Hubungan antara Skor GCS dengan Skor NRS PTH Akut pada Pasien COT di RSUD Ulin Banjarmasin

Ilma Fi Ahsani Nur Alaina, Kenanga M. Sikumbang, Asnawati Asnawati

Abstract


Latar Belakang dan Tujuan: Cedera otak traumatik (COT) dapat dinilai menggunakan skor Glasgow Coma Scale (GCS). Adanya mekanisme cedera sekunder yang berkembang dalam beberapa hari menjadi faktor pencetus munculnya keluhan Post Traumatic Headache (PTH) akut. Keparahan nyeri yang dikeluhkan pada pasien PTH dapat dinilai berdasarkan skor Numeric Rating Scale (NRS). Tujuan penelitian ini untuk mengetahui apakah terdapat hubungan antara skor GCS dengan skor NRS PTH akut pada pasien COT di RSUD Ulin Banjarmasin
Subjek dan Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional dengan 40 sampel diperoleh secara consecutive sampling dan sebanyak 36 pasien (90%) mengeluhkan PTH akut. Analisis data penelitian ini menggunakan uji one-way anova.
Hasil: Hasil penelitian menunjukkan nilai p=0,558 pada pasien COT yang dilakukan tataksana operatif dan p=0,732 pada tatalaksana konservatif.
Simpulan: Dapat disimpulkan bahwa tidak terdapat hubungan antara skor GCS dengan skor NRS PTH akut pada pasien COT di RSUD Ulin Banjarmasin.

Associations between GCS Score and NRS Score of Acute PTH in TBI Patients at Ulin General Hospital Banjarmasin

Abstract

Background and Objective: Traumatic brain injury (TBI) is an alteration in brain function caused by external physical forces that its severity can be assessed using the Glasgow Coma Scale (GCS) score. The secondary injury can develop in a few days and may trigger the appearance of acute Post Traumatic Headache (PTH). The severity of PTH can be assessed using the Numeric Rating Scale (NRS) score. The purpose of this study was to determine whether there is an association between GCS score and NRS score of acute PTH in TBI patients at Ulin General Hospital Banjarmasin.
Subject and Methods: This study used an analytic observational method with cross sectional approach. A total of 40 samples were obtained with a distribution of 36 patients (90%) complained acute PTH.
Results: Data analysis in this study using the one-way anova test showed p value = 0,558 on patients with operative management and p value = 0,732 on conservative management.
Conclusion: It can be concluded that there is no association between GCS score with NRS score of acute PTH in TBI patients at Ulin General Hospital Banjarmasin.


Keywords


cedera otak traumatik, skor GCS, post traumatic headache, skor NRS, traumatic brain injury, GCS score, post traumatic headache, NRS score

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References


Monsef Kasmei V, Asadi P, Zohrevandi B, Raouf MT. An epidemiologic study of traumatic brain injuries in emergency department. Emerg. 2015;3:141–5.

Kementerian Kesehatan Republik Indonesia. Hasil Riskesdas 2018. November 2018.

Faul M, Xu L, Wald M C V. Traumatic brain injury in the United States: Emergency department visits, hospitalizations, and deaths. Atlanta: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010.

U.S. Department of Defense. DoD numbers for traumatic brain injury. [Internet]. 2014 [cited 2019 Apr 3]. Available from: http://dvbic.dcoe.mil/sites/default/files/uploads/%0AWorldwide Totals 2000-2014Q1.pdf.

Seifert TD, Evans RW. Posttraumatic headache: A review. Curr Pain Headache Rep. 2010;14(4):292–8.

Hoffman JM, Lucas S, Dikmen S, Braden CA, Brown AW, Brunner R, et al. Natural history of headache following traumatic brain injury. J Neurotrauma. 2011;9:1719–25.

Lucas S, Hoffman JM, Bell KR, Dikmen S. A prospective study of prevalence and characterization of headache following mild traumatic brain injury. Cephalalgia. 2014;34(2):93–102.

Lucas S, Hoffman JM, Bell KR, Walker W, Dikmen S. Characterization of headache after traumatic brain injury. 2012;32(8):600–6.

International Classification of Headache 3rd Edition. Headache atributed to trauma or injury to the head/or neck. 2018 Jan 5 [cited 2018 Dec 23]. Available from: https://www.ichd-3.org/5-headache-attributed-to-trauma-or-injury-to-the-head-andor-neck/.

Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF. Arthritis Care Res. 2011;63(SUPPL. 11):240–52.

Putra MB. Karakteristik pasien cedera kepala di Rumah Sakit Umum Daerah (RSUD) Umbu Rara Meha Waingapu periode 1 Januari 2017-31 Desember 2018. Intisari Sains Medis. 2019;10(2):511–5.

Hurlock E. Psikologi perkembangan: suatu pendekatan sepanjang rentang kehidupan. 5th Ed. Jakarta; 2001.

Servadei F. The role of surgery in traumatic brain injury. Curr Opin Crit Care. 2007;13(2):163–8.

Wijaya JA. Gambaran karakteristik pasien cedera kepala di Instalasi Gawat Darurat (IGD) RSUD Panembahan Senopati Bantul. [skripsi]. [Yogyakarta]. STIKES Jenderal Achmad Yani; 2014.

Fadli R. Karakteristik Pasien Cedera Kepala Akibat Kecelakaan Lalu Lintas di Rumah Sakit Umum Pusat Haji Adam Malik Tahun 2015. [skripsi]. [Medan]. Universitas Sumatera Utara; 2016.

Perhimpunan Spesialis Bedah Saraf Indonesia. Pedoman Nasional Pelayanan Kedokteran (PNPK) Bedah Saraf. Yogyakarta; 2016.

Rawis ML, Lalenoh DC, Kumaat LT. Profil pasien cedera kepala sedang dan berat yang dirawat di ICU dan HCU. e-CliniC. 2016;4(2).

Chandra C, Tjitrosantoso H, Lolo WA. Studi Penggunaan obat analgesik pada pasien cedera kepala (concussion) di RSUP Prof. Dr. R.D. Kandou. Pharmacon. 2016;5(2):197–204.

Marino PL. Marino’s the ICU book. Lippincott Williams & Wilkins; 2013.

Halimi RA, Fuadi I, Bisri T. Korelasi antara tipe hematoma intrakranial dengan kejadian dan beratnya Post Traumatic Headache (PTH). JNI 2015;4(1):01–7.




DOI: https://doi.org/10.24244/jni.v9i3.265

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