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Kadar base excess (be) sebagai prediktor prognosis pada pasien multipel trauma di rumah sakit umum pusat Prof. Dr. I. G. N. G Ngoerah Bali

  • Angga Prawira Purwanto ,
  • I Gede Suwedagatha ,
  • I Ketut Sudartana ,

Abstract

Background: Multiple trauma is a condition where a person experiences severe injuries involving two or more organ structures or certain body regions. Based on the Injury Severity Score (ISS), a condition is classified as multiple trauma if it has a score of more than 16 points. In general, multiple trauma conditions cause damage to human tissue and are one of the main causes of death and disability in the world. Base excess BE is a predictor of mortality and can be a marker that can assess adequate resuscitation in multiple trauma patients. Hospitals that provide good care for trauma patients are associated with a good prognosis and low mortality

Method: This is an analytical observational study with a retrospective cohort design in multi-trauma patients at RSUP Prof. Dr. I.G.N.G Ngoerah.

Results: Multiple trauma patients with BE ≤-6 and BE >-6 were male patients with the number of patients being 29 and 23, respectively. The results of the analysis in the study showed that there was a significant relationship between the base excess (BE) variable and the incidence of patient mortality (p<0.001).

Conclusion: Base Excess (BE) in this study can be used as an indicator in determining the mortality of multiple trauma patients, so this examination should be applied in the emergency department of Prof. Hospital. Dr. I.G.N.G Ngoerah.

 

Latar belakang: Multipel trauma merupakan kondisi dimana seseorang mengalami cedera parah yang melibatkan dua atau lebih struktur organ maupun regio tubuh tertentu. Berdasarkan jumlah Injury Severity Score (ISS), kondisi digolongkan sebagai multipel trauma apabila memiliki skor lebih dari 16 poin. Secara umum, kondisi multiple trauma menimbulkan terjadinya kerusakan jaringan manusia dan merupakan salah satu penyebab utama kematian dan kecacatan di dunia. Base excess BE merupakan prediktor mortalitas dan dapat menjadi suatu marker yang dapat menilai resusitasi yang adekuat pada pasien multipel trauma. Rumah sakit yang memberikan pelayanan pasien trauma yang baik diasosiasikan dengan prognosis yang baik dan mortalitas yang rendah

Metodole: ini merupakan penelitian observasional analitik dengan rancangan yang digunakan kohort retrospektif pada pasien multitrauma di RSUP Prof. Dr. I.G.N.G Ngoerah.

Hasil: Didaptkan pasien multiple trauma dengan nilai BE ≤-6 dan BE >-6 merupakan pasien laki-laki dengan jumlah pasien berturut-turut adalah 29 orang dan 23 orang. Hasil analisis pada penelitian diperoleh adanya hubungan yang bermakna pada variabel base excess (BE) dengan kejadian mortalitas pasien (p<0,001).

Kesimpulan: Base Excess (BE) pada penelitian ini dapat dijadikan sebagai indikator dalam menentukan mortalitas pasien multiple trauma, maka sebaiknya pemeriksaan ini dapat diterapkan di instalasi gawat darurat RSUP Prof. Dr. I.G.N.G Ngoerah.

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How to Cite

Purwanto, A. P., Suwedagatha, I. G. ., & Sudartana, I. K. . (2023). Kadar base excess (be) sebagai prediktor prognosis pada pasien multipel trauma di rumah sakit umum pusat Prof. Dr. I. G. N. G Ngoerah Bali. Intisari Sains Medis, 14(3), 1299–1306. https://doi.org/10.15562/ism.v14i3.1859

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Angga Prawira Purwanto
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I Gede Suwedagatha
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I Ketut Sudartana
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