Mortalitas Penderita Cedera Kepala Berat yang di Rawat di Unit Perawatan Intensif RSUP Haji Adam Malik Medan Periode Juli 2012 – Juni 2013

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 diatas, 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.

Universitas Sumatera Utara

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.

Universitas Sumatera Utara