HUBUNGAN NILAI RED CELL DISTRIBUTION WIDTH PADA PASIEN HOSPITAL-ACQUIRED PNEUMONIA TERHADAP LENGTH OF STAY PADA PASIEN LANSIA

SUCI ARDINI W, dr. Rizka Humardewayanti Asdie, Sp.PD-KPTI ; dr.Heni Retnowulan, M.Kes., Sp.PD-KP

2016 | Skripsi | S1 PENDIDIKAN DOKTER

BACKGROUND: Pneumonia merupakan penyebab mortalitas dan morbiditas yang bermakna. RDW berhubungan dengan risiko kematian dan merupakan marker independen untuk prognosis. RDW banyak digunakan klinisi karena dilaporkan dalam pemeriksaan darah lengkap. Kondisi medis pasien atau adanya infeksi nosokomial merupakan faktor yang mempengaruhi length of stay. Namun, studi RDW dan LOS pada pasien HAP lansia di RSUP Dr. Sardjto belum pernah dilakukan. OBJECTIVE: Mengetahui proporsi pasien HAP lansia dan dewasa dengan peningkatan nila RDW dan hubungan RDW terhadap LOS. METHODS: Studi cross sectional dan cohort retrospective dilakukan terhadap 135 pasien lansia (≥60 tahun) dan 135 pasien dewasa (18-60 tahun) dengan pencatatan nilai RDW dan LOS dari rekam medik periode Maret 2014-Maret 2015. Hasil dikategorikan berdasarkan usia, jenis kelamin, onset HAP, jumlah komorbid, jenis komorbid, length of stay dan data laboratorium. Kemudian dilakukan analisis statistik dengan chi square dan regresi logistik. RESULTS: Berdasarkan analisis multivariat, hemoglobin (p<0,001; 95%CI 0,073-0,436) dan trombosit (p=0,002; 95%CI 0,086-0,582) bermakna secara statistik terhadap peningkatan nilai RDW pada pasien HAP di RSUP Dr. Sardjito. Onset HAP secara statistik berpengaruh terhadap length of stay (p=0,002; 95% CI 0,096-0,607). CONCLUSION: There are no significant different proportion of HAP of geriatric and adult patients with increment of RDW and no sifnificant correlation of RDW increment to LOS. But, hemoglobin and trombosite influence to RDW increment and onset HAP influence to length of stay.

BACKGROUND: Pneumonia cause mortality and morbidity. Red Celll Distribution Width (RDW) is related to risk for death and independent marker for prognosis. RDW is used by clinician because reported in complete blood count. Clinical condition or nosocomial infection influence to length of stay (LOS). Study of RDW and Length of Stay (LOS) in HAP of geriatric patient has never been conducted in RSUP dr. Sardjito. OBJECTIVE: To find out the poportion of HAP of geriatric and adult patients with increment of RDW and correlation of RDW increment to LOS. METHODS: Cross sectional study and retrospective cohort study was conducted towards 135 geriatric patients (≥60 y.o.) and 135 adult patient (18-60 y.o.) with RDW and LOS was recorded from medical record from March 2014 to March 2015. The result was categorized based on age, sex, onset HAP, amount of comorbid, kind of comorbid, length of stay and laboratory data and analyzed with chi-square and logistic regression. RESULTS: Based on multivariat analysis, hemoglobin (p<0,001; 95%CI 0,073-0,436) and trombosite (p=0,002; 95%CI 0,086-0,582) are statistically significant to increment of RDW in HAP patients RSUP Dr. Sardjito. Onset of HAP is statistically significant to length of stay (p=0,002; 95% CI 0,096-0,607). CONCLUSION: There are no significant different proportion of HAP of geriatric and adult patients with increment of RDW and no sifnificant correlation of RDW increment to LOS. But, hemoglobin and trombosite influence to RDW increment and onset HAP influence to length of stay. KEYWORDS : geriatric, hospital-acquired pneumonia, length of stay, nosocomial, red cell

Kata Kunci : lansia, hospital-acquired pneumonia, length of stay, nosokomial, red cell distribution width