PERBEDAAN SATURASI OKSIGEN AWAL MASUK TERHADAP LUARAN PNEUMONIA PADA ANAK

Abstract

Background: Pneumonia is still a major health problem of children in developing countries. Hypoxemia is one of the main causes of treatment failure in a hospital. Aim: To define the relationship between Initial oxygen saturation and outcome of pneumonia in children. Methods: An observasional study that was conducted in April-June 2016, with study subjects were patients with pneumonia aged between 2- 59 months at dr. Kariadi hospital, Semarang. Subjects were chosen with purposive sampling method from medical records. Initial oxygen saturation is assessed and observes the relationship with pneumonia outcomes such as response to therapy, length of stay, and the status of discharge. Data were analyzed with Chi Square test, Fisher test and Mann-Whitney. Results: Total samples was 78 children with pneumonia that was divided into two groups, 26 children as a group with initial oxygen saturation <95% and 52 children with initial oxygen saturation > = 95%. This study shows that the initial oxygen saturation did not have a significant relationship with the response to therapy (p = 0.113) and the status of discharge (p = 1), but has a significant relationship with the length of stay (p = 0.043) with RR 2,182. Conclusion: There is relationship between initial oxygen saturation and the length of stay, but there is no relationship between initial oxygen saturation with response to therapy and status of discharge. Keywords: oxygen saturation, length of stay, response to therapy, status of discharge.