Model Sistem Skoring Fisiologi Dalam Memprediksi Prognosis Pasien Trauma Multipel Di Instalasi Gawat Darurat Rsud Saiful Anwar Jawa Timur.

Cahyono, Mardani and dr. Istan Irmansyah, Sp.OT. Subsp.Onk.Ort.R.(K) and dr. Taufiq Abdullah, Sp.EM, K. (2024) Model Sistem Skoring Fisiologi Dalam Memprediksi Prognosis Pasien Trauma Multipel Di Instalasi Gawat Darurat Rsud Saiful Anwar Jawa Timur. Magister thesis, Universitas Brawijaya.

Abstract

Salah satu masalah dalam sistem kesehatan di Indonesia adalah penanganan trauma. Trauma merupakan salah satu kasus terbanyak yang ditemukan di Instalasi Gawat Darurat (IGD. Trauma, seperti penyakit lainnya, memiliki periode emas (golden period), di mana jika diobati dengan benar, tepat, dan cepat, tingkat kecacatan dan kematian dapat dikurangi. Di Indonesia, banyak penelitian telah dilakukan, tetapi pengumpulan data dan keseragaman data masih menjadi masalah besar. Penelitian ini bertujuan untuk mengidentifikasi, menganalisa dan membuat suatu sistem skoring fisiologis yang dapat memprediksi prognosis pasien yang mengalami trauma multipel di IGD RS Saiful Anwar (RSSA) Jawa Timur. Penelitian ini merupakan penelitian kohort retrospektif dengan menggunakan sampel seluruh pasien trauma multipel yang datang ke IGD RSSA pada periode Juli 2021 hingga Desember 2022. Variabel yang diteliti meliputi usia, jenis kelamin, triase awal IGD, variabel fisiologis (tekanan darah sistolik, tekanan darah diastolik, rerata tekanan darah, laju pernafasan, denyut nadi, suhu tubuh, tingkat kesadaran, saturasi oksigen perifer, nilai hematokrit, jumlah sel darah putih, jumlah trombosit, kadar natrium, kadar kalium, nilai kreatinin, dan waktu protrombin), dan variabelix anatomis (trauma area kepala, wajah, leher, dada, perut, tulang belakang, ekstremitas atas, ekstremitas bawah, eksternal, jumlah area trauma). Faktor-faktor yang berhubungan secara statistik dengan prognosis pasien trauma multipel akan dianalisa menggunakan regresi logistik. Sebanyak 539 pasien trauma multipel dilakukan analisa secara bivariat dan multivariat, dengan hasil tekanan darah sistol, laju pernafasan dan tingkat kesadaran merupakan faktor yang dapat memprediksi kematian pasien trauma multipel di IGD RSSA, sedangkan jenis kelamin, triase awal IGD, trauma area dada, trauma area ekstremitas bawah, total area trauma, tingkat kesadaran, saturasi oksigen perifer dan nilai hematokrit merupakan faktor yang dapat memprediksi cara keluar dari IGD RSSA. Penulis menyusun sebuah model sistem skoring Emergency Physiologic Score on Trauma (EM-IST) 1 dalam memprediksi kematian pasien trauma multipel di IGD RSSA , serta model sistem skoring EM-IST 2 dalam memprediksi cara keluar pasien trauma multipel dari IGD RSSA.

English Abstract

Managing trauma is one of the issues facing Indonesia's healthcare system. One of the most common conditions seen in the emergency department (ED) is trauma. Like other illnesses, trauma has a golden period during which the degree of disability and mortality can be decreased with prompt, accurate, and appropriate treatment. Although a great deal of research has been done in Indonesia, issues with data standardization and gathering remain. The objective of this study is to find, evaluate, and develop a physiological scoring system that can predict the outcome for patients who suffer from multiple trauma in the emergency department at Saiful Anwar General Hospital (SAGH ED) in East Java. All patients with multiple trauma who visited the SAGH ED between July 2021 and December 2022 were included in the sample for this retrospective cohort research. Physiological variables (systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, respiratory rate, pulse, body temperature, level of consciousness, peripheral oxygen saturation, hematocrit value, white blood cell count, platelet count, sodium level, potassium level, creatinine, and prothrombin time), anatomical variables (trauma of the head, face, neck, chest, abdomen, spine, upper extremities, lower extremities, external, total area ofxi trauma), and variables such as age, gender and ED triage were among the variables examined. Using logistic regression, factors statistically correlated to the prognosis of patients with multiple trauma will be examined. Bivariate and multivariate analyses were performed on 539 multiple trauma patients. Systolic blood pressure, respiratory rate, and level of consciousness were identified to be factors that could predict the death of multiple trauma patients in the SAGH ED. While intensive care was predicted by gender, initial ED triage, lower extremities trauma, chest trauma, total area of trauma, level of consciousness, peripheral oxygen saturation, and hematocrit values. In order to predict the mortality of multiple trauma patients in the SAGH ED, the author created an Emergency Physiologic Score on Trauma (EM-IST) 1 scoring system model. Additionally, the author created an EM-IST 2 scoring system model to predict how multiple trauma patients will need intensive care units.

Item Type:	Thesis (Magister)
Identification Number:	0424060138
Uncontrolled Keywords:	model sistem skoring, prognosis trauma multipel, skor fisiologis trauma, skor trauma, trauma multipel.
Divisions:	Profesi Kedokteran > Spesialis Emergensi Medisin, Fakultas Kedokteran
Depositing User:	Unnamed user with username nova
Date Deposited:	10 Dec 2024 06:35
Last Modified:	10 Dec 2024 06:35
URI:	http://repository.ub.ac.id/id/eprint/233588

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