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Abstract
Good management of head injuries can improve patient survival. Examination of peripheral oxygen saturation (SpO2) is a procedure performed at the primary survey. This study aims to predict the survival rate of head injury patients with the SpO2 value. The method used was a prospective study with a cohort design. Samples were head injury patients who came to the ER without comorbidities. The instruments used were the Revised Trauma Score (RTS) and Oximetry. Patients who arrived at the ER were measured for their SpO2 levels, treated according to SOP, and 6 hours later, the survival rates were assessed. The sampling technique used was purposive sampling. The statistical test used is Somers’d Correlation Test. The sample consisted of 46 head injury patients with SpO2 in a good category of 30 (65.2%) and good survival of 32 (69.6%). SpO2 had a strong correlation with survival (p = 0.00; r = 0.846; RR = 8.16). Patients with good SpO2 were 8.16 times more survive than others. Low SpO2 can be used as an early indicator of tissue hypoxia and related to mortality. The ER nurse should be concerned about the patient's oxygen saturation and ensure that the SpO2 level is in the 95% -100% range.
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References
Aspelund, A. L. et al. (2019). Evaluating trauma scoring systems for patients presenting with gunshot injuries to a district-level urban public hospital in Cape Town, South Africa. African Journal of Emergency Medicine. 9(4), 193–196. DOI: 10.1016/j.afjem.2019.07.004.
Atiksawedparit, P. et al. (2019). Prehospital prediction of severe injury in road traffic injuries: A multicenter cross-sectional study. Injury. 50(9), 1499–1506. DOI: 10.1016/j.injury.2019.05.028.
Bahloul et al. (2010). Head Injury. In: Merrits Neurology. Philadelphia: Lippincott William & Wilkins.
Bajamal, A. H. (2013). Penatalaksanaan Cidera Otak Karena Trauma. Pendidikan Kedokteran Berkelanjutan Ilmu Bedah Saraf.
Cox, M., Becker, T. D. and Motsumi, M. (2018). Head injury burden in a major referral hospital emergency center in Botswana. African Journal of Emergency Medicine. 8(3), 100–105. DOI: 10.1016/j.afjem.2018.02.003.
Dixon, J. et al. (2020). Emergency department management of traumatic brain injuries: A resource tiered review. African Journal of Emergency Medicine. 10(3), 159–166. DOI: 10.1016/j.afjem.2020.05.006.
Filipescu, R. et al. (2020). Improving the Revised Trauma Score's performance using Shock Index, Peripheral Oxygen Saturation, and Temperature–a National Trauma Database study 2011 to 2015, Surgery. Surgery, 167(5), 821–828. DOI: https://doi.org/10.1016/j.surg.2019.12.003.
G. Lakshmi Prasad, N. Anmol, G. R. M. (2018). Outcome of Traumatic Brain Injury in the Elderly Population: A Tertiary Center Experience in a Developing Country. World Neurosurgery, 111(2), 228–234. DOI: https://doi.org/10.1016/j.wneu.2017.12.034.
Global Health Metrics. (2019). Erratum: Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017 (The Lancet (2018). The Lancet, 393(10190), e44. DOI: 10.1016/S0140-6736(19)31047-5.
Guyton, A.C. & Hall, J. (2010). Buku Ajar Fisiologi Kedokteran. Jakarta: EGC.
HoonLee, S. et al. (2018). Predictor of Isolated Trauma in Head: A New Simple Predictor for Survival of Isolated Traumatic Brain Injury. The Journal of Emergency Medicine, 54(4), 427–434. DOI: https://doi.org/10.1016/j.jemermed.2018.01.001.
Hudak, C.M. & Gallo, B. M. (2010). Keperawatan Kritis Pendekatan Holistik. 2nd edn. Jakarta: EGC.
Irmawan, B. (2017). The Influence Of Suction On Changes In The Saturation Oxygen Peripheral On The Patients. Jurnal Ilmiah Sehat Bebaya, 1(1).
Kaye, A. (2015). Essential Neurosurgery. 3rd edn. USA: Blackwell Publishing.
Khayat, N. (2014). Correlation of revised trauma score with mortality rate of traumatic patients within the first 24 hours of Hospitalization. ZJRMS, 16(11), 33–36.
Marya, J. et al. (2017). Impact of compulsory helmet legislation on mortality rate and types of head and facial injuries in Jabalpur. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology, 29(1), 24–28. DOI: https://doi.org/10.1016/j.ajoms.2016.08.008.
Ostrowski, R. P., Pucko, E. and Matyja, E. (2020). The effectiveness of hyperbaric oxygen modalities against a vascular component of traumatic brain injury. Brain Hemorrhages, 1(2), 118–123. DOI: 10.1016/j.hest.2020.04.002.
Pamungkas (2014). Hubungan Antara RTS Dengan Angka Mortiliti Pasien Cedera Kepala RSUD Dr Moewardi. Surakarta. Surakarta: Stikes Kusuma Husada Surakarta.
Papadimitriou-Olivgeris, M. et al. (2020). Predictors of mortality of trauma patients admitted to the ICU: a retrospective observational study’, Brazilian Journal of Anesthesiology (English Edition), (xxxx), 1–8. DOI: 10.1016/j.bjane.2020.12.006.
Purwanto (2019). Analisis Korelasi dan Regresi linier dengan SPSS 21 (Panduan Praktis untuk Penelitian Ekonomi Syariah). Magelang: StaiaPress.
R.Gallahera, J. et al. (2020). Trends in head injury associated mortality in Malawi, Injury. DOI: https://doi.org/10.1016/j.injury.2020.12.031.
Ratnasari (2015). Hubungan Penanganan Oksigenasi Pasien Gawat Dengan Peningkatan Kesadaran Kuantitatif Pada Pasien Cedera Otak Sedang Di IGD RSUD DR Abdoer Rahem Situbondo, Jurnal Keperawatan Fikes UMJ.
Riskesdas, K. (2018). Hasil Utama Riset Kesehatan Dasar (RISKESDAS)’, Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200. DOI: 10.1088/1751-8113/44/8/085201.
Sasmito, N. B., Wihastuti, T. A. and Kristianto, H. (2017). Analisis Faktor yang Berhubungan Dengan Outcome Pasien Cedera Kepala Yang Dirujuk di IGD RSUD dr. Iskak Tulungagung Melalui Pendekatan Model Interpersonal Nursing Hekdegrad E. Peplau, Jurnal Kesehatan Mesencephalon, 3(2), 91–104. DOI: 10.36053/mesencephalon.v3i2.41.
Shahlaie, K., Zwienenberg, M., Muizelaar, P. (2011). Management of Traumatic Brain Injury In : Youmans Neurological Surgery. Philadelphia: WB Saunder Company.
Sharf, M. S., and El-Gebali, M. A. (2013). Correlation between Glasgow coma scale and Jugular venous oxygen saturation in severe traumatic brain injury, Egyptian Journal of Anaesthesia, 29(3), pp. 267–272. DOI: 10.1016/j.egja.2013.02.008.
Soertidewi, L. (2012). Penatalaksanaan Kedaruratan Cedera Kranioserebral. CDK-193, 39 (5), 327-331
Stillwell, B., S. (2011). Pedoman Keperawatan Kritis. Edited by 3. Jakarta: EGC.
Sumarno, M. H. (2016). Glasgow Coma Scale (Gcs), Tekanan Darah Dan Kadar Hemoglobin Sebagai Prediktor Kematian pada Pasien Cedera Kepala. Jurnal Ilmiah Kesehatan Keperawatan, 12(3).
Suwaryo, P. A. W., Wihastuti, T. A. and 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), 154–164.
Vacchiano, C. and Silva, S. (2017) Characterization of bilateral frontal lobe cerebral oxygen saturation in patients with mild traumatic brain injury. Nursing Outlook, 65(5), S36–S43. DOI: https://doi.org/10.1016/j.outlook.2017.07.013.
Wijaya, P. (2013). Keperawatan Medikal Bedah (keperawatan dewasa). Yogyakarta: Nuha Medika.
Wolf-Maier,K. et al. (2004). Hypertension Treatment and Control in Five European Countries, Canada, and the United States. Hypertension, 10–17. DOI: 10.1161/01.HYP.0000103630.72812.10.