Association between hemoconcentration and longer hospitalization day of dengue patients

Christine Ernita Banggai, Vivi Lisdawati, Suliati Suliati, Dyani Kusumowardhani, Iman Firmansyah, Maya Marinda Montain

Abstract


Latar Belakang: Identifikasi dini kondisi klinis serta penanganan yang tepat terhadap pasien dengue merupakan hal penting untuk mencegah perkembangan penyakit menjadi lebih berat. Hal ini akan berdampak positif bagi perawatan pasien yang menjadi lebih singkat dan dengan sendirinya biaya semakin rendah. Tujuan penelitian adalah untuk mengetahui faktor-faktor yang mempengaruhi lama perawatan pasien dengue di RSPI Prof. Dr. Sulianti Saroso.

Metode: Studi potong lintang secara random sampling yang dilakukan terhadap catatan medis pasien dengue yang dirawat inap di RSPI Prof. Dr. Sulianti Saroso periode Januari 2014 s/d Desember 2015. Analisis dilakukan secara multivariat dengan regresi Cox.

Hasil: Pada 153 sampel catatan medis pasien dengue yang dianalisis, hasil menunjukkan terdapat 41,2% pasien yang dirawat lebih dari 5 hari. Kondisi hemokonsentrasi memiliki pengaruh signifikan dan berisiko 1,8 kali lebih besar  untuk lama perawatan pasien lebih dari 5  hari di rumah sakit [aRR=1.75; P=0.003].

Kesimpulan: Kondisi hemokonsentrasi pada pasien dengue memiliki risiko lebih besar untuk lama waktu perawatan.

Kata kunci: Dengue, hemokonsentrasi, lama perawatan


Backgrounds: Early identification of clinical conditions and proper treatment to dengue patients is essential to prevent the development of more severe condition. This can lead to shorter length of stay and lower cost of patient care in hospitals. The objective of this study was to determine the factors that affect length of stay of dengue patients in RSPI Prof. Dr. Sulianti Saroso.

Methods: A cross-sectional study conducted by random sampling on the medical records of dengue patients hospitalized in RSPI Prof. Dr. Sulianti Saroso period January 2014-December 2015. Multivariate analyzes were performed with Cox regression.

Results: There were 153 samples of dengue patient’s medical record for analysis, 41.2% of them were hospitalized over 5 days. Hemoconcentration were significant and had higher risk  by 1,8 times to length of stay more than 5 days  [aRR = 1.75; P = 0.003].

Conclusion: Hemoconcentration in dengue patients had higher risk to length of stay.

Keywords: Dengue, hemoconcentration, length of stay

 

 


Keywords


Dengue, fever duration, hemoconcentration, length of stay

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