Perbandingan Nilai Prediktor R - Baux Score dan BOBI Score serta Analisis Variabelnya sebagai Prediktor Mortalitas Pasien Luka Bakar di RSUP Dr. M. Djamil Padang

Azdiana, Fitri (2018) Perbandingan Nilai Prediktor R - Baux Score dan BOBI Score serta Analisis Variabelnya sebagai Prediktor Mortalitas Pasien Luka Bakar di RSUP Dr. M. Djamil Padang. Masters thesis, universitas andalas.

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Abstract

Latar Belakang dan tujuan: Luka bakar merupakan suatu jenis trauma dengan morbiditas dan mortalitas tinggi. Sampai sekarang belum ada sistem skoring terbaik untuk memprediksi mortalitas luka bakar. Penelitian ini bertujuan membandingkan akurasi R- Baux score dan BOBI score dalam memprediksi mortalitas pasien luka bakar di RSUP Dr. M. Djamil Padang. Metode: Penelitian ini menggunakan desain studi retrospektif pada semua pasien yang dirawat di Unit Luka Bakar RSUP Dr. M. Djamil Padang bulan Januari 2013 sampai September 2017. Data diolah dan dianalisis dengan membandingkan dengan nilai real, menilai kesesuaian dengan uji kappa, menguji diagnostik dan menguji regresi logistik variabel-variabel prediktor. Hasil: Jumlah sampel 394 sampel. Sampel terbanyak adalah laki-laki 262 sampel (66,5%), rerata umur adalah 28,3 ± 18,3 tahun, penyebab luka bakar terbanyak adalah api sebanyak 222 sampel (56,3%), rerata Total Body Surface Area (TBSA) 26,1%, trauma inhalasi sebanyak 201 sampel (51%), dan angka mortalitas 26,4%. Median R-Baux score 58,5 dan median BOBI score 3,0. BOBI score memiliki sensitivitas lebih tinggi dibandingkan dengan R-Baux score yaitu 96,83% : 92,89% dengan koefisien Kappa 0,50. Analisis regresi logistik menunjukkan variabel umur, TBSA, dan trauma inhalasi berhubungan secara signifikan pada prediktor mortalitas R-Baux score. Kesimpulan: BOBI score menunjukkan akurasi yang lebih baik dari R-Baux score setelah dibandingkan dengan nilai real. Kata kunci: Luka bakar, R-Baux score, BOBI score, Mortalitas 1Pendidikan Dokter Spesialis Ilmu Bedah Fakultas Kedokteran Universitas Andalas, 2Bagian Bedah Divisi Bedah Plastik & Rekonstruksi Fakultas Kedokteran Universitas Andalas/RSUP Dr. M. Djamil Padang, 3Bagian Mikrobiologi Fakultas Kedokteran Andalas ABSTRACT COMPARISON BETWEEN R-BAUX SCORE AND BOBI SCORE AND ITS VARIABLE ANALYSIS AS A PREDICTOR OF BURN MORTALITY IN DR. M. DJAMIL HOSPITAL PADANG Azdiana Fitri,1 Deddy Saputra2, Andani Eka Putra3 Abstract Background and purpose: Burns are a type of trauma with high morbidity and mortality. There is nothing yet the best objective scoring system to predict mortality in burns.This study aims to compare the accuracy of R-Baux score and BOBI score to predict mortality of burn patients in Dr. M. Djamil Hospital Padang. Methods: This research is a retrospective study design to all burn patients treated in burn unit from January 2013 to September 2017. This research processed and analyzed by comparing with real values, assessing kappa tests, diagnostic tests dan logistic regression test. Result: Out of 394 samples enrolled. Most of men 262 samples (66,5%), mean age was 28,3 ± 18,3 years old, cause of burns was fire 222 samples (56,3%), mean TBSA was 26,1%, inhalation injury was 201 samples (51%), and overall mortality was 26,4%. Median of R-Baux score was 58,5 dan median of BOBI score was 3,0. BOBI score shows higher sensitivity than R-Baux score, there was 96,83% : 92,89% with coeffisien’s Kappa 0,50. Logistic regression test shows that age, TBSA dan inhalation injury were significantly correlated with R-Baux score as a mortality predictor. Conclusion: BOBI score shows better accuracy than R-Baux score after being compared with real value. Keywords: Burns, R-Baux Score, BOBI Score 1General Surgery Resident of Andalas University/ Dr. M. Djamil Hospital Padang, 2Departement of Plastic & Reconstructive Surgery, Andalas University/ Dr. M. Djamil Hospital Padang, 3Departement of Microbiology, Andalas University

Item Type: Thesis (Masters)
Primary Supervisor: dr. Deddy Saputra, Sp. BP - RE
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
Divisions: Pascasarjana (Tesis)
Depositing User: s2 Program Pendidikan Dokter Spesialis
Date Deposited: 16 Jul 2018 10:55
Last Modified: 16 Jul 2018 10:55
URI: http://scholar.unand.ac.id/id/eprint/35040

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