Response time and length of stay in obstetric emergency management: A study in public hospital of Central Kalimantan

Bella Rossana Dewi, Ayun Sriatmi, Bagoes Widjanarko — Wed, 30 Apr 2025 00:00:00 +0700

Purpose: This study aims to examine the relationship between response time and the length of stay (LOS) in obstetric emergency management at the public hospital of Central Kalimantan.

Methods: A cross-sectional observational study was conducted using 205 medical records of pregnant women treated for obstetric emergencies between July and September 2024. Data on three types of response time—initial emergency action, obstetrician consultation, and patient disposition—were analyzed using univariate and Pearson correlation tests to assess their association with the LOS in the emergency department.

Results: All patients received an initial emergency response within five minutes, indicating good early management. However, over 60% of patients experienced delays in obstetrician consultation. Most patients received timely disposition decisions, which showed the most decisive influence on patient LOS. Statistical analysis revealed a weak positive correlation between initial response time and LOS (r=0.33), a very weak negative correlation with obstetrician consultation time (r= -0.098), and a perfect positive correlation with disposition time (r=1.000). These results suggest that the speed of disposition decisions plays a critical role in determining how long patients remain in the emergency room.

Conclusion: Disposition efficiency plays the most pivotal role in determining LOS. Improving administrative processes, increasing human resources, and optimizing infrastructure are essential. These findings provide practical insights for strengthening emergency service protocols and can guide health policy interventions to enhance maternal care quality in referral hospitals across Indonesia.

Depression as a predominant factor for activities of daily living among elderly

Audrey Carissa Giovanny, Yvonne Suzy Handajani, Yuda Turana, Kevin Kristian — Wed, 30 Apr 2025 00:00:00 +0700

Purpose: This study aims to provide an overview of the ability to perform activities of daily living (ADL) in the elderly population and to identify associated factors.

Methods: A cross-sectional study was conducted with 100 community-dwelling participants aged 60 and older in West Jakarta. Sociodemographic data, the Barthel Index, the Berg Balance Scale, the Fried Frailty Index, and the Geriatric Depression Scale were collected by interview. Chi-Square and multiple logistic regression analyses were used for the bivariate and multivariate analyses.

Results: The majority of participants were women (71%), aged 60-74 years (75%), with education levels of 12 years or more (90%). Fifteen percent of elderly participants experienced problems with ADL. Chi-square analysis showed significant associations between ADL impairment with age (p=0.006; OR=4.57; 95%CI: 1.454-14.368), balance (p=0.023; OR=10.38; 95%CI: 1.567-68.595), and depression (p=0.006; OR=5.00; 95%CI: 1.468-17.033). Multiple logistic regression analysis identified depression as the most dominant risk factor affecting ADL, increasing the risk by 4.02 times.

Conclusion: This study highlights age, body balance, and depression as potential contributors to ADL impairment, with depression emerging as the predominant risk factor. Both physical and mental health should be considered essential for preserving ADL function in the elderly.

BKM Public Health and Community Medicine

Response time and length of stay in obstetric emergency management: A study in public hospital of Central Kalimantan

Depression as a predominant factor for activities of daily living among elderly