PROFIL KLINIK DAN LABORATORIUM PASIEN COMMUNITY ACQUIRED PNEUMONIA SEMBUH DAN MENINGGAL DI RSUP DOKTER KARIADI

Abstract

Background: Community acquired pneumonia (CAP) is an infectious disease of the lungs that frequently occurs and causes of death. Further research is needed to understand the clinical and laboratory profiles of CAP patients and early detection on patients with high risk of death. Objective: To compare the clinical and laboratory profile of CAP patients (when patient entered the hospital) of cured and died (30 days mortality rate) at Dr. Kariadi Hospital. Methods: This was a retrospective comparative with cross sectional study. It used secondary data from case record form CAPSIN at Dr. Kariadi Hospital Semarang on 2007 until 2009. The subjects were 133 CAP patients. Statistical analysis used logistic regression test. Results: The most frequent clinical profiles that appeared were cough (94%), dyspnea (88.7%), fever (88%), and sputum (68.4%). Leukocytes (69.9%), hemoglobin (68.4%), urea (63.9%), and hematocrit (63.9%) were the most frequently abnormal laboratory results. Decrease of consciousness (p = 0.002) and creatinine levels (p = 0.016) had a significant relationship to the outcome of patients with CAP with logistic regression test Conclusions: Decrease of consciousness and abnormality creatinine levels contributes to the CAP patient outcomes. A decrease in consciousness and abnormality of creatinine levels in patients with CAP increases the risk of death by 85.7%. Key words: Community acquired pneumonia, clinical profile, laboratory profile