ABSTRACT
Background:The ongoing mutation of the COVID-19 virus causes an increase in transmission and a decrease in vaccine effectiveness. COVID-19 cases since the end of 2021 have continued to increase, and data on the characteristics of patients with confirmed COVID-19 at Sanglah hospital for this period is not yet available. Therefore, this study aims to determine the characteristics of confirmed COVID-19 patients who received treatment at Sanglah hospital from January to February 2022.Methods:This study is a descriptivestudy using a cross-sectional approach taken from medical record data.Results:There were 276 COVID-19 patient subjects with an average age of 53 years, consisting of 51.1% male and 48.9% female. Most occupations are private employees, 29.0%. The 39.5% of patients had mild symptoms, and 5.8% had critical symptoms. Cough (51.8%) and fever (40.6%) were the main clinical symptoms, and chronic kidney disease was the most common comorbidity at 16.7%. As many as 46.0% of COVID-19 patients have received vaccines at least 2x, and 2.9% of patients are previous COVID-19 survivors.Conclusions:The characteristics of confirmed COVID-19 patients who received treatment at Sanglah hospital in January and February 2022 were more male than female, with the most jobs as private employees. Most patients have mild to moderate symptoms with a chief complaint of cough. Almost half of the patients have been vaccinated at least 2x. Most of them are not COVID-19 survivors.
ABSTRACT
Trimalleolar fractures are one of the most complex fracture around ankle. This study aims to assess the functional outcome and result of the surgical treatment for trimalleolar fracture. Case 1: A 49-years-old male experience closed fracture left ankle Lauge-Hansen PER type IV caused by traffic accident. Patient present with swollen and painful around ankle with an inability to bear weight on the affected extremity. Case 2: A 36-years-old female sustained closed fracture at right trimalleolar ankle, closed fracture at right talus nondisplace Hawkins I, and closed fracture at second, third, and fourth metatarsal. Case 3: A 57-years-old female came with history the left ankle twisted after got slipped and fell down at the yard. Patient was diagnosed by closed fracture left ankle Lauge Hansen SER type IV. Ankle fracture mostly happen in young men and older women during sporting activities or even bicycle or car accidents. The Lauge-Hansen system classify the fracture based on the postion and the direction of the ankle when trauma happen. The AOFAS was use for evaluation patient-relevant outcomes in patients operated on with anatomical ankle injury. In or present study of 3 patients with ankle fractures that were unstable, displaced or both treated surgically by open reduction with internal fixation in accordance with Lauge-Hansen classification. The result in our series confirm that all of 3 patients have a good result based on AOFAS scoring for evaluation the treatment and it means the management approve the good functional outcomes for the patients with ankle fractures.