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Journal : Cermin Dunia Kedokteran

Pengaruh Jumlah Kunjungan, Lama Tinggal (LOS), dan Kepadatan IGD terhadap Mortalitas di IGD RS Tersier Kota Malang: Hasil Penelitian Johan, Willy; Andriani, Rian; Mulyani, Kahar
Cermin Dunia Kedokteran Vol 51 No 11 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i11.1378

Abstract

Introduction: Emergency department (ED) mortality is a critical issue that has a major impact on individuals, society, and the entire health system and is one of the indicators of emergency department service performance. This research aims to provide input to hospital management regarding the impact of non-medical factors (number of visits, length of stay/LOS, and ED crowding) on patient mortality, related to improvement policy-making in ED patient services. Method: A retrospective study on 130 ED shifts from medical record data during 2022-2023. The independent variables were the number of visits, LOS, ED crowding measured by CEDOCS, and ED mortality as the dependent variable. Results: There were deaths in 38 out of 130 shifts in the ED, with a total mortality of 1.6%. Statistical tests showed a significant effect between crowding and ED mortality (p = 0.01), a non-significant effect between visits and ED mortality (p = 0.76), and a non-significant effect between LOS and ED mortality (p = 0.62). The results of the regression analysis were able to explain the data (p = 0.91; Hosmer-Lameshow test). The area under the curve (AUC) for prognosis in hospital treatment is 0.641 with a 95% confidence interval of 0.539-0.744 (medium category). Conclusion: The significant effect between crowding and patient mortality in the ED indicates that strategic management must be carried out to reduce ED crowding.
Co-Authors A. Rohendi, A. Acep Rohendi Ade Mubarok Andini, Asri Dwi Andriani, Disman Andriani, Purwadhi Arif Rachman Asriansyah Asriansyah Aziz, Firdaus Abdul Balishna, Mega Biantoro, Yonathan Leonardo Vincensius Chairil M Noor Dadang Kusnadi Dasrun Hidayat DASUKI DASUKI Disman , Disman Disman, Disman Disman, Disman Dwi Budi Santoso Eeng Ahman, Eeng Efawati, Yen Endang Komara Erlangga Brahmanto Erliany Syaodih Fanny Agustina Hidayat Fatimah, Rikrik Firdaus, Arsya Fitaloka, Neng Diana Hidayat, Fanny Agustina Jamlean, Veronica Vensca Inggrid Jemi Angga Ruhiat Johan, Willy Kopong, Fransiska Sabu Kristian Ismail Lena, Lena Lukas, Denny Christian Lutfiansyach, Dadang Yunus Mardiyanto, Fransiska Yan Devina Mardiyanto, Mochamad Sukrisno Marlinda, Rifi Martal, Lena Fitriyani MAXSI ARY Molantikha, Dwi Andikarati Mulyani, Kahar Muthoharoh, Laili Indah Nico Nico Nugraha, Gagah Baskara Adi Nurnaeni, Neni Panggita Tria Oktaviani Pangihutan, Reymond Parino, Najip Hendra S Permana, Deden Purba, Beatrix C.C Simamora Purwadhi Purwadhi , Purwadhi Purwadhi Purwadhi Rahmayani, Aprilia Ridwansyah Ridwansyah Rinawati Rinawati Rohendi Rohendi, A Rubadhiansyah, Mega Tamzil Ruhiat, Jemi Angga Saparingga Dasti Putri Seger, Rudyanto Wiharjo Sembiring, Nur Hawai Siti Halimah Sudjadi, Silvia Sukajie, Bambang Sunarjo, Andreuw Suwardhani , Achmad Dheni Tresna Budiarti Trianasari, Novy Wahyudi, Ni Putu Selly Octaviani Wibisono, Angki Willma Fauzzia Yani Restiani Widjaja, Yani Restiani Yatindra, Ida Bagus Tatwa