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Faktor risiko perburukan pada pasien trauma tumpul thorax di Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G. Ngoerah

  • Putu Agus Sukarna ,
  • I Ketut Sudiasa ,
  • Tjok Gde Bagus Mahadewa ,
  • I Wayan Sudarsa ,
  • I Wayan Niryana ,


Abstract

Background: Thoracic trauma it often causes ventilation perfusion disorders resulting in tissue oxygenation disorders that cause death. Rapid and systematic evaluation of the patient in the identification and treatment of injuries is essential for immediate recovery of the soul and further definitive treatment. Several factors have been studied to see arrest in increasing the risk of worsening of the condition in cases of blunt thoracic trauma.

Methods: A cross-sectional study with a prospective cohort design conducted by taking secondary data from questionnaire extraction data. Sampling was carried out at the Emergency Room (ER), Prof. Dr. I.G.N.G.Ngoerah Central General Hospital from April 2021 to April 2022. The independent variables studied included risk factors for worsening. The dependent variable includes a worsening of the condition characterized by the presence of ARDS (PaO2/FiO2 ≤ 300 mmHg), or PaO2/FiO2 ≤ 200 mmHg in patients who present with ARDS. Control variables include diabetes mellitus, coronary heart disease, chronic obstructive pulmonary disease, and cancer

Results: The study subjects were 69 children who met the criteria. Age more than or equal to 45 years, sex, oxygen saturation, changes in pH, contusions, bone fractures, infection, hemothorax, and pneumothorax are not risk factors for worsening in patients with blunt thoracic trauma at Prof. Dr. I.G.N.G.Ngoerah Central General Hospital. Only ARDS conditions and worsening of conditions had a meaningful relationship. The condition of ARDS when in the ER for worsening resulted in a relative risk value (RR) of 18.750 (p=0.001; 95% CI: 5.400-65.101).

Conclusion: Risk factors for aggravation in patients with blunt thoracic trauma ARDS

 

Latar belakang: Pada trauma thorax sering menyebabkan gangguan ventilasi perfusi sehingga terjadinya gangguan oksigenasi jaringan yang menyebabkan kematian. Evaluasi yang cepat dan sistematis pada pasien dalam mengidentifikasi dan penanganan cedera sangat penting untuk penyelamatan jiwa secara langsung dan penanganan definitif lebih lanjut. Beberapa faktor telah dipelajari untuk melihat perannya dalam meningkatkan risiko perburukan kondisi pada kasus trauma tumpul thorax.

Metode: Penelitian cross-sectional dengan desain kohort prospektif yang dilakukan dengan mengambil data sekunder dari kuisioner ekstrasi data. Pengambilan sampel dilakukan di Instalasi Gawat Darurat (IGD), Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G.Ngoerah  pada Bulan April 2021 sampai dengan bulan April 2022. Variabel bebas yang diteliti meliputi faktor-faktor risiko perburukan. Variabel terikat meliputi perburukan kondisi yang ditandai oleh munculnya ARDS (PaO2/FiO2 ≤ 300 mmHg), atau PaO2/FiO2 ≤ 200 mmHg pada pasien yang datang dengan ARDS. Variabel kendali meliputi diabetes melitus, penyakit jantung coroner, penyakit paru obstruktif kronis, dan kanker

Hasil: Subyek penelitian sebanyak 79 sampel yang memenuhi kriteria. Usia lebih dari atau sama dengan 45 tahun, jenis kelamin, saturasi oksigen, perubahan pH, kontusio, fraktur kosta, infeksi, hemothorax, dan pneumothorax tidak merupakan faktor risiko terjadinya perburukan pada penderita trauma tumpul thorax di Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G.Ngoerah. Hanya kondisi ARDS dan perburukan kondisi yang memiliki hubungan bermakna. Kondisi ARDS saat di UGD terhadap terjadinya perburukan menghasilkan nilai relative risk (RR) 18,750 (p=0,001;95%CI:5,400-65,101).

Kesimpulan: Faktor risiko terjadinya perburukan pada penderita trauma tumpul thorax meliputi ARDS

Keywords: faktor risiko perburukan trauma tumpul thorax

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How to Cite

Sukarna, P. A., Sudiasa, I. K. ., Mahadewa, T. G. B. ., Sudarsa, I. W. ., & Niryana, I. W. . (2023). Faktor risiko perburukan pada pasien trauma tumpul thorax di Rumah Sakit Umum Pusat Prof. Dr. I.G.N.G. Ngoerah. Intisari Sains Medis, 14(2), 684–690. https://doi.org/10.15562/ism.v14i2.1731
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Putu Agus Sukarna
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I Ketut Sudiasa
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Tjok Gde Bagus Mahadewa
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I Wayan Sudarsa
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I Wayan Niryana
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