Revised Trauma Score (RTS) as a Mortality Predictor for Heavy Head Injury Patients (in IGD) PKU Muhammadiyah Gombong Hospital

Isma Yuniar, Evi Suwarsih, Endah Setianingsih
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Abstract

. The phenomenon of high head injury and a large mortality rate is in the spotlight. Knowing the prognosis of head injury by conducting an initial assessment or accurate system scoring is very important to know the progress, worsening of the patient's condition. The Revised Trauma Score (RTS) is a trauma scoring system that assesses physiological functions capable of predicting the death of head injury patients. PKU Gombong Hospital in identifying trauma patients has not used trauma scoring specifically for trauma. Analyzing and identifying using only the observation sheet has not been able to show the severity of the injured or traumatized patient. The purpose of this study was to determine whether RTS was effectively used to predict mortality in severe head injury patients. This research method is a type of descriptive correlation research using a retrospective cohort study approach by taking medical record data from 2015 to 2019. Retrieval of data using observation sheets was carried out on April 20, 2020, at PKU Muhammadiyah Gombong Hospital. The study sample consisted of 87 patients with severe head injury according to the inclusion and exclusion criteria. Test Results of the 'Statistics Test' known as Asymp.Sig. (2-tailed) on the Fisher's Exact Test of (0.683> 0.05). Thus the Revised Trauma Score (RTS) statistical test is not effective against the Predictors of death in severe head injury patients at PKU Muhammadiyah Gombong Hospital. Recommendations Researchers can then add nursing and medical interventions as other considerations. study was used to determine the effectiveness of RTS on the predictors of mortality in severe head injury patients using Chi-Square test analysis.
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修订创伤评分(RTS)作为重型颅脑损伤患者(IGD)的死亡率预测因子
。高颅脑损伤和高死亡率的现象备受关注。通过进行初步评估或准确的系统评分来了解头部损伤的预后对于了解患者病情的进展和恶化非常重要。修订创伤评分(RTS)是一种创伤评分系统,评估能够预测头部损伤患者死亡的生理功能。北京大学贡峰医院在鉴定创伤患者时,并没有专门针对创伤使用创伤评分。仅用观察单进行分析和鉴定已不能显示受伤或创伤患者的严重程度。本研究的目的是确定RTS是否有效地用于预测重型颅脑损伤患者的死亡率。本研究方法为描述性相关研究,采用回顾性队列研究方法,选取2015 - 2019年的病案数据。使用观察单检索数据于2020年4月20日在北京大学Muhammadiyah Gombong医院进行。根据纳入和排除标准,研究样本包括87例重型颅脑损伤患者。“统计检验”(即渐进检验)的结果。Fisher精确检验(0.683> 0.05)。因此,修订创伤评分(RTS)统计检验对PKU Muhammadiyah Gombong医院严重颅脑损伤患者的死亡预测因素无效。研究人员可以将护理和医疗干预作为其他考虑因素。本研究采用卡方检验分析来确定RTS对重型颅脑损伤患者死亡率预测因子的有效性。
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