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<![endif]-->Latar Belakang: Hepar merupakan organ kedua tersering mengalami cedera
pada trauma tumpul abdomen dan menjadi penyebab
kematian utama. Kerusakan
struktur organ setelah trauma abdomen dapat menyebabkan hemoperitoneum yang
sulit didiagnosis secara klinis. Diagnosis
cedera hepar dan volume hemoperitoneum yang akurat menjadi kunci dalam
manajemen pasien dengan trauma abdominal
Tujuan: Penelitian ini bertujuan
untuk mengetahui korelasi
antara derajat keparahan cedera hepar berdasarkan klasifikasi American Association for the Surgery of
Trauma (AAST) dengan volume hemoperitoneum pada pemeriksaan CT scan
abdomen
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Metode: Penelitian cross
sectional ini dilakukan di RSUP Dr. Sardjito pada Oktober- November 2023 dengan mengambil data
sekunder pasien cedera hepar periode Juni 2017-Juni
2023. Seluruh subjek pada periode tersebut diambil. Derajat keparahan cedera
hepar dari pemeriksaan CT scan
abdomen dan volume hemoperitoneum sejumlah 32
subjek yang memenuhi kriteria inklusi dan eksklusi, selanjutnya dianalisis menggunakan uji Spearman. Data diambil dari PACS dan instalasi rekam
medis RS
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Hasil: Analisis bivariat dengan uji Spearman menunjukkan korelasi
yang signifikan antara derajat
keparahan cedera hepar dengan volume hemoperitoneum (p= 0.005, r = 0.487).
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Kesimpulan: Terdapat korelasi positif antara derajat
keparahan cedera hepar berdasarkan
klasifikasi American Association for the
Surgery of Trauma (AAST) pada pemeriksaan CT scan abdomen
dengan volume hemoperitoneum, yaitu semakin tinggi derajat cedera hepar,
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<![endif]-->Background: The liver is the second most commonly injured organ in
blunt abdominal trauma and is the leading cause of death. Damage to organ
structures after abdominal trauma can lead to hemoperitoneum which is difficult
to diagnose clinically. Accurate diagnosis of hepatic injury and hemoperitoneum
volume is key in the management of patients with abdominal trauma
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<![endif]-->Objective: This study aims to determine the correlation between
the severity of liver injury based on the American Association for the Surgery
of Trauma (AAST) classification and the volume of hemoperitoneum on abdominal
CT scan
Methods:This cross sectional study was conducted at Dr.
Sardjito General Hospital in October-November 2023 by taking secondary data of
liver injury patients from June 2017-June 2023. All subjects in that period
were taken. The severity of liver injury from abdominal CT scan examination and
hemoperitoneum volume of 32 subjects who met the inclusion and exclusion
criteria, then analyzed using the Spearman test. Data were retrieved from PACS
and the medical record installation of the hospital
Results:Bivariate analysis with the Spearman
test showed a significant correlation between the severity of liver injury and
hemoperitoneum volume (p= 0.005, r = 0.487)
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<![endif]-->Conclusion: There is a positive correlation between the severity
of liver injury based on the American Association for the Surgery of Trauma
(AAST) classification on abdominal CT scan and hemoperitoneum volume, the
higher the degree of liver injury, the higher the hemoperitoneum volume
Keywords: liver injury, hemoperitoneum, CT, AAST
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Kata Kunci : cedera hepar, hemoperitoneum, CT, AAST
