A predictor of outcome following head injury: A retrospective study
Abstract
Background: Head injuries are a major cause of death and disability because of trauma, it happed in many countries of the world. The case of head injuries in the Emergency department, need immediate managing to victim to prevent further complications. The Nurses required to assess and recognize abnormality as soon as possible and further management of the victim to save their life. Through the physiological status. The patient's physiological status is the best way to recognize the prognosis, such as GCS, systolic blood pressure, respiratory rate, body temperature, and blood glucose levels while admitted to emergency ward.
Purpose: To analyze and determine (simultaneously) a predicting factor the most dominant influencing significantly of outcome following head injury
Methods: A retrospective approach by analyze patient's medical records on January-December period in 2018 at H. Adam Malik General Hospital Medan. The study sample comprised 166 medical records which taken by purposive sampling technique with the following criteria: new admission (not referral), there were available data such GCS data, systolic blood pressure, respiratory rate, body temperature, blood glucose levels within 7 days under treatment.
Results: Logistic regression test found that GSC (p 0.000; OR 2.583), systolic blood pressure (p 0.024; OR 0.947), and blood sugar levels (0.038; OR 0.982) had a significant effect on the mortality. The nurse must pay attention in handling patient head injuries who have a lower GCS scores and systolic blood pressure, following by high blood sugar levels.
Conclusion: By evaluation of GCS, systolic blood pressure and blood sugar levels can predict the patient's current condition. The lower the GCS score, the higher the risk of death by 2.583 times and the lower the systolic blood pressure, the greater the risk of mortality by 0.947 times. The higher the blood sugar level, the risk of death increased by 0.982 times.
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References
Ankita, S., Kunkulol, R. R., Shaikh, M., & Sangle, A. (2015). Hypoxic status and its prognosis in patients with head injury. International Journal of Medical Research & Health Sciences, 4(3), 662-666.
Aprilia, H. (2017). Gambaran status fisiologis pasien cedera kepala di IGD RSUD Ulin Banjarmasin tahun 2016. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 8(1), 237-249.
Areas, F. Z., Schwarzbold, M. L., Diaz, A. P., Rodrigues, I. K., Sousa, D. S., Ferreira, C. L., & Dal Pizzol, F. (2019). Predictors of hospital mortality and the related burden of disease in severe traumatic brain injury: a prospective multicentric study in Brazil. Frontiers in neurology, 10, 432.
Bruijns, S. R., Guly, H. R., Bouamra, O., Lecky, F., & Wallis, L. A. (2014). The value of the difference between ED and prehospital vital signs in predicting outcome in trauma. Emergency Medicine Journal, 31(7), 579-582.
Damanik, E., & Sipayung, N. P. (2019). Kadar Gula Darah Sebagai Prediktor Yang Berhubungan Dengan Mortalitas Pasien Cedera Kepala Berat Di Rsup Hj. Adam Malik Medan. Jurnal Kesehatan Masyarakat Dan Lingkungan Hidup, 4(1), 51-56.
Dewi, C., Sujuti, H., & Yuliatun, L. (2017). Suhu Tubuh Sebagai Prediktor Outcome Pasien Cedera Kepala Ringan-Sedang Di Rsd Mardi Waluyo Blitar. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 1(2), 11-17.
Imen, R. B., Olfa, C., Kamilia, C., Meriam, B., Hichem, K., Adel, C., & Noureddine, R. (2015). Factors predicting early outcome in patients admitted at emergency department with severe head trauma. Journal of Acute Disease, 4(1), 68-72.
Kafaki, S. B., Alaedini, K., Qorbani, A., Asadian, L., & Haddadi, K. (2016). Hyperglycemia: a predictor of death in severe head injury patients. Clinical Medicine Insights: Endocrinology and Diabetes, 9, CMED-S40330.
Kasmaei, V. M., Asadi, P., Zohrevandi, B., & Raouf, M. T. (2015). An epidemiologic study of traumatic brain injuries in emergency department. Emergency, 3(4), 141.
Ministry of Health of the Republic of Indonesia. (2013). Basic health research 2013. Jakarta: Agency of Health Research and Development. Received from: https://www.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf
Ministry of Health of the Republic of Indonesia. (2018). Main Results of the 2018. Jakarta: Ministry of Health of the Republic of Indonesia. Received from: https://www.kemkes.go.id/resources/download/info-terkini/hasil-riskesdas-2018.pdf
Mendonsa, J. D. (2019). Asuhan Keperawatan Pada Sdr. PP Dengan Cedera Kepala Sedang Di Ruang Instalasi Gawat Darurat Rumah Sakit Prof. Dr. WZ Johannes Kupang (Doctoral dissertation, Poltekkes Kemenkes Kupang).
Osler, T., Cook, A., Glance, L. G., Lecky, F., Bouamra, O., Garrett, M., & Hosmer, D. W. (2016). The differential mortality of Glasgow Coma Score in patients with and without head injury. Injury, 47(9), 1879-1885.
Putra, D. S. E., Indra, M. R., Sargowo, D., & Fathoni, M. (2016). Nilai Skor Glasgow Coma Scale, Age, Systolic Blood Pressure (Gap Score) Dan Saturasi Oksigen Sebagai Prediktor Mortalitas Pasien Cidera Kepala Di Rumah Sakit Saiful Anwar Malang. Jurnal Kesehatan Hesti Wira Sakti, 4(2), 13-28.
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.
Shi, J., Dong, B., Mao, Y., Guan, W., Cao, J., Zhu, R., & Wang, S. (2016). Traumatic brain injury and hyperglycemia, a potentially modifiable risk factor. Oncotarget, 7(43), 71052.
Strnad, M., Lesjak, V. B., Vujanović, V., & Križmarić, M. (2017). Predictors of mortality in patients with isolated severe traumatic brain injury. Wiener klinische Wochenschrift, 129(3-4), 110-114.
Sumarno, S., Hidajat, M., & Rini, I. S. (2016). Glasgow Coma Scale (Gcs), Tekanan Darah Dan Kadar Hemoglobin Sebagai Prediktor Kematianpada Pasien Cedera Kepala. Jurnal Ilmiah Kesehatan Keperawatan, 12(3).
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).
Varghese, R., Chakrabarty, J., & Menon, G. (2017). Nursing management of adults with severe traumatic brain injury: A narrative review. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Critical Care Medicine, 21(10), 684.
DOI: https://doi.org/10.33024/minh.v3i2.3368
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