Angka Kejadian serta Karakteristik Mortalitas dan Morbiditas pada Pengelolaan Anestesi Perioperatif di RSUP Dr. Hasan Sadikin Bandung Tahun 2017–2019

Abstract

Pengelolaan anestesi perioperatif merupakan tanggungjawab dokter anestesi yang mencerminkan mutu pelayanan di rumah sakit. Tujuan penelitian ini mengetahui angka kejadian serta karakteristik mortalitas dan morbiditas pada pengelolaan anestesi perioperatif di RSUP Dr. Hasan Sadikin Bandung tahun 2017–2019. Penelitian ini merupakan penelitian deskriptif observasional retrospektif terhadap rekam medis pasien yang mengalami mortalitas dan morbiditas, perioperatif. Hasil penelitian mengungkapkan angka kejadian mortalitas dan morbiditas tahun 2017–2019 sebesar 2 kasus per 1.000 tindakan anestesi. Karakteristik pasien yang mengalami mortalitas dan morbiditas yaitu pasien usia produktif, jenis kelamin wanita, IMT normal, komorbid penyakit jantung, dan status fisik ASA 3. Karakteristik pembedahan, mortalitas ditemukan lebih banyak pada operasi digestif, waktu operasi pukul 07.00–16.00, dan lama operasi ≤3 jam, sedangkan pada morbiditas ditemukan lebih banyak pada operasi obstetri-ginekologi, waktu operasi pukul 07.00–16.00, dan lama operasi ≤3 jam. Karakteristik anestesiologi, mortalitas dan morbiditas lebih banyak terjadi pada anestesi umum, lama anestesi >3 jam, dan kegagalan penanganan jalan napas. Simpulan penelitian ini adalah kejadian mortalitas dan morbiditas pada pengelolaan anestesi perioperatif dipengaruhi oleh berbagai faktor sehingga penilaian, penatalaksanaan, dan koordinasi yang baik dari berbagai bidang dapat memberikan luaran yang baik pada pasien.

Incidence Rate and Characteristics of Mortality and Morbidity in Perioperative Anesthesia Management at Dr. Hasan Sadikin Hospital Bandung 2017–2019

The anesthesiologist is responsible for managing perioperative anesthesia, which reflects the quality of care in the hospital. This study aimed to determine the incidence and characteristics of cases of mortality and morbidity in the perioperative anesthesia management at Dr. Hasan Sadikin Bandung Year 2017–2019. This study was a retrospective descriptive observational study on the medical records of perioperative morbidity and mortality patients at Dr. Hasan Sadikin Hospital Bandung Year 2017–2019. The results showed that the mortality and morbidity cases in 2017–2019 were 2 cases per 1,000 anesthetic procedures. Characteristics of patients who experienced mortality and morbidity were productive age, female gender, normal BMI, comorbid heart disease, and ASA physical status 3. The characteristics of surgery in mortality cases were digestive surgery, which was performed between 07.00–16.00 and with a duration of 3 hours. The characteristics of surgery in morbidity cases were obstetric-gynecological surgery performed between 07.00–16.00 and with a duration of 3 hours of surgery. The anesthesiological characteristics in cases of mortality and morbidity were in patients with general anesthesia, duration of anesthesia >3 hours, and failure of airway management. Various factors can influence the incidence of mortality and morbidity in perioperative anesthesia management. Appropriate assessment, management, and coordination of various fields can provide good patient outcomes.