Diagnosis of Congenital Hypothyroidism by Analysis of Medical Records
DOI:
10.29303/jppipa.v9i6.3490Published:
2023-06-25Issue:
Vol. 9 No. 6 (2023): JuneKeywords:
Diagnosis, Congenital Hypothyroidism, Medical RecordsResearch Articles
Downloads
How to Cite
Downloads
Metrics
Abstract
Congenital hypothyroidism is one of the causes of mental retardation in children that can be prevented if recognized and treated early. Thyroid hormones play a role in the development of the central nervous system. It is known that 95% of CH do not show typical clinical signs and symptoms at birth and the duration of early intervention to prevent mental retardation is short. Therefore, most developed countries have conducted neonatal screening programs for early detection of CH. The purpose of this study was to determine the diagnosis and management of congenital hypoteroid based on medical record analysis. This research method is a cross-sectional descriptive study with a quantitative approach to patient medical records. Data were analyzed in accordance with the standard diagnosis and management of congenital hypoteroid issued by the Pediatric Association in 2017. The clinical practice guidelines explain that congenital hypothyroidism can be transient or permanent and is classified according to the location of the disorder: primary (in the thyroid gland) or secondary (in the pituitary and/or hypothalamus); severity of hypothyroidism: (serum TSH levels > 100 mIU/L are considered severe; and age of onset of hypothyroidism. The most common form is permanent primary CH (high serum TSH levels) due to thyroid dysgenesis. Permanent CH requires lifelong treatment while transient CH does not. The results of the study have met clinical guidelines, namely CH screening in newborns is positive if the TSH level is ≥ 20 mU/L. Infants with positive screening results must be confirmed by re-checking serum TSH and FT4. The diagnosis of CH is made when TSH levels are high and FT4 is low. In non-screened infants, the diagnosis is made through clinical symptoms and serum TSH and FT4 examination.
References
Ahmed, Mohammedjud Hassen et al. (2020). Intention to use electronic medical record and its predictors among health care providers at referral hospitals, north-West Ethiopia, 2019: using unified theory of acceptance and use technology 2 (UTAUT2) model. BMC Medical Informatics and Decision Making, 20(1), 1–11. https://doi.org/10.1186/s12911-020-01222-x
Amroze, Azraa et al. (2019). Use of electronic health record access and audit logs to identify physician actions following noninterruptive alert opening: descriptive study. JMIR Medical Informatics, 7(1), e12650. https://doi.org/10.2196/12650
Arikunto, S. (2006). Metode Penelitian Kualitatif. Jakarta: Bumi Aksara.
Bin, Sakviseth et al. (2023). Primary congenital hypothyroidism: challenges in a low-income country without paediatric endocrinologist and universal newborn screening. BMJ Case Reports CP, 16(5), e249997. https://doi.org/10.1136/bcr-2022-249997
Budi, S. (2011). Manajemen Unit Kerja Rekam Medis. Yogyakarta: Quantum Sinergis Media.
Donaldson, Malcolm, & Jones, Jeremy. (2013). Optimising outcome in congenital hypothyroidism; current opinions on best practice in initial assessment and subsequent management. Journal of Clinical Research in Pediatric Endocrinology, 5, 13. https://doi.org/10.4274/Jcrpe.849
Dzulhanto, Bima Yunus. (2018). Kelengkapan Pengisian Dokumen Rekam Medis Penyakit Hernia Dengan Metode Analisis Kuantitatif. Jurnal Manajemen Informasi Dan Administrasi Kesehatan, 1(1). https://doi.org/10.32585/jmiak.v1i1.121
Edi, S., & Sugiarto. (2017). Manajemen Informasi Kesehatan IV Etika Profesi dan Hukum Kesehatan. Jakarta: Kemenkes RI.
Engelhardt, K. A., Liebow, J., Fofah, O., Khokhar, A., & Velazquez, D. M. (2023). Delayed Presentation of Neonatal Drug Withdrawal in Neonate With Congenital Hypothyroidism. Clinical Pediatrics, 62(3), 184–187. https://doi.org/10.1177/00099228221119663?journalCode=cpja
Eriko, S., & Widjaja, L. (2017). Tinjauan Kelengkapan Rekam Medis Secara Kuantitatif di Unit Rawat Inap Rumah Sakit Muhammadiyah Taman Puring. Jurnal Online Universitas Esa Unggul. Retrieved from https://digilib.esaunggul.ac.id/public/UEU-Undergraduate-11677-COVER.Image.Marked.pdf
Fox, D. A., Ronsley, R., Khowaja, A. R., Haim, A., Vallance, H., Sinclair, G., & Amed, S. (2020). Clinical impact and cost efficacy of newborn screening for congenital adrenal hyperplasia. The Journal of Pediatrics, 220, 101–108. https://doi.org/10.1016/j.jpeds.2019.12.057
Giyatno, & Rizkika, Maysyarah Yolla. (2020). Analisis Kuantitatif Kelengkapan Dokumen Rekam Medis Pasien Rawat Inap Dengan Diagnosa Fracture Femur Di RSUD Dr. RM Djoelham Binjai. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda, 5(1), 62–71. https://doi.org/10.52943/jipiki.v5i1.349
Hatta, G. R. (2013). Pedoman Manajemen Informasi Kesehatan Di Sarana Pelayanan Kesehatan. Jakarta: UI Press.
Hidayat, A. A. (2011). Metode Penelitian Kebidanan dan Teknik Analisis Data. Jakarta: Salemba Medika.
Hsieh, P. J., Lai, H. M., & Kuo, P. Y. (2013). Physician acceptance behavior of the electronic medical records exchange: An extended decomposed theory of planned behavior. PACIS 2013 Proceedings.
Long, W., Zhou, L., Wang, Y., Liu, J., Wang, H., & Yu, B. (2020). Complicated relationship between genetic mutations and phenotypic characteristics in transient and permanent congenital hypothyroidism: analysis of pooled literature data. International Journal of Endocrinology, 2020. https://doi.org/10.1155/2020/6808517
Nisa, S. R. K. (2021). Analisis Kuantitatif Dokumen Rekam Medis Pasien Rawat Jalan di Puskesmas Gondanglegi. Health Care Media, 5(2), 88–95. Retrieved from https://stikeswch-malang.e-journal.id/Health/article/view/178
Pediatrics, American Academy, Rose, S. R., Section on Endocrinology and Committee on Genetics, American Thyroid Association, Brown, R. S., Public Health Committee, & Lawson Wilkins Pediatric Endocrine Society (2006). Update of newborn screening and therapy for congenital hypothyroidism. Pediatrics, 117(6), 2290–2303. https://doi.org/10.1542/peds.2006-0915
Pribadi, Y., Dewi, S., & Kusumanto, H. (2018). Analisis Kesiapan Penerapan Rekam Medis Elektronik di Kartini Hospital Jakarta. Jurnal Bidang Ilmu Kesehatan, 8(2), 19. https://doi.org/10.52643/jbik.v8i2.293
Rastogi, Maynika V, & LaFranchi, Stephen H. (2010). Congenital hypothyroidism. Orphanet Journal of Rare Diseases, 5(1), 1–22. https://doi.org/10.1186/1750-1172-5-17
Rudi, A. (2020). Pengaruh Pengetahuan, Sikap Dan Ketrampilan Pengisi Dokumen Rekam Medis Terhadap Kualitas Rekam Medis Rawat Jalan Di Puskesmas. Jurnal Perekam Medis Dan Informasi Kesehatan, 3(2), 96–103. Retrieved from http://ojs.stikara.ac.id/index.php/JPIK/article/view/22
Shield, R. R., Goldman, R. E., Anthony, D. A., Wang, N., Doyle, R. J., & Borkan, J. (2010). Gradual electronic health record implementation: new insights on physician and patient adaptation. The Annals of Family Medicine, 8(4), 316–326. https://doi.org/10.1370/afm.1136
Sugiyono. (2017). Metode Penelitian Kuantitatif Kualitatif dan R&B. Bandung: Alfabeta.
Tang, H., Feuchtbaum, L., Neogi, P., Ho, T., Gaffney, L., & Currier, R. J. (2016). Damaged goods?: an empirical cohort study of blood specimens collected 12 to 23 hours after birth in newborn screening in California. Genetics in Medicine, 18(3), 259–264. https://doi.org/10.1038/gim.2015.154
Tangeraas, T., Constante, J. R., Backe, P. H., Oyarzábal, A., Neugebauer, J., Weinhold, N., ... & GarcÃa-Cazorla, A. (2023). BCKDK deficiency: a treatable neurodevelopmental disease amenable to newborn screening. Brain, awad010. https://doi.org/10.1093/brain/awad010
Widjaya, Lily, & Siswati, Siswati. (2019). Model Kuantitatif Audit Pendokumentasian terhadap Kelengkapan Rekam Medis. Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI), 7(1), 51. https://doi.org/10.33560/jmiki.v7i1.220
Yunita, L. P. (2014). Analisa Kuantitatif dan Kualitatif Berkas Rekam Medis Rawat Inap Kasus Diabetes Melitus Triwulan I Tahun 2014 di Rumah Sakit Panti Rahayu Yakkum Purwodadi. Skripsi, Fakultas Kesehatan. Retrieved from http://eprints.dinus.ac.id/6685/
Author Biographies
Linda Handayuni, STIKES Dharma Landbouw, Padang, Indonesia
Ririn Afrima Yenni, STIKES Dharma Landbouw, Padang, Indonesia
License
Copyright (c) 2023 Linda Handayuni, Dewi Mardiawati, Ririn Afrima Yenni, Rozi Rahmadian
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
