HUBUNGAN MODEL PROGNOSTIK PASIEN CEDERA OTAK TRAUMATIK TERTUTUP SEDANG DAN BERAT DENGAN GOS 3 BULAN

Aida Fithrie, Mursyid Bustami, Yetty Ramli, Joedo Prihartono

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Establishing a reliable prognosis early after injury is notoriously difficult.For accurate outcome prediction, multiple risk factors need to be considered jointly in a prognostic model because single factor have insufficient predictive value to distinguish patients who will do well from those who will do poorly. Aim: To identify the association between prognostic model of moderate and severe TBI patients and 3 months GOS. Methods: Prognostic test with cohort design. The data of this study was taken from September 2008–Agustus 2009. Population of this study were moderate and severe closed TBI patients that were admitted to emergency department of RSUPN dr. Cipto Mangunkusumo Jakarta. The outcome measured with GOS at 3 months after injury. Results: Total 55 TBI patients; 81.8% were men, 89.1% were in age group <50 years old, 67.3% were the GCS motor score 5, 54.5% had bilateral pupil reactive, 81.8% had no hyperglycemia, 38.2% had brain CT category III, and 60% had a favourable 3 months GOS. The GCS motor score ≤4, bilateral pupil unreactive, hyperglycemia, and brain CT category III/IV were significant (p<0.05) as predictor factor (RR >1) 3 month GOS. Predictor score had significant association (p=0.000) with 3 month GOS, with RR predictor score ≥ 5 was 23.52. Prognostic result between prognostic model and 3 month GOS had sensitivity of 86.3% and specificity of 78.8%. Conclusions: Prognostic model using predictor score at moderate and severe TBI patient had significant association with 3 months GOS, with high sensitivity and specificity.
Original languageIndonesian
JournalNeurona
Publication statusPublished - 2010

Cite this