Perbandingan R-Baux Score dengan BOBI Score sebagai Prediktor Mortalitas Pasien Luka Bakar di RSUP Dr. M. Djamil Padang

Azdiana Fitri, Deddy Saputra, Andani Eka Putra

Abstract


Sistem skoring pada luka bakar sangat dibutuhkan sebagai nilai objektif untuk prediktif mortalitas. Belum ada sistem skoring objektif terbaik sebagai prediktif mortalitas luka bakar. Penelitian ini bertujuan membandingkan akurasi R- Bauxdan BOBI score dalam memprediksi mortalitas pasien luka bakar di RSUP Dr. M. Djamil, Padang. Penelitian dilakukan Januari 2013 sampai September 2017, menggunakan desain studi retrospektif pada pasien luka bakar yang dirawat di Unit Luka Bakar RSUP Dr. M. Djamil, Padang. Data diolah menggunakan uji diagnostik, uji Kappa, dan uji regresi logistik terhadap variabelnya. Jumlah sampel adalah 394 sampel. Sampel terbanyak laki-laki, rerata usia 28,3 ± 18,3 tahun, penyebab luka bakar terbanyak api, rerata total body surface area (TBSA) 26,1%, trauma inhalasi 51% dan angka mortalitas 26,4%. Uji sensitivitas BOBI score dibanding dengan R-Baux score adalah 96,83%: 92,89% dengan koefisien Kappa sebesar 0,50. Analisis regresi logistik menunjukkan variabel umur, TBSA, dan trauma inhalasi saling berhubungan pada R-Baux score. Uji diagnostik BOBI score lebih baik dibanding dengan R-Bauxscore dan nilai koefisien Kappa menunjukkan kesesuaian hasil dengan BOBI score. BOBI score lebih baik sebagai prediktor mortalitas di RSUP Dr. M. Djamil Padang dibanding dengan R-Bauxscore karena menunjukkan akurasi lebih baik setelah diuji dengan nilai real.

 Kata kunci: BOBI score, luka bakar, mortalitas, r-baux score


Comparison R-Baux Score with BOBI Score as a Predictor of Burn Mortality in Dr. M. Djamil Hospital Padang

Burns are a type of trauma with high morbidity and mortality.There is nothing yet the best  objective scoring system to predict mortality in burns. This study aims to compare the accuracy of R-Baux and BOBI score in predicting mortality of burn patients in Dr. M. Djamil Hospital, Padang. This research was a retrospective study design to all burn patients treated in burn unit  from January 2013 to September 2017. This research processed and analyzed by assessing diagnostic tests, kappa tests, and logistic regression test.  Out of 394 samples enrolled. Most of men, mean age was 28.3±18.3 years old, cause of burns was fire, mean TBSA was 26.1%, inhalation injury was 51% and overall mortality was 26.4%. The sensitivity tests for BOBI and R-Baux score was 96.83%: 92.89% with coeffisien’s value of Kappa 0.50. Logistic regression test shows that age, TBSA dan inhalation injury were significantly correlated with R-Baux score.The diagnostic tets of BOBI score is better than R-Baux score and coefficien’s value of Kappa shows the match result with BOBI score with medium strength. BOBI score shows better accuracy as a mortality predictor in Dr. M. Djamil Hospital, Padang, than R-Baux score after being compared with real value.

Key words: BOBI score, burns, mortality, r-baux score


Keywords


BOBI score, luka bakar, mortalitas, r-baux score

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