Pengaruh Derajat Keparahan Penyakit (Skor APACHE II) terhadap Utilisasi Sumber Daya (Skor TISS-28) dan Biaya Perawatan Pasien di ICU

Muhammad Ikhwan Nur, Reza Widianto Sudjud, Osmond Muftilov Pison

Abstract


ICU merupakan unit perawatan di rumah sakit yang membutuhkan biaya tinggi. Oleh karena itu, penting untuk mengevaluasi faktor-faktor yang mempengaruhi utilisasi sumber daya biaya perawatan pasien ICU. Salah satu faktor yang dapat mempengaruhi utilisasi sumber daya dan biaya perawatan ICU adalah keparahan penyakit. Penelitian ini menggunakan desain analitik observasional dengan desain kohort prospektif Subjek penelitian ini adalah pasien ICU RSUP Dr. Hasan Sadikin Bandung yang dirawat pada bulan Maret–Mei 2023. Derajat keparahan penyakit dinilai dengan skor APACHE II, sementara utilisasi sumber daya ICU dinilai dengan skor TISS-28. Uji Pearson Product Moment digunakan untuk mendapatkan nilai koefisien korelasi (r) dan koefisien determinasi (r2) skor APACHE II terhadap skor TISS-28 dan biaya perawatan pasien ICU. Sebanyak 113 pasien ICU disertakan sebagai subjek penelitian. Rata-rata skor TISS-28  harian 25,6 dan biaya perawatan harian pasien ICU Rp6.657.925,00. Dari analisis skor APACHE II terhadap skor TISS-28 harian didapatkan nilai r=0,538; r2=0,289; p ≤0,001. Sedangkan dari analisis skor APACHE II dan biaya perawatan harian pasien ICU didapatkan r=0,502;r2=0,253; p≤0,001. Derajat keparahan berdasarkan skor APACHE II berpengaruh terhadap skor TISS-28 dan biaya perawatan pasien di ICU dengan korelasi positif. Hasil studi ini diharapkan dapat membantu meningkatkan efektivitas dan efisiensi perawatan pasien di ICU.


Keywords


Biaya perawatan ICU; keparahan penyakit; skor APACHE II; skor TISS-28; utilisasi

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DOI: https://doi.org/10.15851/jap.v12n2.3740

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