M.BENI G2A009088 Bab8KTI

1

DAFTAR PUSTAKA

1. Indonesia Society of Intensive Care Unit. [cited 2012 Sept 23]. Available
from

http://www.perdici.org/

2. Dewoto, H.R, et al. Buku Farmakologi dan Terapi edisi 5 : Antikoagulan,
Antitrombotik, Trombolitik dan Hemostatik. Jakarta: Departemen
Farmakologi dan Terapeutik FKUI, 2009: 804-810
3. Adi Satrio. Pengaruh pemberian heparin subkutan dan heparin intravena
sebagai profilaksis thrombosis vena dalam (TVD) terhadap PTT/K dan
jumlah trombosit pada pasien di ICU RSUP DR. Kariadi Semarang. 2013.
[cited 2013 February 28]. Available from eprints.undip.ac.id/
4. Sam Schulman. Hemorrhagic Complications of Anticoagulant and
Thrombolytic Treatment American College of Chest Physicians Evidence
Based Clinical Practice Guidelines (8th Edition). (CHEST 2008;
133:257S–298S).


[cited

2012

Sept

29].

Available

from

http://publications.chestnet.org
5. Maureen A Smythe. Use of the Activated Partial Thromboplastin Time for
Heparin Monitoring. (Am J Clin Pathol 2001;115:148-155). [cited 2013
February 28]. Available from http://ajcp.ascpjournals.org
6. Syed Reza. Assessment of Bleeding Risk in Patients on Antiplatelet and
Anticoagulant Therapy. 2012. [cited 2013 February 28]. Available from
http://www.priory.com/medicine/bleeding_risk.htm
7. Ridzky Djanuar. Perbandingan pemberian heparin intravena dan subkutan

terhadap kadar PPT dan PTTK pada pencegahan Deep Vein Thrombosis. .
2012. [cited 2013 Jun 28]. Available from eprints.undip.ac.id/

2

8. Riskiawan Angga. Pengaruh pemberian heparin intravena sebagai
profilaksis Deep Vein Thrombosis terhadap nilai PPT dan PTTK. 2012.
[cited 2013 Jun 28]. Available from eprints.undip.ac.id/
9. Jack Hirsh, Theodore E. Warkentin, et al. Heparin and Low-MolecularWeight Heparin Mechanisms of Action, Pharmacokinetics, Dosing,
Monitoring, Efficacy, and Safety (CHEST 2004; 126:188S–20). [cited
2012 Sept 28]. Available from http://publications.chestnet.org
10. Jack Hirsh, Kenneth A. Bauer, et al. Parenteral Anticoagulants. American
College of Chest Physicians Evidence-Based Clinical Practice Guidelines
(8th Edition) (CHEST 2008; 133:141S–159S). [cited 2012 Sept 28].
Available from http://publications.chestnet.org
11. Levitan N, Dowlati A, et al. Rates of initial and recurrent thromboembolic
disease among patients with malignancy versus those without malignancy.
Risk analysis using Medicare claims data. 1999 (Sep);78(5):285–91. [cited
2013 May 28]. Available from www.ncbi.nlm.nih.gov/pubmed/10499070
12. Goitom Hagos, M.D. Lower Extremity Deep Vein Thrombosis among

Intensive Care Patients in Orotta, National Referral Hospital, Asmara,
Eritrea, JEMA; 2008. ) [cited 2013 May 28]. Available from
www.ajol.info/index.php/jema/.../40736
13. Michael K Gould. LMWH compare with UHF for treatment of Deep
Acute Vein Thrombosis – A cost effectiveness analysis. (Ann Intern
Med.2001;130:789-799).

[cited

2012

Sept

26].

Available

from

http://publications.chestnet.org

14. Theodore E. Warkentin. Prevalence and Risk of Preexisting HeparinInduced Thrombocytopenia Antibodies in Patients With Acute VTE.
(CHEST 2011; 140(2):366–373). [cited 2012 Sept 30]. Available from
http://publications.chestnet.org
15. Gennari C, Martini G. Secondary osteoporosis. 10(3):214-24 1998 Jun.
Institut of Medical Pathology, University of Siena, Italy. [cited 2012 oct

3

1].

[cited

2012

Sept

28].

Available


from

http://www.ncbi.nlm.nih.gov/pubmed
16. M.R. Caballeroand M. Allergy to heparin: A new vitrodiagnostic
technique. Allergy and Immunopathology 2003;31(6):324-8. Departament
Allergy and Immunology, Faculty of Medicine, University de Navarra,
Pamplona. Spain. [cited 2012 Oct 1]. [cited 2012 Sept 28]. Available from
http://www.ncbi.nlm.nih.gov/pubmed
17. Ronald, Reagan. Anticoagulant Management Program and Guidelines.
UCLA Medical Center. 2008. [cited 2012 Sept 28]. Available from
http://medres.med.ucla.edu/guidelines
18. Peterson D, Harward S, Lawson J.H. Anticoagulation strategies for
venous thromboembolism. Perspect Vasc Surg Endovasc Ther 2009;
21;125.

)

[cited

2012


Sept

28].

Available

from

http://www.ncbi.nlm.nih.gov/pubmed
19. Suharti C. Dasar-DasarHemostasis.Dalam :Aru W Sundarudkk. (editor)
Buku Ajar Ilmu Penyakit Dalam.Edisi keempat.Jakarta. Pusat Penerbitan
Departemen Ilmu Penyakit Dalam. Edisi keempat. Jakarta. Pusat
Penerbitan Departemen Ilmu Penyakit Dalam FKUI.2006
20. Wijanda Hidajati S. Stabilitas sampel plasma sitrat selama penyimpanan
untuk pemeriksaan APTT dan PT. (Dept Patologi Klinik 2012).[cited 2013
February 28]. Available from http://penelitian.unair.ac.id/artikel_dosen
21. Kitchen S. Prothrombine time and INR. 2010. [cited 2013 Jun 28].
Available from http://pathology.vcu.edu/clinical/coag/PT%20INR.Pdf
22. Roger S. Riley. Activated Partial Thromboplastin Time (APTT). April

2005. [cited 2013 February 28]. Available from http://pathology.vcu.edu
23. Agnelli G, Caprini JA. The Prophylaxis of Venous Thrombosis in Patients
with Cancer Undergoing Major Abdominal Surgery: emerging options. J
Surg Oncol 2007;96:265-272. [cited 2013 February 28]. Available from
http://ncbi.nlm.nih.gov/pubmed/17474075

4

24. Gottfried EL and Adachi MM, "Prothrombin Time and Activated Partial
Thromboplastin Time Can Be Performed on the First Tube,"Am J Clin
Pathol, 1997, 107(6):681-3. [cited 2013 Jun 28]. Available from
http://ncbi.nlm.nih.gov/pubmed/9169665
25. Sukrisman L. Trombosis Vena Dalam dan Emboli Paru dalam Ilmu
Penyakit Dalam. Penerbit FKUI. Jakarta, 2006; 802-03
26. William H. Geerts. Prevention of Venous Thromboembolism. (CHEST
2008;

133:381S–453S).

[cited


http://publications.chestnet.org

2013

July

2].

Available

from

5

6

7

No


Register

Diagnosis

JK

Usia L.R BB Rute Jenis

1
2
3
4
5
6
7
8
9
10
11


C264762
C272181
C285953
C276475
C283471
C283444
C277275
C072726
C284326
C263161
C273627

Wanita
Laki-laki
Laki-laki
Wanita
Laki-laki
Wanita
Wanita

Wanita
Wanita
Laki-laki
Laki-laki

59
24
52
46
71
28
17
52
23
61
70

6
7
7
5
4
7
4
4
7
6
4

49
65
75
53
50
70
37
50
50
80
60

IV
IV
IV
IV
IV
IV
IV
IV
IV
IV
IV

UHF
UHF
UHF
UHF
UHF
UHF
UHF
UHF
UHF
UHF
UHF

12
13
14
15
16
17
18

C284590
C287341
C274874
C285394
C279894
C282255
C278454

Laki-laki
Laki-laki
Wanita
Wanita
Wanita
Laki-laki
Laki-laki

50
29
46
31
47
63
53

5
6
4
5
6
4
4

45
70
50
45
50
50
65

IV
IV
IV
IV
IV
IV
IV

UHF
UHF
UHF
UHF
UHF
UHF
UHF

19

C222772

Wanita

43

4

50

IV

UHF

20
21
22
23

C264314
C279975
C295047
C285953

Wanita
Laki-laki
Wanita
Laki-laki

41
44
18
52

7
4
4
7

40
65
45
50

IV
IV
IV
IV

UHF
UHF
UHF
UHF

24
25
26
27
28
29
30

C273019
C288064
C293794
C292436
C291327
C257977
B003309

Post CABG
Post OP DVR
Post Laparatomi
Post Histerektomi
Post Laparatomi
Post Laparatomi
Post OP DVR
Post Craniotomi
Post Laparatomi
Post OP URS
Post TPM
Post Fiksasi
Interna
Post Thoracotomi
Post Laparatomi
Post Craniotomi
Post Laparatomi
Post Thoracotomi
Post CABG
Post OP Kista
Ovarii
Post OP Tumor
Ovarii
Post Thoracotomi
Post Sectio
Post Laparatomi
Post
Oovaringektomi
Post Sectio
Post Histerektomi
Post Laparatomi
Post Laparatomi
Post CABG
Post EGD Biopsi

Wanita
Wanita
Wanita
Wanita
Wanita
Wanita
Laki-laki

50
35
15
70
48
44
68

7
7
5
5
6
7
7

65
45
50
65
50
70
50

IV
IV
IV
IV
IV
IV
IV

UHF
UHF
UHF
UHF
UHF
UHF
UHF

8

L.H Dosis
6
7
4
5
4
7
4
4
7
6
4
5
6
4
5
4
4
5
4
5
4
4
5
7
7
5
5
6
7
10

500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500
500

PTo
13.7
18.1
14.8
15.2
15.6
16.7
17.8
10.6
13.9
15.9
15.4
18.1
11.7
15.2
10.7
15.3
14.5
16.5
13
15.5
14.2
10
14.3
13.2
11.9
13.4
14.2
14.4
15.4
14.2

skor sebelum
skor sesudah
PTc APTTo APTTc PT1 PTc APTT1 APTTc
13.7
38.9
31.9 13.9 13.3
44.6
31.9
13.7
42
32.3
19 14.4
45.4
31.9
13.6
39.5
31.5 13.3 13.4
37.1
31.5
14.1
41.2
31.8 16.3
14
40.1
31.9
14.5
35.1
32.5 14.9 14.5
41.5
32.5
10.6
40.5
34.9 18.3 10.6
39
35
13.8
45.2
32.6 17.3 13.8
43.5
32.6
10.9
43.2
33.3 10.8 10.6
45.6
34.1
14.5
40.7
32.5 15.7 10.2
43.1
33.5
14.5
42.3
31.8
17 14.4
47.1
32
13.1
41.8
31.7 18.3 13.4
43.8
32.1
14.5
39.5
32.5 21.2 14.5
41.3
32.5
11.2
37.6
33.2
15 12.5
40.4
33.2
13.7
40.3
29
15 13.7
38.6
29
10.5
37.6
30.5 13.8 14.1
36.8
29.3
14.1
40.7
31.4 14.2 14.1
41.5
29.8
13.8
38.6
29.5 14.1 14.3
39.6
29.3
13.7
38.1
29 15.8 10.9
40.3
34.1
11.3
35.1
31.4
12
14
34.4
33.8
13.7
32.7
29 14.2 10.8
37.4
31.6
13.7
40.1
29
14 13.7
37.1
29
11.6
40.9
34.6
13 11.6
39.1
34.5
14.4
41.7
30.3 16.5 14.4
45.1
30.3
12.6
37.4
34
14 12.5
41.9
33.8
11
39.2
32 13.5 10.9
38.9
31.5
14.4
36
30.3 13.8 10.1
38.3
32
12.9
37.5
34
14
13
41
33.5
13.9
33.1
29.3 14.2 11.6
36.2
35
14
38.2
29.4
17 14.3
38.4
29.4
13.9
39.9
32.5 14.1 13.9
41.4
32.5

9

skor sebelum keluar ICU
PTx
PTc
APTTx APTTc
17.9
14.1
47.4
31.7
21.1
12.1
53
31.7
16.1
13.7
39.7
32.3
18.5
13.8
43.8
31.6
16.9
14.3
45.8
32.5
20.4
10.7
44.4
37.2
18
10.9
46.3
33.9
10.5
10.7
43.1
33.9
18
10.1
46.4
34.2
19.2
14.5
51
31.9
17.9
13.2
51.6
31.9
24.6
10.1
43
32.2
15.1
12.1
42
33.2
15.1
13.8
44
29.3
20.3
14.2
38.7
29.3
19
13.8
40.7
29.5
13.1
19.4
42
34.4
15.2
11
44.4
34
11.9
11
39.5
33.4
18.9
11.2
46.3
33.8
13.5
13.8
40.2
29
17.1
11.5
39
34.5
19
13.7
49.5
29.8
18.4
12.5
44
33.4
18
11.2
46
31.3
19.7
13.7
48.2
29.8
18.5
13.5
43.9
32.7
19.2
10.5
42.6
34.5
19.2
14
40.8
29.6
21.5
10.4
47.6
35.1

PTo
APTTo
PT1
APTT1
PTx
APTTx
PTc

PT sebelum mendapat heparin
APPT sebelum mendapat heparin
PT sesudah mendapat heparin
APTT sesudah mendapat heparin
PT sebelum keluar ICU
APTT sebelum keluar ICU
PT kontrol

10

Output SPSS
Descriptives
PT sebelum
menerima Heparin

APTT sebelum
menerima Heparin

Mean
95% Conf idence
Interv al f or Mean
5% Trimmed Mean
Median
Variance
Std. Dev iat ion
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurt osis
Mean
95% Conf idence
Interv al f or Mean
5% Trimmed Mean
Median
Variance
Std. Dev iat ion
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurt osis

Lower Bound
Upper Bound

Lower Bound
Upper Bound

Stat istic
14.4467
13.6744

Std. Error
.37758

15.2189
14.4796
14.4500
4.277
2.06810
10.00
18.10
8.10
2.18
-.322
.027
39.1533
38.0895

.427
.833
.52016

40.2172
39.2056
39.5000
8.117
2.84905
32.70
45.20
12.50
3.40
-.434
.301

.427
.833

11

Descriptives
PT setelah
menerima Heparin

APTT setelah
menerima Heparin

Mean
95% Conf idence
Interv al f or Mean
5% Trimmed Mean
Median
Variance
Std. Dev iat ion
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurt osis
Mean
95% Conf idence
Interv al f or Mean
5% Trimmed Mean
Median
Variance
Std. Dev iat ion
Minimum
Maximum
Range
Interquartile Range
Skewness
Kurt osis

Lower Bound
Upper Bound

Lower Bound
Upper Bound

Stat istic
15.1400
14.3184

Std. Error
.40174

15.9616
15.0630
14.2000
4.842
2.20041
10.80
21.20
10.40
2.75
.768
.881
40.6167
39.4436

.427
.833
.57358

41.7898
40.5963
40.3500
9.870
3.14161
34.40
47.10
12.70
4.83
.223
-.564

.427
.833

12

Descriptives
PT sebelum
pasien keluar I CU

APTT sebelum
pasien keluar I CU

Mean
95% Conf idence
Interv al f or Mean
5% Trimmed Mean
Median
Variance
Std. Dev iat ion
Minimum
Maximum
Range
Interquart ile Range
Skewness
Kurt osis
Mean
95% Conf idence
Interv al f or Mean
5% Trimmed Mean
Median
Variance
Std. Dev iat ion
Minimum
Maximum
Range
Interquart ile Range
Skewness
Kurt osis

Lower Bound
Upper Bound

Lower Bound
Upper Bound

Stat istic
17.7267
16.6239

Std. Error
.53920

18.8294
17.7778
18.2000
8.722
2.95331
10.50
24.60
14.10
3.33
-.473
.843
44.4967
43.0826

.427
.833
.69140

45.9107
44.3667
44.0000
14.341
3.78695
38.70
53.00
14.30
4.95
.461
-.323

.427
.833

13

Tests of Normal ity
a

Kolmogorov -Smirnov
St at ist ic
df
Sig.
PT sebelum
menerima Heparin
APTT sebelum
menerima Heparin
PT set elah
menerima Heparin
APTT setelah
menerima Heparin
PT sebelum
pasien keluar ICU
APTT sebelum
pasien keluar ICU

St at ist ic

Shapiro-Wilk
df

Sig.

.119

30

.200*

.962

30

.352

.102

30

.200*

.974

30

.648

.199

30

.004

.939

30

.085

.089

30

.200*

.980

30

.822

.190

30

.007

.952

30

.190

.110

30

.200*

.965

30

.417

*. This is a lower bound of the true signif icance.
a. Lillief ors Signif icance Correction

Paired Samples Statistics
Mean
Pair
1

PT sebelum
menerima Heparin
PT setelah
menerima Heparin

N

Std. Dev iat ion

Std. Error
Mean

14.4467

30

2.06810

.37758

15.1400

30

2.20041

.40174

Paired Samples Test
Paired Dif f erences

Mean
Pair
1

PT sebelum menerima
Heparin - PT setelah
menerima Heparin

-.69333

St d. Dev iation

St d. Error
Mean

1.44650

.26409

95% Conf idence
Interv al of the
Dif f erence
Lower
Upper
-1.23347

-.15320

t
-2.625

df

Sig. (2-tailed)
29

Paired Samples Statistics
Mean
Pair
1

PT setelah
menerima Heparin
PT sebelum
pasien keluar ICU

N

Std. Dev iat ion

Std. Error
Mean

15.1400

30

2.20041

.40174

17.7267

30

2.95331

.53920

.014

14

Paired Samples Test
Paired Dif f erences

Mean
Pair
1

PT setelah menerima
Heparin - PT sebelum
pasien keluar ICU

Std. Dev iat ion

Std. Error
Mean

2.30856

.42148

-2.58667

95% Conf idence
Interv al of the
Dif f erence
Lower
Upper
-3.44870

-1.72463

t

df

Sig. (2-tailed)

-6.137

29

.000

Paired Samples Statistics
Mean
Pair
1

APTT sebelum
menerima Heparin
APTT setelah
menerima Heparin

N

Std. Dev iat ion

Std. Error
Mean

39.1533

30

2.84905

.52016

40.6167

30

3.14161

.57358

Paired Samples Test
Paired Dif f erences

Mean
Pair
1

APTT sebelum menerima
Heparin - APTT setelah
menerima Heparin

-1.46333

Std. Dev iat ion

Std. Error
Mean

2.55079

.46571

95% Conf idence
Interv al of the
Dif f erence
Lower
Upper
-2.41581

-.51085

t

df

-3.142

Sig. (2-tailed)
29

.004

Paired Samples Statistics
Mean
Pair
1

APTT setelah
menerima Heparin
APTT sebelum
pasien keluar ICU

N

Std. Dev iat ion

Std. Error
Mean

40.6167

30

3.14161

.57358

44.4967

30

3.78695

.69140

Paired Samples Test
Paired Dif f erences

Mean
Pair
1

APTT setelah menerima
Heparin - APTT sebelum
pasien keluar I CU

-3.88000

Std. Dev iat ion

Std. Error
Mean

2.78622

.50869

95% Conf idence
Interv al of the
Dif f erence
Lower
Upper
-4.92039

-2.83961

t
-7.627

df

Sig. (2-tailed)
29

.000

15

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