Validitas Skor Apache II, MSofa, dan SAPS 3 Terhadap Mortalitas Pasien Non Bedah di Perawatan Intensif Dewasa RSUP dr Kariadi Semarang
Latar Belakang : Terdapat berbagai model sistem severity of illness, digunakan untuk memprediksi mortalitas, keefektifitasan dan lama rawat di perawatan intensif, memprediksi jumlah perawat yang secara efektif dapat menangani pasien, banyaknya pasien yang dirawat dirumah sakit, penghitungan beban biaya kesehatan, dan salah satu komponen evaluasi performance ICU. Diperlukan penilaian validitas antara sistem severity of illness sehingga dapat diterapkan secara maksimal di perawatan intensif.
Tujuan : Membandingkan validitas sistem skoring APACHE II, MSOFA, dan SAPS3 terhadap mortalitas pasien ICU non bedah di RSUP dr. Kariadi Semarang.
Metode : Penelitian ini adalah uji diagnostik dengan desain kohort retrospektif. Sampel sebanyak 135 sampel dipilih berdasarkan simple random sampling, yang memenuhi kriteria inklusi dan ekslusi. Missing value yakni bilirubin dinilai dan dipertimbangkan dalam interpretasi data. Validitas diperoleh dengan melakukan kalibrasi dan diskriminasi dari hasil penelitian kemudian dibandingkan antara hasil yang didapat.Normalitas data menggunakan uji kolmogorov smirnoff, sementara homogenitas menggunakan uji Levenne. Sampel dikalibrasi denganuji Hosmer Lameshow goodness of fit C, dan area under the receiver operating curve. Penilaian diskriminasi dilakukan dengan uji diagnostik dengan membuat tabel 2x2 dengan komponen pasien outcome, dengan model parsimoni dari tiap-tiap model skoring.
Hasil : Kurva ROC memberikan nilai auROC untuk skoring APACHE II, MSOFA, dan SAPS 3 dengan hasil 0,7981, 0,7620, 0,785. Dari hasil tersebut, ketiga penilaian.
Kesimpulan : Sistem skoring APACHE II, MSOFA dan SAPS 3 cukup baik untuk digunakan sebagai prediktor mortalitas, dengan APACHE II lebih valid dibandingkan MSOFA dan SAPS 3.
Article Metrics:
- Kim H,Lee H, Shon YJ, Paik H, Park HP. Validation of the APACHE IV model and its comparison with the APACHE II, SAPS 3, and Korean SAPS 3 models for the prediction of hospital mortality in a Korean surgical intensive care unit.Korean J Anesthesiol 2014; August 67(2): 115-122. DOI: 10.4097/kjae.2014.67.2.115
- Antonelli M, Moreno R, Vincent JL, Sprung CL, Mendoca A, Passarielo M. et al. Application of SOFA score to trauma patients. Intensive Care Med 1999; 25: 389-394
- Fery-Lemonier E, Landais P, Loirat P, Kleinknecht D, Brivet F. Evaluation of severity scoring systems in ICUs: translation, conversion and definition ambiguities as a source of interobserver variability in Apache II, SAPS and OSF. Intensive Care Med 1995; 21:356-360
- Taofik S, Senapathi TGA, Wiryana M. Perbandingan validitas sistem skoring APACHE-II, SOFA dan cSOFA (Customized Sequential Organ Failure Asessment) untuk memperkirakan mortalitas pasien non bedah yang dirawat di ruang perawatan intensif RSUP Sanglah. JAI 2015; 3: 45-49
- Halim, D.A., Murni, T.W., Ike, S.R. Comparison of APACHE II, SOFA, and modified SOFA scores in predicting mortality of surgical patients in intensive care unit at Dr. Hasan Sadikin general hospital. Crit Care & Shock 2009;12: 157-169
- Sedlon P, Kamenik L, Skvaril J, Maly M, Taborsky M, Zavoral M. Comparison of the accuracy and correctness of mortality estimates for Intensive Care Unit patients in the internal clinics of the Czech Republic using APACHE II, APACHE IV, SAPS 3 and MPMoIII models. Med Glas 2016; 13(2):82-89
- Qiao Q, Lu G, Li M, Shen Y, Xu D. Prediction of outcome in critically ill elderly patients using APACHE II and SOFA scores. The Journal of International Medical Research 2012;40:1114-1121
- The National Committee on NAICU. The National Audit on Adult Intensive Care Units (NAICU): Report of 12 month Audit From 1st July 2002 to 30th June 2003. Malaysia: Ministry of Health Malaysia, November 2003
- Kwizera A, Dunser M, Nakibuuka J. National intensive care unit bed capacity and ICU patient characteristics in a low income country. BMC Research Notes2012, 5:475
- Naved S, Siddiqui S, Khan F. APACHEII Score Correlation With Mortality And Length Of Stay In An Intensive Care Unit. Journal of the College of Physicians and Surgeons Pakistan. 2011; 21(1) :4-8
Last update: 2021-03-08 15:55:32
Last update: 2021-03-08 15:55:32
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