Hubungan Kadar Trombosit dengan Lama Rawat Inap pada Pasien Demam Berdarah Dengue Anak di RSUD Dr. Soekardjo Tasikmalaya 2023
Abstract
Abstract. Dengue hemorrhagic fever is an infectious disease caused by dengue virus which is transmitted through the bite of the aedes aegypti mosquito. Patients may exhibit various sign and symptoms, including high fever accompanied by thrombocytopenia. The ampunt of fluid given for management of dengue hemorrhagic fever and length of hospitalization vary depending on the hematological indices. Thus, platelet levels in patients with dengue hemorrhagic fever can affect the length of hispitalization. The purpose of this research is to analyze the correlation between platelet levels with length of hospitalization in children with dengue hemorrhagic fever at Dr. Soekardjo Tasikmalaya Hospital in 2023. This research used an analytic observational method with cross sectional approach. Platelet velue and length of hospitalization data were taken from medical records. Statistic test used chi square test. The result showed that the majority of patients platelet levels fall into moderate thrombocytopenia (46.2%). The most common length of hospitalization is in the category of ≤ 4 days (57.7%). The statistical analysis result of the correlation between platelet levels with length of hospitalization in children with dengue hemorrhagic fever at Dr. Soekardjo Tasikmalaya Hospital in 2023 is acquired with p value=0,294 (p>0,05). In conclusion, there was no relationship between platelet levels and length of hospitalization in children with dengue hemorrhagic fever at Dr. Soekardjo Tasikmalaya Hospital in 2023. In addition to platelet levels, the length of hospitalization may also be influenced by other factor such as age, hematocrit levels, leukocyte count, and nutrituional status.
Abstrak. Demam berdarah dengue merupakan penyakit menular yang diakibatkan oleh infeksi virus dengue dan disebarkan melalui gigitan nyamuk aedes aegypti. Pasien dapat menunjukkan berbagai tanda dan gejala seperti demam tinggi disertai trombositopenia. Jumlah cairan yang diberikan untuk tatalaksana demam berdarah dengue serta lama rawat inap berbeda-beda bergantung pada indeks hematologi. Dengan demikian, kadar trombosit pasien demam berdarah dengue dapat mempengaruhi lama rawat inap. Penelitian ini bertujuan untuk menganalisis hubungan antara kadar trombosit dengan lama rawat inap pada pasien demam berdarah dengue anak di RSUD Dr. Soekardjo Tasikmalaya tahun 2023. Penelitian ini menggunakan metode deskriptif observasional analitik dengan desain cross sectional. Data nilai trombosit dan lama rawat inap diambil dari rekam medis. Analisis data pada penelitian ini menggunakan uji korelasi chi square. Hasil penelitian ini menunjukkan kadar trombosit pasien terbanyak terdapat pada kategori trombositopenia derajat moderate (46.2%) dan durasi lama rawat inap terbanyak adalah kategori ≤ 4 hari (57.7%). Hasil analisis hubungan antara kadar trombosit dengan lama rawat inap didapatkan nilai p=0,294 (p>0,05). Tidak terdapat hubungan antara kadar trombosit dengan lama rawat inap pasien demam berdarah dengue anak di RSUD Dr. Soekardjo Tasikmalaya tahun 2023. Selain kadar trombosit, lama rawat inap dapat dipengaruhi oleh faktor lain seperti usia, hematokrit, leukosit, status gizi.
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