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Campbell GD, et al; American Thoracic Society. Guidelines for the management of adults with community-acquired pneumonia: Diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med.2001;163:1730-1754.

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Lampiran 1. Analisis univariat data responden Usia 21 30.9 30.9 30.9 47 69.1 69.1 100.0 68 100.0 100.0 <= 60 > 60 Total Valid

Frequency Percent Valid Percent

Cumulative Percent Jenis kelamin 33 48.5 48.5 48.5 35 51.5 51.5 100.0 68 100.0 100.0 Laki-laki Perempuan Total

Valid Frequency Percent Valid Percent

Cumulative Percent Tempat rawat 62 91.2 91.2 91.2 6 8.8 8.8 100.0 68 100.0 100.0 non-ICU ICU Total Valid

Frequency Percent Valid Percent

Cumulative Percent

Kelompok risiko PSI

1 1.5 1.5 1.5 4 5.9 5.9 7.4 9 13.2 13.2 20.6 31 45.6 45.6 66.2 23 33.8 33.8 100.0 68 100.0 100.0 I II III IV V Total Valid

Frequency Percent Valid Percent

Cumulative Percent PSI 14 20.6 20.6 20.6 31 45.6 45.6 66.2 23 33.8 33.8 100.0 68 100.0 100.0 rendah sedang tinggi Total Valid

Frequency Percent Valid Percent

Cumulative Percent

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Keganasan

Frequency Percent Valid Percent

Cumulative Percent

Valid Ya 3 4.4 4.4 4.4

Tidak 65 95.6 95.6 100.0

Total 68 100.0 100.0

Total skor CURB

2 2.9 2.9 2.9 8 11.8 11.8 14.7 39 57.4 57.4 72.1 16 23.5 23.5 95.6 2 2.9 2.9 98.5 1 1.5 1.5 100.0 68 100.0 100.0 0 1 2 3 4 5 Total Valid

Frequency Percent Valid Percent

Cumulative Percent CURB 10 14.7 14.7 14.7 39 57.4 57.4 72.1 19 27.9 27.9 100.0 68 100.0 100.0 rendah sedang tinggi Total Valid

Frequency Percent Valid Percent

Cumulative Percent

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penyakit liver

Frequency Percent Valid Percent

Cumulative Percent Valid Ya 3 4.4 4.4 4.4 Tidak 65 95.6 95.6 100.0 Total 68 100.0 100.0 CHF

Frequency Percent Valid Percent

Cumulative Percent Valid Ya 19 27.9 27.9 27.9 Tidak 49 72.1 72.1 100.0 Total 68 100.0 100.0 penyakit serebrovaskuler

Frequency Percent Valid Percent

Cumulative Percent

Valid Ya 10 14.7 14.7 14.7

Tidak 58 85.3 85.3 100.0

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penyakit ginjal

Frequency Percent Valid Percent

Cumulative Percent Valid Ya 11 16.2 16.2 16.2 Tidak 57 83.8 83.8 100.0 Total 68 100.0 100.0 terapi empirik

Frequency Percent Valid Percent

Cumulative Percent Valid ceftriaxone 50 73.5 73.5 73.5 ciprofloxacin 3 4.4 4.4 77.9 levofloxacin 1 1.5 1.5 79.4 meropenem 2 2.9 2.9 82.4 cefotaxime 2 2.9 2.9 85.3 cefoperazone 1 1.5 1.5 86.8 ceftriaxone+ciprofloxacin 6 8.8 8.8 95.6 ceftriaxone+cefotaxime 1 1.5 1.5 97.1 ciprofloxacin+clindamycin 1 1.5 1.5 98.5 levofloxacin+meropenem 1 1.5 1.5 100.0 Total 68 100.0 100.0

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Lampiran 2. Analisis bivariat data responden Crosstab 9 8 4 21 4.3 9.6 7.1 21.0 64.3% 25.8% 17.4% 30.9% 13.2% 11.8% 5.9% 30.9% 5 23 19 47 9.7 21.4 15.9 47.0 35.7% 74.2% 82.6% 69.1% 7.4% 33.8% 27.9% 69.1% 14 31 23 68 14.0 31.0 23.0 68.0 100.0% 100.0% 100.0% 100.0% 20.6% 45.6% 33.8% 100.0% Count Expected Count % within PSI % of Total Count Expected Count % within PSI % of Total Count Expected Count % within PSI % of Total <= 60 > 60 Usia Total

rendah sedang tinggi

PSI Total Chi-Square Tests 9.654a 2 .008 9.163 2 .010 7.801 1 .005 68 Pearson Chi-Square Likelihood Ratio Linear-by-Linear Association N of Valid Cases Value df Asymp. Sig. (2-sided)

1 cells (16.7%) have expected count less than 5. The minimum expected count is 4.32.

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Crosstab 8 12 1 21 3.1 12.0 5.9 21.0 80.0% 30.8% 5.3% 30.9% 11.8% 17.6% 1.5% 30.9% 2 27 18 47 6.9 27.0 13.1 47.0 20.0% 69.2% 94.7% 69.1% 2.9% 39.7% 26.5% 69.1% 10 39 19 68 10.0 39.0 19.0 68.0 100.0% 100.0% 100.0% 100.0% 14.7% 57.4% 27.9% 100.0% Count Expected Count % within CURB % of Total Count Expected Count % within CURB % of Total Count Expected Count % within CURB % of Total <= 60 > 60 Usia Total

rendah sedang tinggi

CURB Total Chi-Square Tests 17.145a 2 .000 18.081 2 .000 15.875 1 .000 68 Pearson Chi-Square Likelihood Ratio Linear-by-Linear Association N of Valid Cases Value df Asymp. Sig. (2-sided)

1 cells (16.7%) have expected count less than 5. The minimum expected count is 3.09.

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Crosstab 7 13 13 33 6.8 15.0 11.2 33.0 50.0% 41.9% 56.5% 48.5% 10.3% 19.1% 19.1% 48.5% 7 18 10 35 7.2 16.0 11.8 35.0 50.0% 58.1% 43.5% 51.5% 10.3% 26.5% 14.7% 51.5% 14 31 23 68 14.0 31.0 23.0 68.0 100.0% 100.0% 100.0% 100.0% 20.6% 45.6% 33.8% 100.0% Count Expected Count % within PSI % of Total Count Expected Count % within PSI % of Total Count Expected Count % within PSI % of Total Laki-laki Perempuan Jenis kelamin Total

rendah sedang tinggi PSI Total Chi-Square Tests 1.140a 2 .566 1.144 2 .565 .294 1 .588 68 Pearson Chi-Square Likelihood Ratio Linear-by-Linear Association N of Valid Cases Value df Asymp. Sig. (2-sided)

0 cells (.0%) have expected count less than 5. The minimum expected count is 6.79.

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Crosstab 4 20 9 33 4.9 18.9 9.2 33.0 40.0% 51.3% 47.4% 48.5% 5.9% 29.4% 13.2% 48.5% 6 19 10 35 5.1 20.1 9.8 35.0 60.0% 48.7% 52.6% 51.5% 8.8% 27.9% 14.7% 51.5% 10 39 19 68 10.0 39.0 19.0 68.0 100.0% 100.0% 100.0% 100.0% 14.7% 57.4% 27.9% 100.0% Count Expected Count % within CURB % of Total Count Expected Count % within CURB % of Total Count Expected Count % within CURB % of Total Laki-laki Perempuan Jenis kelamin Total

rendah sedang tinggi CURB Total Chi-Square Tests .420a 2 .811 .422 2 .810 .057 1 .812 68 Pearson Chi-Square Likelihood Ratio Linear-by-Linear Association N of Valid Cases Value df Asymp. Sig. (2-sided)

1 cells (16.7%) have expected count less than 5. The minimum expected count is 4.85.

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PSI * CURB Crosstabulation

Count

CURB

Total rendah sedang tinggi

PSI rendah 8 5 1 14

sedang 1 24 6 31

tinggi 1 10 12 23

Total 10 39 19 68

Reliability

Scale: ALL VARIABLES

Case Processing Summary

68 100.0 0 .0 68 100.0 Valid Excludeda Total Cases N %

Listwise deletion based on all variables in the procedure. a.

Reliability Statistics

.691 2

Cronbach's

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ANOVA 48.618 67 .726 .000 1 .000 .000 1.000 15.000 67 .224 15.000 68 .221 63.618 135 .471 Between People Between Items Residual Total Within People Total Sum of

Squares df Mean Square F Sig

Grand Mean = 2.13

Intraclass Correlation Coefficient

.528b .333 .680 3.241 67.0 67 .000

.691c .500 .810 3.241 67.0 67 .000

Single Measures Average Measures

Intraclass

Correlationa Lower Bound Upper Bound 95% Confidence Interval

Value df1 df2 Sig

F Test with True Value 0

Two-way mixed effects model where people effects are random and measures effects are fixed.

Type C intraclass correlation coefficients using a consistency definition-the between-measure variance is excluded from the denominator variance.

a.

The estimator is the same, whether the interaction effect is present or not. b.

This estimate is computed assuming the interaction effect is absent, because it is not estimable otherwise. c.

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terapi empirik * Tempat rawat Crosstabulation

Tempat rawat

Total non-ICU ICU

terapi empirik ceftriaxone Count 47 3 50

% of Total 69.1% 4.4% 73.5% ciprofloxacin Count 3 0 3 % of Total 4.4% .0% 4.4% Levofloxacin Count 0 1 1 % of Total .0% 1.5% 1.5% Meropenem Count 1 1 2 % of Total 1.5% 1.5% 2.9% Cefotaxime Count 2 0 2 % of Total 2.9% .0% 2.9% cefoperazone Count 1 0 1 % of Total 1.5% .0% 1.5% ceftriaxone+ciprofloxacin Count 5 1 6 % of Total 7.4% 1.5% 8.8% ceftriaxone+cefotaxime Count 1 0 1 % of Total 1.5% .0% 1.5%

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ciprofloxacin+clindamycin Count 1 0 1 % of Total 1.5% .0% 1.5% levofloxacin+meropenem Count 1 0 1 % of Total 1.5% .0% 1.5% Total Count 62 6 68 % of Total 91.2% 8.8% 100.0%

terapi empirik * CURB Crosstabulation

CURB

Total rendah sedang tinggi

terapi empirik Ceftriaxone Count 8 28 14 50

% of Total 11.8% 41.2% 20.6% 73.5% Ciprofloxacin Count 0 3 0 3 % of Total .0% 4.4% .0% 4.4% Levofloxacin Count 0 1 0 1 % of Total .0% 1.5% .0% 1.5% Meropenem Count 1 1 0 2 % of Total 1.5% 1.5% .0% 2.9%

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Cefotaxime Count 0 1 1 2 % of Total .0% 1.5% 1.5% 2.9% cefoperazone Count 0 0 1 1 % of Total .0% .0% 1.5% 1.5% ceftriaxone+ciprofloxacin Count 1 2 3 6 % of Total 1.5% 2.9% 4.4% 8.8% ceftriaxone+cefotaxime Count 0 1 0 1 % of Total .0% 1.5% .0% 1.5% ciprofloxacin+clindamycin Count 0 1 0 1 % of Total .0% 1.5% .0% 1.5% levofloxacin+meropenem Count 0 1 0 1 % of Total .0% 1.5% .0% 1.5% Total Count 10 39 19 68 % of Total 14.7% 57.4% 27.9% 100.0%

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Lampiran 3. Spreadsheet

No

Nomer

cm Usia Sex Rawat PSI der.PSI

CURB-65 der.CURB 1 c374377 2 1 2 5 3 4 3 2 C373947 2 1 1 5 3 2 2 3 484757 2 2 1 4 2 2 2 4 c377238 2 1 1 5 3 3 3 5 c383888 2 1 1 2 1 2 2 6 c386336 2 1 1 5 3 5 3 7 c371174 2 2 1 5 3 2 2 8 b371770 2 1 1 4 2 2 2 9 c387630 2 2 1 5 3 2 2 10 c366531 1 2 1 2 1 0 1 11 c377370 1 1 1 3 1 2 2 12 c374186 1 2 1 1 1 0 1 13 c384952 2 1 2 5 3 3 3 14 c430487 2 2 1 5 3 3 3 15 c392798 2 2 2 5 3 4 3 16 b377418 2 2 1 4 2 2 2 17 c398081 2 2 1 4 2 2 2 18 c052585 2 2 1 4 2 2 2 19 b148605 1 1 1 4 2 2 2 20 c268084 1 2 1 3 1 1 1 21 c124793 2 1 1 5 3 2 2 22 c427502 1 2 2 2 1 1 1 23 c428852 2 2 1 5 3 3 3 24 c421710 2 2 1 4 2 3 3 25 c214179 2 1 1 4 2 2 2 26 c400199 2 1 1 4 2 2 2 27 c397469 1 1 1 5 3 2 2 28 c225469 2 1 1 3 1 3 3 29 c397568 1 1 1 4 2 2 2 30 c243988 2 2 1 5 3 2 2 31 c426718 2 2 1 4 2 2 2 32 c273637 2 2 1 4 2 2 2 33 c416097 2 2 1 5 3 2 2

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Nomer

cm Usia Sex Rawat PSI der.psi

CURB-65 der.CURB 34 c417197 2 2 1 4 2 2 2 35 c427437 2 1 1 5 3 3 3 36 c404497 1 2 1 2 1 1 1 37 c428997 2 2 1 5 3 3 3 38 c291567 2 2 1 4 2 2 2 39 c204117 2 1 1 4 2 3 3 40 c422706 2 2 1 4 2 2 2 41 c340066 2 1 1 4 2 2 2 42 c122806 2 1 1 5 3 3 3 43 b274925 2 1 1 3 1 1 1 44 c414835 2 2 1 4 2 3 3 45 c205875 1 2 1 4 2 2 2 46 c424255 1 1 1 4 2 3 3 47 c385434 2 2 1 5 3 3 3 48 c287864 1 1 1 5 3 1 1 49 c393824 1 2 1 3 1 2 2 50 c429414 2 1 1 4 2 2 2 51 c389513 1 1 2 5 3 2 2 52 c396233 1 2 1 4 2 1 1 53 c109693 1 2 1 4 2 2 2 54 c422472 2 1 1 3 1 2 2 55 c343112 2 1 1 4 2 2 2 56 c418952 1 2 1 3 1 2 2 57 b428322 1 1 1 3 1 1 1 58 c413152 2 2 1 4 2 3 3 59 c404311 2 1 1 4 2 2 2 60 b186461 1 2 1 4 2 2 2 61 c415130 1 1 1 5 3 2 2 62 b369240 2 1 1 5 3 2 2 63 c426800 2 1 1 3 1 1 1 64 c364230 1 1 2 4 2 2 2 65 c428429 2 2 1 4 2 3 3 66 c396968 2 2 1 4 2 2 2 67 c384489 2 1 1 4 2 2 2 68 c083541 2 2 1 5 3 3 3

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No

Nomer

cm terapi keganasan liver chf serebro ginjal

1 c374377 1 2 2 2 1 1 2 C373947 7 2 2 1 2 2 3 484757 1 2 2 1 2 2 4 c377238 7 2 2 2 1 2 5 c383888 1 2 2 2 2 2 6 c386336 7 2 2 2 2 2 7 c371174 1 2 2 1 2 2 8 b371770 1 2 2 2 2 1 9 c387630 7 2 2 1 2 1 10 c366531 1 2 2 2 2 2 11 c377370 1 2 2 2 2 2 12 c374186 1 2 2 2 2 2 13 c384952 7 2 2 2 2 1 14 c430487 1 2 2 2 1 1 15 c392798 1 2 1 2 1 2 16 b377418 2 2 2 2 1 2 17 c398081 10 2 2 2 1 2 18 c052585 4 2 2 2 2 2 19 b148605 1 2 2 2 1 2 20 c268084 1 2 2 2 2 1 21 c124793 5 2 2 2 2 2 22 c427502 4 2 2 2 2 2 23 c428852 1 2 2 1 2 2 24 c421710 1 2 2 2 1 2 25 c214179 1 2 2 2 2 1 26 c400199 1 2 2 2 2 1 27 c397469 1 2 2 2 1 2 28 c225469 1 2 2 2 2 2 29 c397568 1 2 2 2 2 1 30 c243988 9 2 2 2 2 2 31 c426718 2 2 2 1 2 2 32 c273637 1 2 2 2 2 2 33 c416097 1 2 1 1 2 2 34 c417197 1 2 2 1 2 2

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No

Nomer

cm Terapi Keganasan Liver Chf Serebro ginjal

35 c427437 1 2 2 1 2 2 36 c404497 1 2 2 2 2 2 37 c428997 1 2 2 1 2 1 38 c291567 1 2 2 2 2 2 39 c204117 1 2 2 1 2 2 40 c422706 1 2 2 1 2 2 41 c340066 1 1 2 2 2 2 41 c122806 5 2 1 2 2 2 43 b274925 1 2 2 2 2 2 44 c414835 1 2 2 2 2 2 45 c205875 1 1 2 2 2 2 46 c424255 1 2 2 2 1 2 47 c385434 1 2 2 2 2 2 48 c287864 1 2 2 1 2 1 49 c393824 1 2 2 2 2 2 50 c429414 1 2 2 2 2 2 51 c389513 1 1 2 2 2 2 52 c396233 1 2 2 2 2 2 53 c109693 1 2 2 1 2 2 54 c422472 8 2 2 2 2 2 55 c343112 1 2 2 2 2 2 56 c418952 2 2 2 2 2 2 57 b428322 7 2 2 1 2 2 58 c413152 1 2 2 1 2 2 59 c404311 1 2 2 2 2 2 60 b186461 1 2 2 1 2 2 61 c415130 1 2 2 2 2 2 62 b369240 1 2 2 1 2 2 63 c426800 1 2 2 2 2 2 63 c364230 3 2 2 2 2 2 65 c428429 6 2 2 2 2 2 66 c396968 1 2 2 2 2 2 67 c384489 1 2 2 2 2 2 68 c083541 1 2 2 1 2 2

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Lampiran 6. Daftar tilik penelusuran rekam medik Nama Usia Nomer registri Jenis kelamin Tempat perawatan Skoring PSI

Karakteristik Pasien Poin skor Skor

Faktor Demografi

Usia laki-laki Usia

Usia wanita Usia-10

Tinggal di rumah perawatan 10

Penyakit Komorbid

Keganasan 30

Penyakit liver 20

Gagal jantung kongestif 10

Penyakit serebrovaskuler 10

Penyakit ginjal 10

Temuan Pemeriksaan Fisik

Penurunan kesadaran 20

Laju pernapasan ≥ 30 x per menit 20 Tekanan darah sistolik <90 mmHg 20 Suhu < 35 oC / ≥40 oC 15

Nadi ≥ 125 x per menit 10

Temuan Laboratorium

pH <7,35 30

BUN>11mmol/L atau ≥30mg/dL 20

Natrium <130mmol/L 20

Gula darah >14 mmol/L atau

≥250mg/dL 10

Hematokrit <30% 10

p02 <60mmHg 10

Efusi pleura 10

Total skor PSI Derajat keparahan

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Skoring CURB-65

Karakteristik Poin Skor Skor

Penurunan kesadaran 1

Urea nitrogen darah > 20 mg per dL (7.14 mmol per L)

1 Laju pernapasan ≥ 30 x per menit 1 Tekanan darah (sistolik < 90 mm Hg

atau diastolik ≤ 60 mm Hg) 1

Usia ≥ 65 tahun 1

Total skor CURB-65 Derajat keparahan

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Lampiran 8. Biodata Mahasiswa

Identitas

Nama : Nina Widasari

NIM : 22010110120119

Tempat / tanggal lahir : Takengon, 3 Juli 1992 Jenis Kelamin : Perempuan

Alamat : Jl. Azalea IV no. 8U Kompleks Cemara Asri Medan

Nomor HP : 083838808789

E-mail : ninawidasariyanis@gmail.com

Riwayat Pendidikan Formal

1. SD : 1998 Lulus tahun : 2004

2. SMP : 2004 Lulus tahun : 2007

3. SMA : 2007 Lulus tahun : 2010

4. FK UNDIP : Masuk tahun 2010

Keanggotan Organisasi

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