Effective patient management strategies

Oct 13, 2025 by wbrum.org 83 views

Profile of Child Patient Visits at the H. Adam Malik Hospital and North Sumatra Hospital in 2020

In the context of health services in Indonesia, especially in the pandemic era, information about the visit of child patients at the Emergency Room (IGD) is still limited. This study focuses on the analysis of the profile of pediatric patients treated at the Adam Malik Hajj Hospital (HAM) and the University of North Sumatra (USU) Medan in 2020. By utilizing medical record data from the hospital information system, this study is expected to provide a clearer picture of the characteristics and condition of pediatric patients visiting the emergency room of the two hospitals.

Research Background

In 2020, the COVID-19 pandemic has changed many aspects of health services, including patient management in hospitals. Limited data about pediatric patients in the emergency room makes this research more relevant. The purpose of this study was to analyze and understand the profile of pediatric patients treated at the Adam Malik Haji Hospital IGD and North Sumatra University Hospital.

The COVID-19 pandemic has put a significant strain on the healthcare system, leading to a shortage of medical resources and a surge in patient admissions. In Indonesia, the pandemic has also highlighted the need for more effective patient management strategies, particularly in pediatric care. The emergency room is a critical area of the hospital where patients with urgent medical needs are treated. However, limited data on pediatric patients in the emergency room makes it challenging to develop effective patient management strategies.

Methodology

This study uses a retrospective descriptive method that collects data from the medical record of patients visiting the emergency room from January to December 2020. Adam Malik Haji Hospital is a type A hospital that functions as a reference, while the University of North Sumatra Hospital is a type C hospital.

The study used a retrospective descriptive method to collect data from the medical records of patients visiting the emergency room. The data was collected from January to December 2020, and it included information on patient demographics, diagnosis, treatment, and comorbidity. The study also used data from the hospital information system to gather additional information on patient visits.

Research Result

During this period, there were 3,462 patients visiting the emergency room, with the majority of the age of patients in the range of 11-18 years. Data shows that USU Hospital has 267 patients and HAM hospitals have 971 patients in the age group. Of the total patients, there are 428 (56%) male and 336 (44%) of women from USU Hospital, and 1,574 (58%) male and 1,124 (42%) of women from HAM Hospital.

The study found that the majority of patients visiting the emergency room were adolescents, with more male proportions than women. The data also showed that the majority of patients were from HAM Hospital, with 971 patients in the age group of 11-18 years. In contrast, USU Hospital had 267 patients in the same age group.

Diagnosis and Comorbidity

In terms of diagnosis, HAM Hospital recorded the highest number of trauma cases of 325 (12%), while USU Hospital reported that the fever was not specified with a total of 107 (14%). There are also 205 (7.6%) patients suspected of being exposed to Covid-19 at HAM Hospital and 57 (7.7%) at USU Hospital. In terms of treatment, 942 (34.5%) patients were treated and 1,684 (62.4%) patients were treated at HAM Hospital, while in USU Hospital, 435 (56.9%) Patients were treated and 321 (42%) inpatient.

The study found that the most common diagnosis was trauma and COVID-19 in HAM Hospital, while fever was not specified as the most common diagnosis in USU Hospital. The data also showed that a significant number of patients were suspected of being exposed to COVID-19, with 205 patients at HAM Hospital and 57 patients at USU Hospital.

Of the total visits, 2,539 (94.1%) patients in HAM Hospital and 666 (87.2%) in USU Hospital do not have a comorbid. Meanwhile, 159 (5.9%) patients in HAM Hospital and 98 (12.8%) patients in USU Hospital have a comorbidity.

The study found that the majority of patients did not have a comorbidity, with 94.1% of patients in HAM Hospital and 87.2% of patients in USU Hospital not having a comorbidity. However, a significant number of patients had a comorbidity, with 5.9% of patients in HAM Hospital and 12.8% of patients in USU Hospital having a comorbidity.

Conclusion

This study shows that the majority of patients visiting the emergency room are adolescents, with more male proportions than women. The most common diagnosis is trauma and covid-19 in HAM Hospital, while fever is not specified into the most diagnosis in USU Hospital. This data provides an important picture for the management of child patients in the emergency room, as well as being the basis for improvement of future health services. In the future, more comprehensive data collection is needed to support decision making in health policies.

The study highlights the need for more effective patient management strategies in pediatric care, particularly in the emergency room. The data provides valuable insights into the characteristics and condition of pediatric patients visiting the emergency room, and it can be used to inform policy decisions and improve health services. However, the study also highlights the need for more comprehensive data collection to support decision making in health policies.

Recommendations

Based on the findings of this study, the following recommendations are made:

Improved data collection: More comprehensive data collection is needed to support decision making in health policies.
Effective patient management strategies: More effective patient management strategies are needed in pediatric care, particularly in the emergency room.
Increased awareness: Increased awareness is needed among healthcare providers and the general public about the importance of pediatric care in the emergency room.
Improved health services: Improved health services are needed to support the management of child patients in the emergency room.

By implementing these recommendations, healthcare providers and policymakers can work together to improve the management of child patients in the emergency room and provide better health services to the community.
Frequently Asked Questions (FAQs) about the Profile of Child Patient Visits at the H. Adam Malik Hospital and North Sumatra Hospital in 2020

In our previous article, we discussed the profile of child patient visits at the H. Adam Malik Hospital and North Sumatra Hospital in 2020. In this article, we will answer some frequently asked questions (FAQs) about the study.

Q: What was the purpose of the study?

A: The purpose of the study was to analyze and understand the profile of pediatric patients treated at the Adam Malik Haji Hospital IGD and North Sumatra University Hospital.

Q: What was the methodology used in the study?

A: The study used a retrospective descriptive method that collects data from the medical record of patients visiting the emergency room from January to December 2020.

Q: What were the findings of the study?

A: The study found that the majority of patients visiting the emergency room were adolescents, with more male proportions than women. The most common diagnosis was trauma and COVID-19 in HAM Hospital, while fever was not specified as the most common diagnosis in USU Hospital.

Q: What were the implications of the study?

A: The study highlights the need for more effective patient management strategies in pediatric care, particularly in the emergency room. The data provides valuable insights into the characteristics and condition of pediatric patients visiting the emergency room, and it can be used to inform policy decisions and improve health services.

Q: What are the recommendations of the study?

A: The study recommends improved data collection, effective patient management strategies, increased awareness, and improved health services to support the management of child patients in the emergency room.

Q: What are the limitations of the study?

A: The study has several limitations, including the use of retrospective data, which may not be representative of the current situation. Additionally, the study only included data from two hospitals, which may not be generalizable to other hospitals.

Q: What are the future directions of the study?

A: The study suggests that more comprehensive data collection is needed to support decision making in health policies. Additionally, the study recommends further research on effective patient management strategies in pediatric care, particularly in the emergency room.

Q: How can the findings of the study be applied in practice?

A: The findings of the study can be applied in practice by healthcare providers and policymakers to improve the management of child patients in the emergency room. This can be done by implementing effective patient management strategies, increasing awareness among healthcare providers and the general public, and improving health services.

Q: What are the implications of the study for healthcare policy?

A: The study has implications for healthcare policy, particularly in the area of pediatric care. The study highlights the need for more effective patient management strategies and improved health services to support the management of child patients in the emergency room.

Q: What are the implications of the study for healthcare providers?

A: The study has implications for healthcare providers, particularly in the area of pediatric care. The study highlights the need for more effective patient management strategies and improved health services to support the management of child patients in the emergency room.

Q: What are the implications of the study for the general public?

A: The study has implications for the general public, particularly in the area of pediatric care. The study highlights the need for increased awareness among the general public about the importance of pediatric care in the emergency room.

By answering these FAQs, we hope to provide more clarity and understanding about the profile of child patient visits at the H. Adam Malik Hospital and North Sumatra Hospital in 2020.