Ahmad, Zaky Soewandi (2017) Perbedaan Efektifitas Modified Early Warning Scoring Dan Vitalpac Early Warning Scoring Sebagai Deteksi Dini Perburukan Pasien Access Block Di Instalasi Gawat Darurat Rsud Dr. Iskak Tulungagung. Magister thesis, Universitas Brawijaya.
Abstract
Memanjangnya lama waktu tinggal pasien access block di IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk membandingkan efektifitas modified early warning scoring (MEWS) dan vitalpac early warning scoring (ViEWS) sebagai deteksi dini pasien access block di IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung. Skoring MEWS dan VIEWS menggunakan parameter fisiologis pasien. Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam. Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai MEWS dan VIEWS dengan perburukan pasien access block dengan p-value < 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) sedangkan MEWS memiliki nilai AUC (0,894), sensitivitas (0,722), spesifitas (0,912). Oleh karena itu ViEWS lebih efektif daripada MEWS sebagai deteksi dini perburukan pasien di IGD.
English Abstract
The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was compared the performance of detecting patient deterioration using modified early warning scoring (MEWS) and vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The MEWS and VIEWS were calculated using the recorded physiological parameters of patient. Deterioration were used as the primary outcomes in 24 hours at ED. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between MEWS dan ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965) while MEWS had AUC value (0,894), sensitivity (0,722), specificity (0,912). The conclusion is ViEWS as detection of early deterioration in ED is more powerful than MEWS.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/616.025/AHD/p/2017/041707886 |
| Uncontrolled Keywords: | MEDICAL EMERGENCIES, EMERGENCY NURSING, TRIAGE (medicine), INDONESIA - TULUNGAGUNG (kabupaten) |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.02 Special topics of disease > 616.025 Medical emergencies / Emergency medicine / Emergency nursing / Triage (Medicine) |
| Divisions: | S2/S3 > Magister Keperawatan, Fakultas Kedokteran |
| Depositing User: | Nur Cholis |
| Date Deposited: | 11 Sep 2017 03:03 |
| Last Modified: | 07 Oct 2022 01:03 |
| URI: | http://repository.ub.ac.id/id/eprint/2315 |
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