Korelasi Skor Glasgow Coma Scale (GCS) pada Cedera Otak Traumatik Berat dengan Kejadian dan Derajat Acute Respiratory Distress Syndrome (ARDS)

Abstract

Acute respiratory distress syndrome (ARDS) merupakan salah satu komplikasi dari cedera otak traumatik (COT) berat, dapat disebabkan karena neurogenic pulmonary edema (NPE), pneumonia, aspirasi, dan emboli paru. Penelitian ini untuk mengetahui korelasi skor GCS pada cedera otak traumatik berat dengan kejadian dan derajat ARDS. Penelitian observasional prospektif cross sectional pada 32 orang pasien COT derajat berat di rumah sakit Dr. Hasan Sadikin Bandung sejak Mei 2015 sampai September 2015. Pengambilan data dilakukan secara consecutive sampling. Parameter yang dicatat dalam penelitian ini antara lain usia, jenis kelamin, berat badan, GCS, rentang waktu, diagnosis, kejadian ARDS, dan derajat ARDS. Analisis korelasi linear dua variabel dihitung berdasarkan analisis korelasi Spearman dan korelasi ETA. Hasil penelitian menunjukkan adanya korelasi antara skor GCS pada COT berat dengan kejadian ARDS dengan kekuatan korelasi searah, moderat, (r=0,402), bermakna (p<0.05) dan derajat beratnya ARDS dengan kekuatan korelasi searah, kecil (r=0,389), bermakna (p<0,05). Simpulan dari penelitian ini adalah semakin rendah skor GCS pada COT berat maka akan semakin besar kejadian ARDS dan semakin berat derajat ARDS.

Correlation Glasgow Coma Scale (GCS) Score on Severe Head Injury with the Insidence and Degree of Acute Respiratory Distress Syndrome (ARDS)

Acute respiratory distress syndrome (ARDS) is one of the complications of severe traumatic brain injury (TBI), it can be caused by neurogenic pulmonary edema (NPE), pneumonia, aspiration, and pulmonary embolism. This study was determine the correlation glasgow coma scale score on severe head injury with insidence and degree of acute respiratory distress syndrome. This study was using prospective observational cross-sectional method in 32 patients with severe TBI at Dr. Hasan Sadikin General Hospital Bandung on May 2015 untill September 2015. Data collection was performed by consecutive sampling. Parameters were recorded in this study include age, gender, weight, GCS, time scales, diagnosis, incidence and degrees of ARDS. Linear correlation analysis was calculated based on two variables Spearman correlation analysis and correlation ETA. The results showed a correlation between GCS score on severe COT with the incidence of ARDS with the strength of the correlation moderate (r=0.402), significantly (p<0.05), one direction and degrees of ARDS with the strength of the correlation small (r=0.389), significantly (p<0.05), one direction. The conclusions of this study is the lower the GCS score on severe COT will lead to greater the incidence and the degree of ARDS.