Pertiwi, Previasari Zahra and dr. Buyung Hartiyo Laksono, Sp.An-TI.,Subsp.N.A (K), FIP and dr. Taufiq Agus Siswagama,, Sp.An-TI.,Subsp.M.N.(K) (2023) Gambaran Jarakteristik Pasien Trauma Kepala di RSUD Dr. Saiful Anwar Malang Periode Maret – Agustus 2023. Magister thesis, Universitas Brawijaya.
Abstract
Latar belakang: Cedera otak traumatik didefinisikan sebagai penurunan fungsi otak yang ditandai dengan penurunan tingkat kesadaran, kejang, dan defisit kemampuan baik sensorik fokal maupun motorik neurologi yang diakibatkan oleh tekanan benda tumpul atau penetrasi benda tajam yang masuk ke dalam ruang intrakranial. Tujuan: Mengetahui gambaran karakteristik pasien trauma kepala di RSUD dr. Saiful Anwar Malang. Metode: Penelitian deskriptif observasional dengan sampel seluruh pasien trauma kepala di RSUD dr. Saiful Anwar Malang dari bulan Maret - Agustus 2023. Hasil: Total 227 pasien trauma kepala sebagian besar ialah laki-laki usia 20-39 tahun sejumlah 71 orang. Pelajar/mahasiswa sejumlah 72 orang merupakan pasien terbanyak mengalami trauma kepala dan tersering karena kecelakaan. Pasien cedera kepala ringan berjumlah 156 orang. Pasien yang memiliki saturasi oksigen normal berjumlah 208 orang. 157 pasien memiliki hemoglobin normal, natrium normal sejumlah 181 orang, GDS normal berjumlah 196 orang. 102 pasien mengalami hipokarbia. Hasil CT scan kepala normal sebanyak 141 orang. 206 pasien dilakukan tindakan operatif dan 214 pasien tidak dilakukan trakeostomi. Pasien yang dilakukan operasi dilakukan early emergence sebanyak 149 orang. Jumlah terbanyak terdapat pada pasien dengan lama rawat inap >14 hari sebanyak 140 orang. Luaran terbanyak yaitu pasien disabilitas ringan sebanyak 84 orang. Kesimpulan: Pasien terbanyak laki - laki dengan usia 20-39 tahun. Penyebab terbanyak karena kecelakaan dengan korban pelajar/mahasiswa. Paling banyak pasien cedera kepala ringan yang memiliki saturasi oksigen, kadar hemoglobin, natrium dan GDS normal. Didapatkan paling banyak pasien hiokarbia dengan hasil CT scan terbanyak tidak didapatkan adanya perdarahan. Sebagian besar dilakukan tindakan operasi dan early emergence dengan lama rawat inap lebih dari 14 hari dan luaran terbanyak dengan disabilitas ringan.
English Abstract
Background: Traumatic brain injury is a decrease in brain function characterized by a decrease of consciousness, seizure and sensory, focal, motoric and neurologyc deficits caused by the pressure of a blunt object or the penetration of a sharp object into the intracranial space. Objective: To understand the characteristics of head trauma patients at dr. Saiful Anwar Malang Hospital. Method: Observational descriptive study with a total sample of all head trauma patients at dr. Saiful Anwar Malang Hospital from March - August 2023. Results: A total of 227 head trauma patients were mostly men aged 20-39 years, 71 people. 72 students were the largest number of patients experiencing head trauma and most often due to accidents. There were 156 patients with mild head injuries. There were 208 patients who had normal oxygen saturation. 157 patients had normal hemoglobin, 181 people had normal sodium, 196 people had normal glucose. 102 patients experienced hypocarbia. Head CT scan results were normal for 141 people. 206 patients underwent surgery and 214 patients did not undergo tracheostomy. There were 149 patients who underwent early emergence surgery. The highest number was found in patients with a length of stay >14 days, 140 people. The largest output was 84 patients with mild disabilities. Conclusion: Most patients are men aged 20-39 years. The most common cause is accidents involving student victims. Most patients with mild head injuries have normal oxygen saturation, hemoglobin, sodium and GDS levels. It was found that the most patients were hypocarbia patients with the most CT scan results found no bleeding. Most of them underwent surgery and early emergence with length of stay of more than 14 days and the majority of outcomes were mild disability.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 042306 |
| Uncontrolled Keywords: | Trauma kepala, karakteristik, derajat keparahan, luaran, lama rawat ina |
| Divisions: | Profesi Kedokteran > Spesialis Anestesiologi dan Terapi Intensif, Fakultas Kedokteran |
| Depositing User: | Endang Susworini |
| Date Deposited: | 22 Feb 2024 06:29 |
| Last Modified: | 22 Feb 2024 06:29 |
| URI: | http://repository.ub.ac.id/id/eprint/216171 |
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