Ristanto, Riki and Zakaria, Amin (2018) AKURASI OXYGEN SATURATION (SPO2) SEBAGAI PREDIKTOR MORTALITY PADA KLIEN CEDERA KEPALA. Jurnal .Kesehatan Mesencephalon, 4 (2). pp. 94-98. ISSN 2252-5637; E-ISSN:2528-2603
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Abstract
Abstract : Cerebral hypoxia is secondary injury which affects the mortality of clients with Trauma Brain Injury (TBI). One component of respiration that can be used to monitor the occurrence of cerebral hypoxia is oxygen saturation (SpO2). The purpose of this study was to analyze the accuracy of oxygen saturation as a predictor of mortality in head injury clients. This study is an analytic observational with retrospective cohort design. The population is all head injury medical records from January to December 2017 at the hospital. dr. Iskak Tulungagung. A total of 150 samples were selected according to inclusion and exclusion criteria. The dependent variable in this study was the mortality of the head injury client in seven days of treatment and the independent variable was the value of SpO2 in the ED triage data in the client's medical record. The results of the Mann-Whitney test analysis showed that the SpO2 variable had a significant relationship with the mortality of the head injury client (p value = 0.000). Logistic regression test shows that the SpO2 has sensitivity = 0.907 (90.7%), specificity = 0.881 (88.1%), Positive Predictive Value (PPV) = 0.951 (95.1%), and Negative Predictive Value (NPV) = 0.787 (78.7%) with predictive accuracy capability = 90%. Oxygen Saturation is an accurate predictor (90% accuracy) of the mortality of the head injury client . Keywords : Mortality, Client Head Injury, Accuracy, Oxygen Saturation. Abstrak : Hipoksia cerebral adalah secondary injury yang berdampak pada mortality klien dengan Trauma Brain Injury (TBI). Salah satu komponen respirasi yang dapat digunakan untuk memantau terjadinya Hipoksia cerebral adalah oxygen saturation (SpO2). Tujuan penelitian ini adalah untuk menganalisis akurasi oxygen saturation sebagai prediktor mortality pada klien cedera kepala. Penelitian ini adalah observasional analitik dengan desain cohort retrospektif. Populasinya adalah semua data rekam medis klien cedera kepala periode Januari hingga Desember 2017 di RS. dr. Iskak Tulungagung. Sejumlah 150 sampel dipilih sesuai dengan kriteria inklusi dan eksklusi. Variabel dependent dalam penelitian ini adalah mortality klien cedera kepala dalam tujuh hari perawatan dan variabel independentnya adalah nilai SpO2 pada data triage IGD. Hasil analisis Uji Mann-Whitney, menunjukkan bahwa variable SpO2 memiliki hubungan yang bermakna dengan mortality klien cedera kepala (p value = 0.000). Uji regresi logistik menunjukkan bahwa persamaan SpO2 memiliki sensitivity = 0.907 (90.7%), specificity = 0.881 (88.1%), Positive Predictive Value (PPV) = 0.951 (95.1%), dan Negative Predictive Value (NPV) = 0.787 (78.7%) dengan kemampuan ketepatan prediksi = 90%. Oxygen Saturation (SpO2) merupakan prediktor yang akurat (akurasi 90%) terhadap mortality klien cedera kepala. Kata Kunci : Mortality, Klien Cedera Kepala, Akurasi, Oxygen Saturation
| Item Type: | Article | ||||||||||||
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| Uncontrolled Keywords: | Mortality, Client Head Injury, Accuracy, Oxygen Saturation, Mortality, Klien Cedera Kepala, Akurasi, Oxygen Saturation | ||||||||||||
| Divisions: | Nursing Study Program | ||||||||||||
| Depositing User: | Yacobus Sudaryono | ||||||||||||
| Date Deposited: | 10 Dec 2019 00:54 | ||||||||||||
| Last Modified: | 04 Sep 2023 02:07 | ||||||||||||
| URI: | http://repository.itsk-soepraoen.ac.id/id/eprint/370 |
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