Gambaran Skoring STS dan Euro Score II sebagai Prediktor Mortalitas pada Pasien Bedah Pintas Arteri Koroner di RSUP Dr. Hasan Sadikin Bandung Periode 2019–2020

Lusy Octavia Saputri, Rudi Kurniadi Kadarsah, Budiana Rismawan

Abstract


Bedah pintas arteri koroner (BPAK) merupakan suatu prosedur pembedahan yang dilakukan pada pasien dengan penyakit arteri koroner. Skoring risiko seperti Society of Thoracic Surgeons (STS) dan European System for Cardiac Operative Risk Evaluation (EuroSCORE) banyak digunakan untuk memprediksi hasil luaran pascaoperasi jantung. Operasi jantung di RSUP Hasan Sadikin Bandung setiap tahun terus mengalami peningkatan dan masih terdapat mortalitas setiap tahun, sedangkan belum ada skoring resmi yang digunakan untuk memprediksi kejadian mortalitas maupun morbiditas pada pasien yang menjalani operasi bedah jantung di RSUP Hasan Sadikin Bandung saat ini. Penelitian ini merupakan penelitian deskriptif dengan pendekatan retrospektif menggunakan data dari rekam medis pasien yang menjalani BPAK di RSUP Dr. Hasan Sadikin Bandung dari periode januari 2019 sampai desember 2020, sebanyak 82 data rekam medis dilakukan perhitungan STS skor, EuroSCORE II, dan kejadian mortalitasnya. Pada penelitian ini didapatkan hasil STS Skor dan EuroSCORE risiko rendah sebanyak 69 pasien (84%), risiko sedang 11 pasien (14%), dan risiko tinggi 2 pasien (2%). Angka mortalitas BPAK sebanyak 9 orang (11%) dengan stratifikasi skor terhadap mortalitas pada kelompok risiko rendah sebesar 0%, risiko sedang sebesar 7 dari 11 orang dan risiko tinggi 2 dari 2 orang. Hasil yang didapatkan baik pada STS skor maupun EuroSCORE II menunjukkan tingkat kesamaan prediksi yang sama.

 

Profile of STS and EuroSCORE II Scoring as Mortality Predictor in Coronary Artery Bypass Surgery Patients at Dr. Hasan Sadikin General Hospital Bandung, 2019–2020

Coronary artery bypass graft surgery (CABG) is used to treat coronary artery disease patients. Risk scoring, such as the Society of Thoracic Surgeons (STS) and the European System for Cardiac Operative Risk Evaluation (EuroSCORE), have been commonly used to predict post-cardiac surgery outcomes. The number of cardiac surgeries at Dr. Hasan Sadikin General Hospital increases yearly, yet some mortalities persist. No official scoring system can be used to predict the mortality and morbidity incident in patients undergoing cardiac surgeries at Dr. Hasan Sadikin General Hospital. This study was a descriptive study with a retrospective approach using patients' medical record data who underwent Coronary artery bypass graft surgery at Dr. Hasan Sadikin Hospital from January 2019 to December 2020. The 82 medical record data were used to assess STS, EuroSCORE II, and mortality incidents. The result showed that STS score and EuroSCORE II with low risk were 69 patients (84%), moderate risk were 11 patients (14%), and high risk were two patients (2%). The number of CABG mortality was nine patients (11%), with a stratification score of mortality in the low-risk group was 0%, the moderate-risk group was seven people, and the high-risk group was 2 out of 2 patients. Both STS and EuroSCORE II showed similar results of prediction.

 

Keywords


BPAK, EuroSCORE, mortalitas, STS skor

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References


  1. Rezaianzadeh A, Maghsoudi B, Tabatabaee H, Keshavarzi S, Bagheri Z, Sajedianfard J. Factors associated with extubation time in coronary artery bypass grafting patients. Peer J. 2015;3:1414–6.
  2. Sasayama S, Nakimura S, Kawaguci H, Jarret D, Wiliam B. Heart disease in Asia. Circulation. 2008;118(25):2669–71.
  3. Alan S, Darius M, Veronique L, Emilia J, Heart diesase and stroke statistics- 2016 Update: a report from the american heart association. Circulation. 2016;133(4):36–8.
  4. Dahlof B. Cardiovascular disease risk factors epidemiology and risk assessment. Am J Cardiol. 2015;105(1 Suppl):3–9.
  5. Ariyanti GM, Sitanggang RH, Sujud RW. Angka mortalitas pada pasien yang menjalani bedah pintas arteri koroner berdasarkan usia, jenis kelamin, left ventricular ejection fraction, cross clamp time, cardio pulmonary bypass time, dan penyakit penyerta di RSUP Dr. Hasan Sadikin Bandung tahun 2014–2016. JAP. 2017;5(3):69–107.
  6. Spivack SD, Shinozaki T, Albertini J, Deane R. Preoperative prediction of postoperative respiratory outcome. Chest. 1996;109(5):1222–30.
  7. Flegler S, Paro FM. Factors associated with intubation time and ICU stay after CABG. Braz J Cardiovasc Surg. 2015;30(6):631–5.
  8. Kuczmarski RJ, Flegal LM. Criteria for definition of overweight in transition: background and recommendations for the United States. Am J Clin Nutr. 2000; 72(5):1074–81.
  9. WHO. Obesity: preventing and managing the global epidemic. WHO J. 2000;894:1–25.
  10. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity in the united states. NCHS. 2012;82:1–8.
  11. Flegal KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999–2000. JAMA. 2002;288(14):1723–7.
  12. Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009;53(21):1925–32.
  13. Backus B, Six AJ, Kelder J. Risk scores fo patients with cest pain: evaluation in emergency department. Med J Aust. 2011;7(7):2–8.
  14. Kennon S, Suliman A, Maccallum PK, Wilkinson P. Clinical characteristic determining the mode of presentation in patient with acute coronary syndromes. JACC. 2018;32(7):2018–22.
  15. Suridanda S, Roebiono P, Soesanto A, Kasim M. Faktor-faktor yang mempengaruhi kejadian kardiovaskular mayor pada wanita pasca infark miokard akut: outcomes from a single-centre data base. J Kardiol Indones. 2009;30(4):3–12.
  16. Rosengrena A, Wallentin L, Gittc K, Riordan CJ, Behard S, Battlere A. Sex, age, and clinical presentationof acute coronary syndroms. Euro Heart J. 2019;25(6):663–70.
  17. Azalix RR, Semedi BP, Subagjo A. Penerapan euroscore II sebagai metode penilaian luaran pada pasien post operasi CABG di Rumah sakit Umum Pusat Dr Soetomo. J Rep Unair. 2019;91:1–5.
  18. Butterwort JF, Mackey DC, Wasnick DC. Perioperative and critical care medicine. Dalam: Mikhail MS, Murray MJ. Penyunting. Morgan and Mikhail Clinical Anesthesia. Edisi ke-6. Standford: Appleton & Lange; 2018. hlm.1920–80.
  19. Shikman M, Scott A. Coronary Artery bypass grafting part 1. 2017 [diunduh 17 Maret 2019]. Tersedia dari: http://wcccd.edu/dept/pdf/AF/LectureCABG.
  20. Harahap GA, Nurcahyo WI, Ismail A. Mortalitas operasi jantung coronary artery bypass graft di RSUP Kariadi Semarang periode Januari 2014-Desember 2014. J Ked Diponegoro. 2016;5:1–7.




DOI: https://doi.org/10.15851/jap.v10n3.2644

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