Analisis Hubungan Faktor Maternal Dan Sosioekonomi Terhadap Jumlah Serial Casting Menggunakan Metode Ponseti Pada Pasien Clubfoot Di RSUP H. Adam Malik Medan

Abstract

Background: Clubfoot is a congenital deformity that can lead to disability if left untreated. The Ponseti method is the primary and effective treatment; however, the required number of serial castings varies, influenced by maternal and socioeconomic factors. This study aims to analyze the factors affecting the number of Ponseti serial castings in clubfoot patients at RSUP H. Adam Malik Medan. Methods: This study employed a cross-sectional design involving 80 patients diagnosed with clubfoot. Data were collected through interviews and medical records and analyzed using chi- square tests and logistic regression. Results: The mean age of the study subjects was 29.05±35.11 months, with 57.5% being male. Bivariate analysis revealed a significant association between transportation type and the number of Ponseti serial castings (p=0.020). Multivariate analysis identified transportation (p=0.011, PR=3.662) and a family history of smoking (p=0.047, PR=2.774) as dominant factors influencing the number of serial castings. Other factors, such as gender, parental occupation, education level, and economic status, were not significantly associated. Conclusion: Environmental factors, particularly access to transportation and family smoking habits, play a crucial role in determining the number of Ponseti serial castings. Future research should employ a prospective multicenter design with a broader demographic variation and a more in-depth analysis of transportation and smoking-related factors.