Hubungan hasil skoring trauma dengan survival rate pada pasien dengan politrauma

Yusuf, Anthony (2020) Hubungan hasil skoring trauma dengan survival rate pada pasien dengan politrauma. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Latar Belakang: Trauma adalah salah satu penyebab disabilitas atau kematian yang sering terjadi. Trauma pada dua atau lebih bagian tubuh pada saat yang bersamaan dapat disebut dengan politrauma atau multiple trauma. Penilaian trauma dapat dilakukan melalui sebuah sistem skoring trauma dengan berdasar pada penilaian anatomis dan fisiologis. Sistem skoring trauma digunakan untuk menilai berat suatu trauma, menentukan pembagian pasien, menentukan terapi inisial, dan memprediksi mortalitas pada pasien dengan trauma. Mengacu pada hal tersebut, penelitian ini dibuat dengan tujuan untuk menilai fungsi sistem skoring trauma yaitu Revised Trauma Score (RTS) dan Injury Severity Score (ISS) sebagai prediktor mortalitas dan Length of Stay pasien dengan politrauma di Rumah Sakit Umum Siloam (RSUS) Tangerang. Tujuan: Mengetahui hubungan antara hasil skoring trauma, survival rate dan Length of Stay pada pasien dengan politrauma di RSUS Metode Penelitian: Penelitian dilakukan dengan menggunakan metode potong lintang. Sampel yang dibutuhkan adalah sebanyak 30 orang, yang merupakan pasien dengan politrauma di RSUS dan dipilih menggunakan teknik purposive sampling. Pengambilan data akan dilakukan pada Januari-April 2020. Hasil penelitian akan diolah dengan program SPSS 23.0 dan metode Chi-square. Hasil Penelitian: Terdapat hubungan yang signifikan antara hasil skoring trauma dengan survival rate (p-value RTS: 0,008 dan p-value ISS: 0,015), tetapi hanya ditemukan hubungan yang signifikan antara ISS dengan Length of Stay (p-value: 0,003 sementara RTS tidak menunjukkan hubungan yang signifikan dengan Length of Stay (p-value: 0,227) / Background: Trauma is one of the leading causes of mortalities and disabilities in the society. Trauma that occurs in two or more body regions could be classified as polytrauma. Trauma cases are evaluated with trauma scoring systems based on anatomical and physiological examinations. Trauma scoring systems are used in clinical settings to assess trauma severity, to classify patients, to decide initial treatments and managements, and to predict mortality for affected patients. According to these informations, we would like to reevaluate the correlation between trauma scoring systems and survival rate especially for Revised Trauma Score (RTS) and Injury Severity Score (ISS), also to establish the predictive value of trauma scoring systems in predicting mortality and Length of Stay for polytrauma cases in Siloam Public Hospital, Tangerang in this study. Purpose: To establish the correlation between trauma scoring systems, survival rate, and Length of Stay for polytrauma cases in Siloam Public Hospital, Tangerang. Methods: This study will be done using cross-sectional method. Minimum requirement of the samples is about 30 cases of polytrauma in the Siloam Public Hospital which will be retrieved using purposive samplings for collecting data. Data collections will be held from January – April 2020. Collected data will be analyzed using SPSS 23.0 software and will be tested using Chi-square method. Results: There are meaningful relation between trauma scoring systems and survival rate (RTS p-value: 0,008 and ISS p-value: 0,015), but we only found meaningful relation for ISS and Length of Stay (p-value: 0,003) meanwhile RTS doesn’t show meaningful relation with Length of Stay (p-value: 0,227)

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