). Bahan ajar apendisitis akut. Nusantara Medical Science. https://med.unhas.ac.id/kedokteran/wp-content/uploads/2016/10/Appendisitis

Wijaya, W., Eranto, M., & Alfarisi, R. (2020). Perbandingan jumlah leukosit darah pada pasien apendisitis akut dengan apendisitis perforasi. Jurnal Ilmiah Kesehatan Sandi Husada, 9(2), 445–450.

Wirda, D. (2020). Evaluasi penggunaan antibiotik pada pasien pascabedah apendisitis akut di RSUD Kabupaten Pasuruan. Pharmaceutical Journal of Indonesia, 6(2), 89–95.

Yulfanita, A. E. (2013). Faktor-faktor yang berhubungan dengan lama hari rawat pasien post appendectomy di Rumah Sakit Umum Daerah H. A. Sulthan Dg. Radja Bulukumba [Undergraduate thesis, Universitas Islam Negeri Alauddin Makassar]. Repositori UIN Alauddin Makassar. https://repositori.uinalauddin.ac.id/3144/

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Published

2026-02-09

How to Cite

I Komang Ardhika Gunawan, Ni Putu Diah Witari, Ni Wayan Rusni, Ni Wayan Armerinayanti, Gde Candra Yogiswara, Ade Dwi Mahendra, … Made Bramastya Nugraha Teja Kusuma Mulyawan. (2026). Karakteristik Pasien Pasca-Apendektomi di Rumah Sakit Umum Daerah Tabanan. Jurnal Ilmiah Kedokteran Dan Kesehatan, 5(2), 274–285. https://doi.org/10.55606/klinik.v5i2.6473