Perbandingan Prediktor Mortalitas Skor PRISM III dan PELOD 2 pada Anak Sakit Kritis Non Bedah
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Tujuan. Menganalisis perbandingan kemampuan prediktor mortalitas antara skor PRISM III dan skor PELOD 2 pada anak sakit kritis non bedah.
Metode. Penelitian kohort dilakukan dengan subyek pasien anak berusia 1 bulan-18 tahun yang dirawat di PICU RSUD Dr. Moewardi Surakarta, dari kelompok pasien non bedah.
Hasil. Studi kohort dari bulan Maret sampai dengan Juli 2017 terhadap 40 pasien anak berumur 1 bulan-18 tahun yang dirawat di PICU. Didapatkan hasil skor PELOD 2 >20 berisiko terjadi mortalitas sebesar 7,75 kali lipat dibandingkan dengan pasien dengan skor PELOD 2 <20 (RR 7.750 (95% IK 3.105-19.342), p<0,001). Pasien dengan skor PRISM III ≥8 berisiko terjadi mortalitas sebesar 10 kali lipat dibandingkan dengan pasien dengan skor PRISM III <8 (RR 10,00 (95% IK 3.418-29.256), p<0,001). Skor PRIM III memiliki sentitivitas 76,9% dan spesifisitas 100,0%, sedangkan skor PELOD 2 memiliki sensitivitas 69,2% dan spesifisitas 100,0% untuk memprediksi mortalitas.
Kesimpulan. Skor PRISM III lebih unggul dalam memprediksi mortalitas pada pasien anak sakit kritis non bedah bila dibandingkan dengan skor PELOD 2.
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DOI: http://dx.doi.org/10.14238/sp19.5.2018.284-9
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