OUTCOME PADA PASIEN CEDERA KEPALA DI IGD RSUD DR. ZAINOEL ABIDIN BANDA ACEH

Penulis

  • Rizqia Geubrina Universitas Syah Kuala
  • Jufrizal Universitas Syah Kuala
  • Rudi Alfiandi Universitas Syah Kuala

DOI:

https://doi.org/10.31983/juk.v6i1.13282

Kata Kunci:

Cedera Kepala, Hasil, IGD

Abstrak

Cedera kepala atau Traumatic Brain Injury (TBI) merupakan cedera akibat benturan yang dapat menyebabkan kerusakan struktur dan fungsi otak. Di Aceh, prevalensinya mencapai 13,3% dari seluruh kasus cedera dan menjadi salah satu penyebab utama morbiditas serta mortalitas, sehingga memerlukan penanganan cepat dan tepat di IGD. Penelitian ini bertujuan untuk mengetahui outcome pasien cedera kepala di IGD RSUD dr. Zainoel Abidin tahun 2023. Metode yang digunakan adalah kuantitatif dengan desain observasional deskriptif terhadap 69 pasien menggunakan teknik total sampling. Hasil penelitian menunjukkan outcome pasien terdiri dari meninggal (2,9%), perawatan ICU (13,0%), operasi (15,9%), rawat inap (56,5%), dan pulang (11,6%). Kesimpulannya, mayoritas pasien menjalani rawat inap, sehingga diperlukan upaya peningkatan kualitas pelayanan untuk meningkatkan outcome pasien cedera kepala

Referensi

Al Saiegh, F., Philipp, L., Mouchtouris, N., Chalouhi, N., Khanna, O., Shah, S. O., & Jallo, J. (2020). Comparison of outcomes of severe traumatic brain injury in 36,929 patients treated with or without intracranial pressure monitoring in a mature trauma system. World Neurosurgery, 136, e535–e541. https://doi.org/https://doi.org/10.1016/j.wneu.2020.01.070

Ariaka, H., Kiryabwire, J., Hussein, S., Ogwal, A., Nkonge, E., & Oyania, F. (2020). A comparison of the predictive value of the Glasgow Coma Scale and the Kampala trauma score for mortality and length of hospital stay in head injury patients at a tertiary hospital in Uganda: a diagnostic prospective study. Surgery Research and Practice, 2020. https://doi.org/https://doi.org/10.1155/2020/1362741

Arifiannoor, R. T., Wahid, A., & Hafifah, I. (2018). Frekuensi Pernapasan Cepat Sebagai Prediktor Outcome Pasien Cedera Kepala. DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN; Vol 9, No 1 (2018): Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan. https://ojs.dinamikakesehatan.unism.ac.id/index.php/dksm/article/view/316

Bae, M. D. I.-S., Chun, M. D. H.-J., Yi, M. D. H.-J., & Choi, M. D. K.-S. (2020). Using components of the Glasgow coma scale and Rotterdam CT scores for mortality risk stratification in adult patients with traumatic brain injury: A preliminary study. Clinical Neurology and Neurosurgery, 188, 105599. https://doi.org/https://doi.org/10.1016/j.clineuro.2019.105599

Bonne, S., & Schuerer, D. J. E. (2013). Trauma in the older adult: epidemiology and evolving geriatric trauma principles. Clinics in Geriatric Medicine, 29(1), 137–150. https://doi.org/https://doi.org/10.1016/j.cger.2012.10.008

Dewan, M. C., Rattani, A., Gupta, S., Baticulon, R. E., Hung, Y.-C., Punchak, M., Agrawal, A., Adeleye, A. O., Shrime, M. G., & Rubiano, A. M. (2018). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery, 130(4), 1080–1097. https://doi.org/https://doi.org/10.3171/2017.10.JNS17352

Dunne, J., Quiñones-Ossa, G. A., Still, E. G., Suarez, M. N., González-Soto, J. A., Vera, D. S., & Rubiano, A. M. (2020). The epidemiology of traumatic brain injury due to traffic accidents in Latin America: a narrative review. Journal of Neurosciences in Rural Practice, 11(02), 287–290. https://doi.org/10.1055/s-0040-1709363

Eaton, J., Hanif, A. B., Grudziak, J., & Charles, A. (2017). Epidemiology, management, and functional outcomes of traumatic brain injury in Sub-Saharan Africa. World Neurosurgery, 108, 650–655. https://doi.org/DOI: 10.1016/j.wneu.2017.09.084

Elhaj, H., Achour, N., Tania, M. H., & Aciksari, K. (2023). A comparative study of supervised machine learning approaches to predict patient triage outcomes in hospital emergency departments. Array, 17, 100281. https://doi.org/https://doi.org/10.1016/j.array.2023.100281

Faqih, M. U., Ahsan, A., & Nasution, T. H. (2017). Analisis Faktor Yang Mempengaruhi Kemandirian Pada Pasien Cedera Kepala Yang Pernah Dirawat Di IGD RSUD DR. R. Koesma Tuban. Jurnal Ilmu Keperawatan Universitas Brawijaya, 5(1), 99667.

Fithrah, B. A., Oetoro, B. J., Umar, N., & Saleh, S. C. (2016). Perdarahan berulang pascakraniotomi pada pasien cedera kepala ringan. Jurnal Neuroanestesi Indonesia, 5(3), 173–179. https://doi.org/https://doi.org/10.24244/jni.fol5i3.72

Gunawan, M. F. B., Maliawan, S., Mahadewa, T. G. B., & Niryana, I. W. (2*022). Karakteristik klinis cedera kepala pada pediatri di RSUP Sanglah Denpasar tahun 2020. J Med Udayana, 11(5), 95–100. https://doi.org/doi:10.24843.MU.2022.V11.i5.P16

Hendrickson, C. M., Howard, B. M., Kornblith, L. Z., Conroy, A. S., Nelson, M. F., Zhuo, H., Liu, K. D., Manley, G. T., Matthay, M. A., & Calfee, C. S. (2016). The acute respiratory distress syndrome following isolated severe traumatic brain injury. Journal of Trauma and Acute Care Surgery, 80(6), 989–997. https://doi.org/DOI: 10.1097/TA.0000000000000982

Ho, C.-H., Liang, F.-W., Wang, J.-J., Chio, C.-C., & Kuo, J.-R. (2018). Impact of grouping complications on mortality in traumatic brain injury: A nationwide population-based study. PloS One, 13(1), e0190683. https://doi.org/https://doi.org/10.1371/journal.pone.0190683

Kowalski, R. G., Hammond, F. M., Weintraub, A. H., Nakase-Richardson, R., Zafonte, R. D., Whyte, J., & Giacino, J. T. (2021). Recovery of consciousness and functional outcome in moderate and severe traumatic brain injury. JAMA Neurology, 78(5), 548–557. https://doi.org/10.1001/jamaneurol.2021.0084

Lelubre, C., Bouzat, P., Crippa, I. A., & Taccone, F. S. (2016). Anemia management after acute brain injury. Critical Care, 20, 1–11. https://doi.org/https://doi.org/10.1186/s13054-016-1321-6

Levin, S., Toerper, M., Hamrock, E., Hinson, J. S., Barnes, S., Gardner, H., Dugas, A., Linton, B., Kirsch, T., & Kelen, G. (2018). Machine-learning-based electronic triage more accurately differentiates patients with respect to clinical outcomes compared with the emergency severity index. Annals of Emergency Medicine, 71(5), 565–574. https://doi.org/https://doi.org/10.1016/j.annemergmed.2017.08.005

Marbun, N. A. S., Kep, M., Sinuraya, N. E., Amila, N., Kep, M., Kep, S., Simanjuntak, N. G. V., & Kep, M. (2020). Manajemen Cedera Kepala. Ahlimedia Book.

Miller, R. T., Nazir, N., McDonald, T., & Cannon, C. M. (2017). The modified rapid emergency medicine score: a novel trauma triage tool to predict in-hospital mortality. Injury, 48(9), 1870–1877. https://doi.org/https://doi.org/10.1016/j.injury.2017.04.048

Mkubwa, J. J., Bedada, A. G., & Esterhuizen, T. M. (2022). Traumatic brain injury: Association between the Glasgow Coma Scale score and intensive care unit mortality. Southern African Journal of Critical Care (Online), 38(2), 60–63. https://doi.org/http://dx.doi.org/10.7196/SAJCC.2022.v38i2.525

Padila, P. (2012). Buku Ajar Keperawatan Medikal Bedah. Yogyakarta: Nuha Medika.

Phi, L. T. H., Sari, I. N., Yang, Y.-G., Lee, S.-H., Jun, N., Kim, K. S., Lee, Y. K., & Kwon, H. Y. (2018). Cancer stem cells (CSCs) in drug resistance and their therapeutic implications in cancer treatment. Stem Cells International, 2018. https://doi.org/https://doi.org/10.1155/2018/5416923

Ristanto, R., Indra, M. R., Poeranto, S., & Rini, I. S. (2016). Akurasi revised trauma score sebagai prediktor mortality pasien cedera kepala. Jurnal Kesehatan Hesti Wira Sakti, 4(2), 76–90.

Sasmito, N. B., Wihastuti, T. A., & Kristianto, H. (2017). Analisis Faktor Yang Berhubungan Dengan Outcome Pasien Cedera Kepala Yang Dirujuk Di Igd Rsud Dr. Iskak Tulungagung Melalui Pendekatan Model Interpersonal Nursingheldegrad E. Peplau. Jurnal Kesehatan Mesencephalon, 3(2). https://doi.org/http://dx.doi.org/10.36053/mesencephalon.v3i2.41

Singleton, M. D. (2017). Differential protective effects of motorcycle helmets against head injury. Traffic Injury Prevention, 18(4), 387–392. https://doi.org/https://doi.org/10.1080/15389588.2016.1211271

Suwaryo, P. A. W., Wihastuti, T. A., & Fathoni, M. (2016). Analisis faktor-faktor yang berhubungan dengan outcome pasien cedera kepala di IGD RSUD Prof. Dr. Margono Soekardjo Purwokerto. Jurnal Ilmiah Kesehatan Keperawatan, 12(3). https://doi.org/https://doi.org/10.26753/jikk.v12i3.164

Syarif, H., & Nadila, N. (2021). GLASSGOW COMA SCALE AND OUTCOME ON HEAD INJURY PATIENTS IN EMERGENCY ROOM AT GENERAL HOSPITAL OF PEMERINTAH ACEH. Jurnal Keperawatan Respati Yogyakarta; Vol 8 No 1 (2021): JANUARY 2021. https://doi.org/10.35842/jkry.v8i1.587

Turner, G. M., McMullan, C., Aiyegbusi, O. L., Bem, D., Marshall, T., Calvert, M., Mant, J., & Belli, A. (2021). Stroke risk following traumatic brain injury: Systematic review and meta-analysis. International Journal of Stroke, 16(4), 370–384. https://doi.org/https://doi.org/10.1177/17474930211004277

Diterbitkan

2026-04-02

Cara Mengutip

Geubrina, R., Jufrizal, & Rudi Alfiandi. (2026). OUTCOME PADA PASIEN CEDERA KEPALA DI IGD RSUD DR. ZAINOEL ABIDIN BANDA ACEH. Juru Rawat. Jurnal Update Keperawatan, 6(1), 321–328. https://doi.org/10.31983/juk.v6i1.13282

Terbitan

Bagian

Articles