Jessu, Michael Jevon (2023) Hubungan waktu intubasi terhadap tingkat mortalitas pada pasien covid-19 di ICU Rumah Sakit Siloam Kelapa Dua. Bachelor thesis, Universitas Pelita Harapan.
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Abstract
Latar Belakang: Coronavirus disease 2019 (COVID-19) akan masuk ke sel inang
secara endositosis dan menginfeksi manusia dengan membelah Angiotensin
converting enzyme 2 (ACE2) dan menyebabkan inflamasi yang membuat rusaknya
sel epitel-endotel. Keadaan ini dapat berlanjut menjadi berat dengan adanya acute
respiratory distress syndrome (ARDS) yang menimbulkan insufisiensi pernapasan.
Kemudian perlu dilakukan penanganan jalan napas dengan intubasi. Penanganan
intubasi dilakukan di ICU dan dibagi atas early intubation (<24 jam) dan late
intubation (>24 jam). Adanya perbedaan hasil antara penelitian yang dilakukan
sebelumnya oleh peneliti lain, maka dari itu perlu dilakukan penelitian mengenai
hal ini di ICU Rumah Sakit Siloam Kelapa Dua.
Tujuan penelitian: Menganalisis hubungan waktu intubasi terhadap tingkat
mortalitas pada pasien COVID-19 di ICU Rumah Sakit Siloam Kelapa Dua.
Metode penelitian: Penelitian ini dilakukan dengan menggunakan metode studi
potong lintang terhadap sampel pasien COVID-19 dari data rekam medis ICU
Rumah Sakit Siloam Kelapa Dua periode Juni sampai dengan Agustus 2021.
Hasil: Dari total 84 sampel pada penelitian ini, diperoleh 26,19% sampel mendapat
early intubation dan73,81% mendapat late intubation dan 4,76% sampel hidup dan
95,24% meninggal setelah perawatan. Analisis hubungan waktu intubasi terhadap
tingkat mortalitas pasien COVID-19 menunjukkan nilai p sebesar 0,280 (p>0,05).
Kesimpulan: Tidak ditemukan adanya hubungan yang signifikan antara waktu
intubasi terhadap tingkat mortalitas pada pasien COVID-19 di ICU Rumah Sakit
Siloam Kelapa Dua.
Referensi: 35 (2012-2023)
Kata Kunci: waktu intubasi, COVID-19, tingkat mortalitas, ICU
/
Background: Coronavirus disease 2019 (COVID-19 will enter host cells by
endocytosis and infect humans by cleaving Angiotensin-converting enzyme 2
(ACE2) and causing inflammation that damages epithelial-endothelial cells. This
situation can continue to be severe with the presence of acute respiratory distress
syndrome (ARDS) which causes respiratory insufficiency. Then it is necessary to
treat the airway with intubation. Treatment of intubation is carried out in the ICU
and is divided into early intubation (<24 hours) and late intubation (>24 hours).
There are differences in results between previous studies by other researchers,
therefore it is necessary to conduct research on this matter in the ICU of Siloam
Hospitals Kelapa Dua.
Objective: To study aims to find out the relationship between intubation time and
mortality rate of COVID-19 patients in the ICU of Siloam Hospital Kelapa Dua.
Methods: This study was conducted using a cross-sectional study method on a
sample of COVID-19 patients from medical record data from the ICU of Siloam
Hospitals Kelapa Dua for the period June to August 2021.
Result: Of the total 84 samples in this study, 26.19% of the samples received early
intubation and 73.81% received late intubation and 4.76% of the samples were
alive and 95.24% died after treatment. Analysis of the relationship between
intubation time and the mortality rate of COVID-19 patients showed a p value of
0.280 (p>0.05).
Conclusions: There was no significant relationship found between intubation time
and mortality rates in COVID-19 patients in the ICU at Siloam Hospital Kelapa
Dua.
References: 35 (2012-2023)
Keywords: time of intubation, COVID-19, mortality rate, ICU
Item Type: | Thesis (Bachelor) |
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Creators: | Creators NIM Email ORCID Jessu, Michael Jevon NIM01071200134 michael.jevon05@gmail.com UNSPECIFIED |
Contributors: | Contribution Contributors NIDN/NIDK Email Thesis advisor Aritonang, Ronald Christian Agustinus NIDN0304088801 ronald.aritonang@uph.edu Thesis advisor Pardede, Ingrid Maria NIDN0312057806 ingrid.pardede@lecturer.uph.edu Thesis advisor Melissa, Melissa UNSPECIFIED melissa.fk@uph.edu |
Uncontrolled Keywords: | waktu intubasi, covid-19, tingkat mortalitas, icu |
Subjects: | R Medicine > R Medicine (General) |
Divisions: | University Subject > Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine Current > Faculty/School - UPH Karawaci > Faculty of Medicine > Medicine |
Depositing User: | Michael Jevon Jessu |
Date Deposited: | 10 Jan 2024 08:06 |
Last Modified: | 10 Jan 2024 08:06 |
URI: | http://repository.uph.edu/id/eprint/59837 |