ANGKA KEMATIAN PASIEN KRANIOTOMI DI ICU DAN HCU RSUP DR. KARIADI

Abstract

Background: Gener al Cent re Hos pit al of Dr. Kari adi s houl d be abl e t o pr ovi des t he intensive and high care standards. Craniotomy is a surgery by opening the cranium whi ch has risk of death based on various factors. Generally, the postoperative patients will be admitted to the I CU or HCU. Aim: To obt ai n t he dat a regar di ng t he nu mber of post oper ati ve cr ani ot o my pati ent s that was admitted to the HCU and ICU department of General Centre Hospital of Dr. Kariadi Semarang on the period of February 2010 - February 2012 and describes the distribution of the factors that affect the mortality rates on such patients. Methods: Dat a on mort alit y were coll ect ed and observed as part of a descriptive study of postoperative craniotomy patients. Other data sources included diagnosis, age groups, sex, Glasgow Coma Scales, the causes of death, and APACHE II scores using secondary data from medical records of HCU and ICU department of General Centre Hospital Dr. Kariadi Semarang on the period of February 2010 - February 2012. Results: 103 pati ent s underwent craniotomy were treated in the ICU or HCUi n t he mentioned period. Fifty-one of these patients died( 49, 5 %). The major causes of death in these postoperative patientswere septic shock (33%) and respiratory failure ( 23. 5 %). The study also found on patients with Glasgow Coma Scale scores less than eight had the highest mortality rate (33%). Based on the diagnosis of disease, the removal of the neoplasm was the highest rate of the surgery indications (36.9%).And on the score of APACHEII, t he r ange 10- 14 weret he most co mmon a mong t hese patients, wit h 29 patients (28, 2 %). Conclusions: To our kno wl edge t hi s i st he fi rst st udy t o describet he mort alit y r at es of postoperative craniotomy patients being treated in ICU and HCU in Indonesia. Further studies might be neededt o investigate the major causes of death among these patients, in this case was sepsis. Keywords: mort alit y r at es, cr ani ot o my pati ent s, APACHE II, HCU, ICU, General Centre Hospital of Dr.Kariadi.