ABSTRAK
Cedera kepala berat merupakan penyebab paling bermakna dalam meningkatkan mortalitas. Faktor yang berhubungan dengan cedera kepala a dalah Glasgow Coma Scale (GCS), dimana skor GCS < 8 menandakan cedera kepala berat.
Dirancang dengan tujuan untuk mengetahui mortalitas penderita cedera kepala berat yang di rawat di RSUP Haji Adam Malik Medan periode Juli 2012 – Juni 2013. Berdasarkan karakteristik yaitu skor GCS, jenis kelamin, usia, mekanisme cedera dan hasil head CT Scan. Jenis penelitian ini bersifat deskriptif, yang menggunakan data sekunder dengan teknik total sampling pada 73 data rekam medik.
Hasil penelitian menunjukkan bahwa mo rtalitas penderita cedera kepala berat yang di rawat di RSUP Haji Adam Malik Medan yang meninggal sebanyak 86,3%. Distribusi frekuensi berdasarkan jenis kelamin mayoritas pada laki – laki sebanyak 56 orang (76,7%), berdasarkan umur mayoritas berada pada um ur 17 – 29 tahun sebanyak 33 orang (45,2%), berdasarkan mekanisme cedera mayoritas adalah jenis trauma sebanyak 70 orang (95,9%) dan distribusi berdasarkan hasil head CT Scan didapatkan subdural hematom sebanyak 21 orang (28,8%).
Dari hasil penelitian diat as, penulis menyimpulkan bahwa mortalitas penderita cedera kepala berat yang di rawat di RSUP Haji Adam Malik Medan memiliki angka yang cukup tinggi dalam periode waktu satu tahun.
Kata Kunci : Mortalitas, Cedera Kepala berat, Glasgow Coma Scale < 8.
ABSTRACT
Severe head injury is the most significant of the increased mortality. Factors associated with head injury is Glasgow Coma Scale (GCS), where is scores GCS < 8 indicates a severe head injury.
Designed with the aim to determine the mortality of patients with severe head injury who were treated in RSUP Haji Adam Malik Medan period July 2012 – June 2013. Based on characteristics GCS score, sex, age, mechanism of injury and the result of head CT Scan. The type of this research is descriptive, used secondary data with total sampling technique at 73 medical records.
The result showed that the mortality of patients with severe head injury who were admitted in RSUP Haji Adam Malik Medan as much as 86,3% died. Fr equency distribution by
sex majority in men by 56 people (76,7
%), based on age majority at 17 –29 years as much as 33 people (45,2%), based on mechanism of injured is types of trauma as much as 70 people (95,9%) and the distributed of the result of head CT Scan got subdural hematom as much as 21 people (28,8%).
From the above results, the writer concluded that the mortality of patients with severe head injury who were treated in RSUP Haji Adam Malik Medan have a high rate in a period of one year.
Keywords : Mortality, Severe head injury, Glasgow Coma Scale < 8.
