ANALISIS FAKTOR RISIKO IN-HOSPITAL MORTALITY PASIEN CEDERA OTAK TRAUMATIK YANG MENJALANI PERAWATAN INTENSIF DI RSUP DR. SARDJITO

Deby Aulia Rahmi, Dr. dr. Sudadi SpAn-TI, Subsp.N. An (K), Subsp.An. R (K); Dr. dr. Djayanti Sari Sp.An-TI, M.Kes, Subsp.An. P (K)

2026 | Tesis-Spesialis | S2 Anestesiologi

Latar Belakang: Cedera Otak Traumatik (COT) merupakan penyebab utama morbiditas dan mortalitas global. Meskipun penatalaksanaan neurokritis telah berkembang, angka kematian pasien COT di Intensive Care Unit (ICU) tetap tinggi dan bervariatif.
Tujuan: Menganalisis faktor risiko in-hospital mortality pasien cedera otak traumatik di rawatan intensif RSUP Dr. Sardjito Yogyakarta.
Metode: Penelitian observasional analitik dengan pendekatan kohort retrospektif dilakukan terhadap pasien COT di ICU periode 1 Juni 2024 – 31 Mei 2025. Data rekam medis dianalisis menggunakan uji univariat, bivariat, dan regresi logistik multivariat.
Hasil: Dari 155 subjek, angka mortalitas mencapai 30,97% (48 pasien). Analisis multivariat menunjukkan bahwa usia lanjut (OR = 10,509; p < 0 xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed>Kesimpulan: Usia lanjut, skor GCS rendah, gangguan kardiovaskular, dan penggunaan ventilasi mekanik jangka panjang adalah determinan independen risiko in-hospital mortality pasien cedera otak traumatik di rawatan intensif RSUP Dr. Sardjito. Intervensi bedah berperan penting dalam menurunkan risiko in-hospital mortality pasien cedera otak traumatik di rawatan intensif RSUP Dr. Sardjito.

Background: Traumatic Brain Injury (TBI) is a leading cause of global morbidity and mortality. Despite advancements in neurocritical care, the mortality rate for TBI patients in the Intensive Care Unit (ICU) remains high and varies significantly.
Objective: To analyze the risk factors for in-hospital mortality among traumatic brain injury patients in the intensive care unit of RSUP Dr. Sardjito Yogyakarta.
Methods: An analytical observational study with a retrospective cohort approach was conducted on TBI patients in the ICU from June 1, 2024, to May 31, 2025. Medical record data were analyzed using univariate, bivariate, and multivariate logistic regression tests.
Results: Of the 155 subjects, the mortality rate was 30.97% (48 patients). Multivariate analysis showed that advanced age (OR = 10.509; p < 0 xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed xss=removed>Conclusion: Older age, low GCS scores, cardiovascular disorders, and long-term mechanical ventilation use are independent determinants of in-hospital mortality for traumatic brain injury patients in intensive care. Surgical intervention plays a crucial role in reducing the risk of in-hospital mortality for TBI patients in the intensive care unit of RSUP Dr. Sardjito.

Kata Kunci : Cedera otak traumatik, Mortalitas, Rawatan Intensif