Oxygen Saturation Sebagai Prediktor Mortality Klien Cedera Kepala  Yang Lebih Baik Dari Respiratory Rate

Riki Ristanto; Amin Zakaria

doi:10.33366/jc.v7i1.1086

Oxygen Saturation Sebagai Prediktor Mortality Klien Cedera Kepala Yang Lebih Baik Dari Respiratory Rate

Riki Ristanto, Amin Zakaria

Abstract

The Revised Trauma Score (RTS) is a predictor of moderate mortality in head injury clients. To increase it by changing the respiratory rate (RR) component in RTS with other respiration components that have the potential to have a higher correlation to the mortality of head injury clients. The aim of this study was to analyze differences in RR accuracy and oxygen saturation (SpO2) as predictors of mortality in head injury clients. This study is an observational analytic study with a cohort retrospective study approach, conducted at the hospital. Dr. Iskak Tulungagung. The population is a head injury client medical record for the period January to December 2017, with a purposive sampling technique which obtained a sample of 150 respondents. Data analysis using the Mann-Whitney test, logistic regression, and ROC Curve comparison. The results, the variables RR and SpO2 have a significant relationship with the mortality of head injury clients(p value = 0.000). Logistic regression test results, RR equation has sensitivity = 0.792 (79.2%), specificity= 0.7333 (73.33%), Positive Predictive Value (PPV) = 0.922 (92.2%), and Negative Predictive Value (NPV) = 0.468 (46.8 %). The SpO2 equation has sensitivity = 0.907 (90.7%), specificity = 0.881 (88.1%), PPV= 0.951 (95.1%), and NPV = 0.787 (78.7%). The results of a comparison analysis of the ROC curve, concluded that ROC SpO2 (AUC = 0.930) was better than ROC RR (AUC = 0.729). Oxygen saturation is a better predictor of mortality of head injury clients than RR.

Keywords

Accuracy; Client Head Injury; Mortality; RR; SpO2

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References

Bouzat, Pierre, Legrand, Robin, Gillois, Pierre, Ageron, François-Xavier, Brun, Julien, Savary, Dominique, Payen, Jean-François. (2015). Prediction of intra-hospital mortality after severe trauma: which pre-hospital score is the most accurate? Injury. doi: http://dx.doi.org/10.1016/j.injury.2015.10.035

Champion, H. R., Sacco, W. J., Copes, W. S., Gann, D. S., Gennarelli, T. A., Flanagan, M. E. (1989). A revision of the trauma score. J Trauma. 29:623–9.

Irawan H., Setiawan F., Dewi, Dewanto G. (2010). Perbandingan glasgow coma scale dan revised trauma score dalam memprediksi disabilitas klien trauma kepala di RS. Atma Jaya. Majalah Kedokteran Indonesia. Vol. 60. No. 10.

Kondo, Y., Abe, T., Kohshi, K., Tokuda, Y., Cook, E.F. and Kukita, I. (2011). Revised trauma scoring system to predict In hospital mortality in the emergency department: Glasgow Coma Scale, Age, and systolic blood pressure score. Critical Care, 15: R191.

Laytin, Adam D., Kumar, Vineet, Juillard, Catherine J., Sarang, Bhakti, Lashoher, Angela, Roy, Nobhojit, & Dicker, Rochelle A. (2015). Choice of injury scoring system in low- and middle-income countries: Lessons from Mumbai. Injury, 46(12), 2491-2497. doi: http://dx.doi.org/10.1016/j.injury.2015.06.029

McMullan, J., Rodrigues, D., Hart, K. W., Lindsell, C. J., Voderschmidt, K., Wayne, B., Branson, R. (2013). Prevalence of prehospital hypoxemia and oxygen use in trauma patients. Military Medicine. 178(10): 5.

Merenstein, G. B., & Gardner, S. L. (2002). Hanbook of nenonatal intensive care. Missouri: Mosby, Inc.

Rapsang, Amy Grace, & Shyam, Devajit Chowlek. (2015). Scoring Systems of Severity in Patients with Multiple Trauma. Cirugía Española (English Edition), 93(4), 213-221. doi: http://dx.doi.org/10.1016/j.cireng.2013.12.031

Roorda, J., van Beeck, E. F., Stapert, J. W. J. L., & ten Wolde, W. (1996). Evaluating performance of the Revised Trauma Score as a triage instrument in the prehospital setting. Injury, 27(3), 163-167. doi: http://dx.doi.org/10.1016/0020-1383(95)00218-9

Sharf, M.S., El-Gebali, M.A. (2013). Correlation between glasgow coma scale and jugular venous oxygen saturation in severe traumatic brain injury. Egyptian Journal of Anaesthesia. 29, 267-272. http://dx.doi.org/10.1016/j.egja.2013.02.008.

Sittichanbuncha, Y., Savatmongkorngul, S., Jawroongrit, P., Sawanyawisuth, K. (2015). Low oxygen saturation is associated with pre-hospital mortality among non-traumatic patient using emergency medical service: A national database of Thailand. Turkish Journal of Emergency Medicine. 30, 1-3. http://dx.doi.org/10.1016/j.tjem.2015.11.003.

Silvestri, Linda Anne. (2011). Saunders Comprehensive Review For The NCLEX-RN Examinatioan. US: Elsevier Inc.

Warfield, C.A., Bajwa, Z.H. (2004). Principles and practice of pain medicine. 2nd ed. US: McGraw-Hill.

Werner, C., & Engelhard. (2007). Pathophysiology of traumatic brain injury. British Journal of Anaesthesia, 99(1), 4-9. doi: 10.1093/bja/aem131.

DOI: https://doi.org/10.33366/jc.v7i1.1086

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