?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=HUBUNGAN+ANTARA+UKURAN+DAN+JUMLAH+BATU%0D%0AKOLELITIASIS+DENGAN+TINGKAT+KEPARAHAN%0D%0AGAMBARAN+KLINIS+PADA+PASIEN+LANSIA+%0D%0A+DI+RSUD+DR.+H.+ABDUL+MOELOEK+%0D%0APROVINSI+LAMPUNG+%0D%0A&rft.creator=Dea+Debora%2C++Romauli+Gultom&rft.subject=610+Ilmu+kedokteran%2C+ilmu+pengobatan+dan+ilmu+kesehatan&rft.description=Background%3A+Cholelithiasis+is+common+in+the+elderly+and+causes+clinical%0D%0Apresentations+ranging+from+mild+to+severe.+This+study+analyzes+the+relationship%0D%0Abetween+gallstone+size%2C+number%2C+and+clinical+severity+in+elderly+patients+at+RSUD%0D%0ADr.+H.+Abdul+Moeloek%2C+Lampung+Province.%0D%0AMethods%3A+This+quantitative%2C+cross-sectional+study+included+92+elderly+patients+(%3E60%0D%0Ayears)+diagnosed+with+cholelithiasis+from+Juny+30%2C+2019%2C+to+Juny+30%2C+2024.+Data%0D%0Afrom+medical+records+included+ultrasound+(USG)+results+for+gallstone+size+and%0D%0Anumber%2C+along+with+anamnesis%2C+physical+examinations%2C+and+supporting+tests+to%0D%0Aasssess+the+severity+of+clinical+presentations.+Statistical+analysis+was+perforned%0D%0Ausing+univariate+and+bivariate+tests+with+Chi+Square+and+Kolmogorov-Smirnov+Z%0D%0Atest+as+alternatives%0D%0AResults%3A+There+was+a+relationship+between+stone+size+and+clinical+severity+(p+%3D%0D%0A0.001)%2C+while+the+number+of+stones+showed+no+relationship+(p+%3D+0.892).+Small+stones%0D%0Awere+more+often+associated+with+mild+symptoms%2C+while+larger+or+multiple+stones%0D%0Awere+more+likely+to+cause+severe+conditions+like+biliary+obstruction.%0D%0AConclusion%3A+Gallstone+size+plays+an+important++role+in+determining+clinical+severity%2C%0D%0Aand+should+therefore+be+considered+in+the+management+of+elderly+patients+with%0D%0Acholelithiasis.%0D%0A%0D%0A%0D%0AKeywords%3A+cholelithiasis%2C+stone+size%2C+stone+number%2C+clinical+presentation%2C+elderly.%0D%0ALatar+Belakang%3A+Kolelitiasis+merupakan+kondisi+yang+umum+terjadi+pada+lansia%0D%0Adan+dapat+menyebabkan+berbagai+gambaran+klinis%2C+mulai+dari+gambaran+klinis%0D%0Aringan+hingga+berat.+Penelitian+ini+menganalisis+hubungan+antara+ukuran+dan+jumlah%0D%0Abatu+kolelitiasis+dengan+tingkat+keparahan+gambaran+klinis+pada+pasien+lansia+di%0D%0ARSUD+Dr.+H.+Abdul+Moeloek%2C+Provinsi+Lampung.+%0D%0AMetode%3A+Penelitian+ini+menggunakan+metode+kuantitatif+desain+cross-sectional%2C%0D%0Amelibatkan+92+pasien+lansia+(usia+%3E+60+tahun)+yang+didiagnosis+kolelitiasis+selama%0D%0Aperiode+30+Juni+2019+hingga+30+Juni+2024.+Data+diperoleh+dari+rekam+medis%2C%0D%0Atermasuk+hasil+ultrasonografi+(USG)+untuk+ukuran+dan+jumlah+batu%2C+serta+hasil%0D%0Aanamnesis%2C+pemeriksaan+fisik%2C+dan+pemeriksaan+penunjang+untuk+menilai+tingkat%0D%0Akeparahan+gambaran+klinis.+Analisis+statistik+dilakukan+dengan++uji+univariat+dan%0D%0Auji+bivariat+dengan+Chi+Square+dan+alternatif+Kolmogorov-Smirnov+Z.%0D%0AHasil%3A+terdapat+hubungan+ukuran+batu+dengan+tingkat+keparahan+klinis+(p+%3D+0%2C001)%2C%0D%0Asebaliknya+jumlah+batu+tidak+memiliki+hubungan+(p+%3D+0%2C892).+Batu+kecil+lebih%0D%0Asering+terkait+dengan+gejala+ringan%2C+sementara+batu+besar+atau+multipel+lebih+sering%0D%0Amenyebabkan+kondisi+berat+seperti+obstruksi+bilier.%0D%0ASimpulan%3A+Ukuran+batu+empedu+berperan+penting+dalam+menentukan+keparahan%0D%0Aklinis%2C+sehingga+perlu+diperhatikan+dalam+manajemen+pasien+lansia+dengan%0D%0Akolelitiasis.%0D%0A%0D%0AKata+kunci%3A+kolelitiasis%2C+ukuran+batu%2C+jumlah+batu%2C+gambaran+klinis%2C+lansia.%0D%0A&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2025-01-16&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F82907%2F1%2FABSTRAK.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F82907%2F2%2FSKRIPSI%2520FULL%2520TANPA%2520LAMPIRAN.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F82907%2F3%2FSKRIPSI%2520FULL%2520TANPA%2520PEMBAHASAN.pdf&rft.identifier=++Dea+Debora%2C+Romauli+Gultom++(2025)+HUBUNGAN+ANTARA+UKURAN+DAN+JUMLAH+BATU+KOLELITIASIS+DENGAN+TINGKAT+KEPARAHAN+GAMBARAN+KLINIS+PADA+PASIEN+LANSIA+DI+RSUD+DR.+H.+ABDUL+MOELOEK+PROVINSI+LAMPUNG.++FAKULTAS+KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F82907%2F