Syok Indeks dan Skor APACHE II pada Pasien yang Meninggal di GICU RSUP Dr. Hasan Sadikin Bandung Tahun 2016

Eka Damayanti, Indriasari Indriasari, Iwan Fuadi

Abstract


Sistem skoring untuk menilai prognosis dan mortalitas merupakan bagian penting dalam perawatan di General Intensive Care Unit (GICU). Sistem skoring yang lazim digunakan adalah acute physiological and chronic health evaluation (APACHE II), namun sistem ini memiliki kelemahan yang berkaitan dengan banyaknya variabel yang digunakan. Syok indeks (SI) merupakan modalitas yang baik untuk memprediksi mortalitas yang dibuktikan dalam beberapa penelitian baik di Instalasi Gawat Darurat (IGD) maupun GICU. Penelitian ini bertujuan mengetahui angka SI dan skor APACHE II pada pasien yang meninggal di GICU RSUP Dr. Hasan Sadikin Bandung periode Januari sampai Desember 2016. Penelitian dilakukan selama bulan Agustus 2017. Metode yang digunakan adalah deskriptif observasional retrospektif terhadap 198 subjek penelitian yang diambil di bagian rekam medis. Penelitian ini memperoleh angka SI berkisar 0,51-2,29 dengan median 1,08. Jumlah pasien dengan angka SI <9 sebanyak 27 pasien (13,6%) dan SI ≥9 sebanyak 171 pasien (86,4%). Skor APACHE II berkisar 5–44 dengan median 28. Jumlah pasien dengan skor APACHE II <25 sebanyak 64 pasien (32,3%), 25-35 sebanyak 114 pasien (57,6%) dan >35 sebanyak 20 pasien (10,1%). Lama perawatan yang lebih pendek didapatkan pada pasien dengan SI dan APACHE II yang tinggi mengindikasikan bahwa makin tinggi skor SI dan APACHE II makin tinggi pula angka mortalitas.

Kata kunci: Acute physiological and chronic health evaluation II, general intensive care unit, syok indek


Keywords


Acute physiological and chronic health evaluation II, general intensive care unit, syok indek

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DOI: http://dx.doi.org/10.15851/jap.v6n1.1285

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