Ginting, Boni Aditia and Budiono, B. Parish (2021) HUBUNGAN APACHE II SCORE TERHADAP MORTALITAS DAN LAMA PERAWATAN PASIEN PERITONITIS GENERALISATA DI RUMAH SAKIT DOKTER KARIADI PRIODE OKTOBER 2019 SAMPAI OKTOBER 2021. Masters thesis, Universitas Diponegoro.

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Abstract

Latar belakang. Peritonitis adalah kegawatan abdomen yang paling sering terjadi. Peritontis dapat menyebabkan sepsis dan syok sepsis yang dapat berakibatkan pada kematian. Kegalan organ yang ditandai dari kekacauan fisiologi tubuh dapat menjadi prediksi mortalitas. Banyak metode scoring yang dipakai sebagai prognostik dan mengambil keputusan tindakan pembedahaan. salah satu metode yang dipakai adalah acute physiology and chronic health evaluation score (APACHE II). APACHE II score menilai perubahan fungsi fisiologi tubuh melalui beberapa item penilaian, perubahan yang terjadi akan dikalkulasikan dalam nilai angka. Penelitian mengenai bagaimana peran APACHE II score terhadap mortalitas dan lama perawatan belum pernah dilakukan bersamaan di RSUP dr.Kariadi, diharpakan hasil penelitian ini nanti akan menjadi tambahan referensi untuk meningkatkan penanganan peritonitis di RSUP dr.Kariadi
Tujuan penelitian. Penelitian ini bertujuan membuktikan hubungan antara APACHE II score terhadap mortalitas dan lama perawatan pasien peritonitis di RSUP RSUP dr. Kariadi semarang
Metode. Penelitian retrospektif yang mengikutsertakan pasien peritonitis akibat perforasi hollow viskus sesuai dengan kriteria inklusi di RSUP dr. Kariadi Semarang periode Oktober
2019 hingga oktober 2021 dan menilai hubungan APACHE II score dengan mortalitas dan lama perawatan
Hasil: Hasil uji korelasi spearman didapatkan hubungan yang bermakna antara APACHE II score dan mortalitas dengan p= 0,002, dan tidak didapatkan hubungan yang bermakna antara APACHE II score dengan lama perawatan, p= 0,146
Kesimpulan: Nilai APACHE II score memberikan gambaran mortalitas namun tidak menggambarkan lama perawatan yang akan dijalani.
Kata Kunci: Peritonitis, APACHE II score, Mortalitas, Lama perawatan
 
ABSTRACT
Background. Peritonitis generalisata is surgical emergency. Sepsis and septic shock are serious complication that contribute to increase mortality. Organ failure is predictor of mortality. There are many methodes used as prognostic tool and sometime for decision operative management. Acute physiology and chronic health evaluation score (APACHE II) is the most popular tool used as prognostic peritonitis event. APACHE II score calculate physiological derangement and outcome is score. Study of APACHE II as prognostic to mortality and length of stay in Kariadi Hospital is never done before. This study will focused to explain how APCHE II score corelate to mortaliy and length of stay, in future we hope result of study will contribute to management of peritonitis.
Aim. This study aims to determine the relationship between APACHE II Score to Mortality and length of stay in peritonitis generalisata cases
Method. A Retrospective study included patients of peritonitis generalisata caused by perforation intraabdominal organ in dr. Kariadi Hospital period October 2019 – October 2021. We assess APACHE II score, mortality and length of stay.
Result. Spearmen study Corelation of APACHE II score with mortality is p = 0,002. Conversely to corelation APACHE II score to length of stay is p=0,146
Conclusion. APACHE II score can used as prognostic mortality in peritonitis patient but not for length of stay

Key word: Peritonitis, APACHE II score, Mortality, Length of stay

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