Sensitivitas dan Spesifisitas Kuesioner COVID-19 untuk Skrining Pasien Praoperatif di RSUP Dr. Hasan Sadikin Bandung

Abstract

Pandemi Coronavirus disease 2019 (COVID-19) memberi dampak ke seluruh aspek, salah satunya dalam pelayanan kesehatan. Skrining praoperatif menjadi salah satu hal penting dalam persiapan dan pemilihan pasien yang akan menjalani operasi elektif di masa pandemi COVID-19. Tujuan penelitian ini adalah mengetahui sensitivitas dan spesifisitas kuesioner COVID-19 yang digunakan untuk skrining pasien praoperatif di RSUP Dr. Hasan Sadikin. Penelitian dilakukan di Unit Rekam Medis RSUP dr. Hasan Sadikin Bandung pada bulan Februari 2021 hingga Maret 2021. Penelitian ini merupakan studi deskriptif retrospektif dengan desain cross sectional (potong lintang) untuk membandingkan hasil kuesioner dengan hasil PCR COVID-19 yang diambil dari data pasien praoperatif bulan Juni 2020 hingga Agustus 2020. Hasil penelitian didapatkan bahwa sensitivitas kuesioner COVID-19 untuk skrining pasien praoperatif di RSUP Dr. Hasan Sadikin sangat lemah (36,4%), sedangkan spesifisitasnya sangat kuat (97,2%). Rasio kemungkinan positif sempurna (13), sedangkan rasio kemungkinan negatif cukup (0,65). Simpulan penelitian ini kuesioner COVID-19 kurang baik bila digunakan pada populasi dengan prevalensi yang rendah, tetapi cukup baik untuk menyaring pasien yang sehat, namun masih belum dapat dijadikan sebagai alat uji diagnostik, masih membutuhkan pemeriksaan penunjang lainnya untuk mendiagnosis COVID-19.

Covid-19 Sensitivity and Specificity Questionnaire for Screening Preoperative Patients at Dr. Hasan Sadikin Hospital Bandung

The 2019 Corona Virus Disease (COVID-19) pandemic impacts all aspects, one of which is health services. Preoperative screening is one of the essential things in the preparation and selection of patients who will undergo elective surgery during the COVID-19 pandemic. This study aimed to determine the sensitivity and specificity of the COVID-19 questionnaire used to screen preoperative patients at Dr. Hasan Sadikin Hospital. The study was conducted at the Medical Record Unit of Dr. Hasan Sadikin Hospital Bandung from February 2021 to March 2021. This study was a retrospective descriptive study with a cross-sectional design to compare the results of the questionnaire with the results of the COVID-19 PCR taken from preoperative patient data from June 2020 to August 2020. The results found that sensitivity in the COVID-19 questionnaire for screening preoperative patients at Dr. Hasan Sadikin Hospital was very weak (36.4%), while the specificity was very strong (97.2%). The positive likelihood ratio was perfect (13), while the negative likelihood ratio was moderate (0.65). This study concludes that the COVID-19 questionnaire is unsuitable for use in a low prevalence population but is good enough to screen healthy patients. However, it still cannot be used as a diagnostic test tool and requires other supporting tests to diagnose COVID-19.