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01 September 2012 oleh , ; ;
JRK ISSN: 2252-5068, Vol. 1, No. 3, September 2012

Prediktor Mortalitas Penderita Cedera Kepala Berat Di Instalasi Gawat Darurat RSU Tugurejo Semarang

The incidents of brain traumatic injury increase globally, most of them caused by the utilitized of motor vehicles, especially in countries with low and midlle outcome (Maas, Stocchetti, & Bullock, 2008). In 2010 it was recorded that there were 1153 patients suffering from brain traumatic injury caused by traffic incident and fall, who admitted at emergency department of Tugurejo General Hospital Semarang, 43 patients suffering from severe head injury and 28 people of them dead resulted from midlle and severe head injury.

This research is a descriptive correlation study with cross sectional design to search the relation factors affecting mortality among severe head injury patients. Data of the study was collected from medical record of patients suffering from severe head injury who admitted at energency department of Tugurejo general hospital Semarang during Nopember 2010 until Oktober 2011. From 57 respondents, 19 people passed away during obtaining treatment at emergency department. There were three factors related to mortality of severe head injury patients. Theese were blood pressure on emergency department (ED) admission (p = 0,000), GCS on admission (p = 0,000), and Injury Severity Score (ISS) (p = 0,000). The logistic regression biner resulted that there were no dominant factors related to mortality of severe head injury patients (p>0,05). The odd ration of blood pressure variable is the hightes (0,688) compare to other variables such as GCS (OR = 0,281) and ISS (0,594).

It is suggested that factors related to the mortality of patients with severe head injury such as blood pressure, GCS, and ISS on ED admission can be used as predictor factors that affects the outcomes of patients suffering from head severe injury. More over, these predictor factors can be used to get more attention during the treatment of severe head injury patient at ED with regard to reduce and prevent the risk of dead.

 

Key Word: Factors affecting mortality, Severe Head Injury