EVALUASI SISTEM SKOR GCS, RTS, tRTS, GAP, DAN MGAP TERHADAP HASIL CT SCAN KEPALA SEBAGAI PREDIKTOR LESI INTRAKRANIAL PADA PASIEN TRAUMA MULTIPEL DENGAN CEDERA KEPALA YANG DISERTAI PENURUNAN KESADARAN
| Main Authors: | , Poppy Lorina, , dr. Wiryawan Manusubroto, SpB, SpBS(K) |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/120619/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=60657 |
Daftar Isi:
- Background Scoring system was made to be prehospital triage device, to evaluate severity of trauma and to determine prognosis of the patient. There are simple scoring systems such as RTS, tRTS, MGAP and the newest GAP, and also there are complex scoring systems such TRISS and ASCOT. Head trauma ,as known as traumatic brain injury, in multiple injury frequently defined by GCS scoring system without concerning other extracranial factor that may affect consciousness. However, diagnostic value of GCS to identify intracranial lesion in multiple injury is still unknown Method In a cross sectional study with diagnostic evaluation analyzed using Fisher Exact Test, scoring system were evaluated among GCS, RTS, tRTS, MGAP and GAP to define their diagnostic value on traumatic brain injury with loss of consciousness in multiple injured patient in Dr. Sardjito Hospital, Yogyakarta. Result Among 35 patient with GCS �13,diagnostic value of GCS has sensitivity 87% and spesificity 50% , OR 6,750 ( 95% CI: 0,731� 62,369), PPV 93% (P >0,05). Scoring system RTS and tRTS show satistically same result as GCS. While scoring system GAP and MGAP show low diagnostic value as a predictor intracranial lesion on traumatic brain injury with loss of consciousness in multiple injury. Conclusions GCS, RTS and tRTS have low diagnostic value but still better to predict intracranial lesion especially in multiple injured patient than other scoring systems (GAP and MGAP). Nevertheles, due to their low diagnostic value it�s recommended to concern with clinical aspect, physical diagnostic and any other diagnostic finding to predict intracranial lesion in multiple trauma.