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Journal : Jurnal NERS

Risk of Mortality on Patients with Traffic Accidents of Emergency Department at dr. Soebandi Hospital, Jember Regency Baskoro Setioputro; Indah Listiyawati; Kholid Rosyidi Muhammad Nur
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.17599

Abstract

Introduction: The number of deaths due to traffic accidents has become a global burden. In addition SDGs 2030 has set a target to decrease the number of fatalities and global injuries due to traffic accidents. The purpose of this study was to analyse the risk of mortality due to traffic accidents in the Emergency Department (ED) of dr.Soebandi Hospital Regional, Jember Regency.Methods: A retrospective observational study was carried out in the ED by studying medical records of the traffic accident patients aged ≥16 years. The sampling technique was simple random sampling with sample size 250. The study collected data with Modified Rapid Emergency Medicine Score. This study result was analyzed with frequency distribution and Chi-square test.Results: The result showed respondents who experienced traffic accidents were mostly 20-29 years old (19.6%). The majority of the patients were men (68.4%). The riders of two/three-wheeled vehicles who suffered traffic accidents reached 73.2%. Most of the accidents   occurred between 06.00-11.59am, 37.6%. Generally, traffic accidents occur to drivers as much as 68.4% and the number of types of head trauma as much as 57.2%. This study showed that 94.8% patients were at low risk of mortality. There was significant relationship between risk of mortality and the role in vehicle use (p-value = 0.043).Conclusion: Almost all patients have a low risk of mortality in the ED of dr. Soebandi Hospital Jember Regency.
Factors associated with duration of mechanical ventilation at Intensive Care Unit Dr. Soebandi: a retrospective study Setioputro, Baskoro; Dimas Sumarlan, Rahmawati; Adi Yunanto, Rismawan
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.37864

Abstract

Introduction: Several factors cause the increase in the duration of mechanical ventilation. This study aims to analyze the relationship between initiating diagnostic factors, age, gender, comorbidities, and mechanical ventilation complications with the duration of mechanical ventilation in the Intensive Care Unit Dr. Soebandi Jember. Methods: This study used a quantitative correlative design with a retrospective approach from medical records. This study used purposive sampling to select samples from 414 total populations, obtaining 81 medical records that met the inclusion criteria. The duration of mechanical ventilation is the dependent variable, while the initiation diagnosis, age, gender, comorbidity, and complications are independent variables. Data were collected using a checklist compiled by the researcher. Data were analyzed using Chi-square and logistic regression. Results: The results showed that there was a relationship between initiation diagnosis (p=0.000) and complication factors (p=0.000) with the duration of mechanical ventilation, while age (p=0.449), gender (p=0.632), and comorbidities (p=0.752) had no relationship with the duration of mechanical ventilation. Multivariate analysis showed that the initiation diagnosis factor was the most dominant factor associated with the duration of mechanical ventilation, with an odds ratio of 11.9 and statistically significant (p=0.000). Conclusions: This study shows that the duration of mechanical ventilation is most dominantly associated with thediagnosis of ventilator initiation and ventilator complications.