SUHU TUBUH SEBAGAI PREDIKTOR OUTCOME PASIEN CEDERA KEPALA RINGAN - SEDANG DI RSD MARDI WALUYO BLITAR

Christina Dewi, Hidayat Sujuti, Laily Yuliatun

Abstract


ABSTRAK
Cedera kepala merupakan salah satu masalah kesehatan yang dapat menyebabkan kematian dan gangguan fisik maupun mental yang kompleks. Pada pasien cedera kepala seringkali terjadi peningkatan suhu tubuh atau hipertermia. Tujuan penelitian ini adalah untuk mengetahui pengaruh suhu tubuh dalam memprediksi outcome pasien cedera kepala ringan sedang di RSD Mardi Waluyo Blitar. Penelitian ini merupakan penelitian kohort prospektifterhadap 68 pasien cedera kepala ringan sedang yang dirawat di RSD Mardi Waluyo Blitar pada bulan April sampai bulan Mei 2013. Pengukuran suhu tubuh dilakukan selama 48 jam dengan rentang waktu setiap 8 jam sekali di daerah aksila. Outcome pasien dinilai pada saat pasien akan keluar dari rumah sakit dengan menggunakan Glasgow Outcome Scale (GOS) dan Disability Rating Scale (DRS). Data dianalisis menggunakan chi-square untuk mengukur hubungan dan resiko relatifantara suhu tubuh dengan outcome. Kurva ROC untuk menentukan cut off point suhu tubuh terhadap outcome dengan batas kebermaknaan kurva ROC = 0.7. Pada penelitian ini didapatkan 36 orang cedera kepala ringan dan 32 orang cedera kepala sedang. Secara statistik terdapat hubungan yang bermakna antara suhu tubuh dengan outcome pasien cedera kepala (p <0,05). Suhu tubuh dapat digunakan sebagai prediktor outcome pasien cedera kepala ringan sedang di RSD Mardi Waluyo Blitar.

 

Kata-kata kunci : cedera kepala, disability rating scale, Glasgow Outcome Scale outcome, suhu tubuh.

 

ABSTRACT
Head injury is the main cause of mortality and physical or
mentally problem. Hyperthermia is commonly experienced by the head injury patients. The purpose of this study was to determine of body temperature to predict outcomes in mild-moderate head injury patients at RSD Mardi Waluyo Blitar. This study was a prospective study on 68 mild-moderate head injury patients at RSD Mardi Waluyo Blitar, April until May 2013. Body temperature was Assesment in every 8 hours until 48 hours by axilla temperature. To determine outcome, Glasgow Outcome Scale (GOS) and Disability Rating Scale (DRS) was used when the patients was discharged from the hospital. ROC was used to determine cut off point body temperature that can influence outcome, statistical significance was accepted at ROC > 0, 7. This study consisted of 35 mild head injury patients and 32 moderate head injury patients. Body temperature has a significant correlation with outcome head injury patients (p < 0, 05). Body temperature can be used a predictor of outcome in mild-moderate head injuypatients at RSD Mardi Waluyo Blitar.

Keywords : body temperature, DisabilityRatingScale, Glasgow Outcome Scale, head injury, outcomes.


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DOI: http://dx.doi.org/10.20527/dk.v1i2.3174

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