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Hubungan antara sepsis dan kejadian sindroma delirium pada penderita lanjut usia dengan penyakit infeksi di Instalasi Gawat Darurat RSUP Sanglah Denpasar

Abstract

Pendahuluan: Sindroma delirium pada lanjut usia masih merupakan problem kesehatan karena meningkatkan resiko kematian dan memperpanjang masa rawat pada pasien lanjut usia. Diperkirakan sekitar 10-30% pasien lanjut usia yang datang ke unit gawat darurat menderita sindroma delirium. Sepsis merupakan kumpulan gejala dari respon in amasi sistemik akibat infeksi dan sering dihubungkan dengan kejadian sindroma delirium pada penderita lanjut usia. Studi ini bertujuan untuk mencari hubungan antara sepsis dengan kejadian sindroma delirium pada penderita lanjut usia dengan penyakit infeksi yang datang di Instalasi Gawat Darurat RSUP sanglah.

Bahan dan Metode: Studi ini menggunakan potong lintang analitik observasional pada 60 penderita lanjut usia (usia ≥60 tahun) dengan penyakit infeksi yang datang Instalasi Gawat Darurat RSUP Sanglah periode Januari 2015 sampai dengan April 2015.

Hasil: Sampel penelitian berjumlah 60 orang, dengan lelaki sebanyak 39 orang (65%) dan perempuan 21 orang (35%) serta rerata usia 72,31±8,35 tahun. Infeksi paru didapatkan pada 35 kasus (58,3%), infeksi saluran kemih pada 10 kasus (16,7%), infeksi saluran cerna 5 kasus (8,3%), infeksi saluran empedu 3 kasus (5%) dan infeksi kulit dan soft tissue 7 kasus (11,7%). Kejadian sindroma delirium pada pasien sepsis sebesar 16 kasus (84,2%) sedangkan kejadian sindroma delirium pada pasien tanpa sepsis sebesar 3 kasus (15,8%).Uji Pearson Chi-Square menunjukkan hasil bermakna (P< 0,05).

Kesimpulan: Sepsis berhubungan dengan kejadian sindrom delirium pada penderita lanjut usia dengan penyakit infeksi yang datang ke Instalasi Gawat Darurat RSUP Sanglah Denpasar.


Introduction: Delirium syndrome in elderly is still a health problem because it increases the risk of death and hospital’s length of stay. It is estimated that approximately 10-30% of elderly people who come to the emergency department su er from delirium syndrome. Sepsis is a collection of symptoms of the systemic in ammatory response due to infection and related to delirium syndrome in elderly patients. This study is intended to nd the relationship between sepsis with the incidence of delirium syndrome in the elderly patients with infectious diseases that come to the emergency ward of Sanglah General Hospital.

Method: An analytical cross-sectional study was performed in 60 elderly patients (≥60 years old) with infectious diseases that come to Emergency Ward of Sanglah General Hospital from January 2015 to April 2015.

Result: The sample was 60 people, which is consist of 39 men (65%) and 21 women (35%). The mean age for this study is 72,31±8,35 years old. Lung infections were occured in 35 cases (58.3%), 10 cases (16.7%) with urinary tract infections, 5 cases (8.3%) with gastrointestinal infections, 3 cases (5%) with bile duct infections and 7 cases (11.7%) skin and soft tissue infection. The incidence of delirium syndrome in sepsis patients was 16 cases (84.2%) while the incidence of delirium syndrome in patients without sepsis was 3 cases (15.8%). The Pearson Chi-Square test showed signi cant results (P <0.05).

Conclusion: Sepsis is associated with the incidence of delirium syndrome in elderly patients with infectious diseases that come to the emergency ward of Sanglah General Hospital.

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How to Cite

Lasmono, C., Aryana, I. S., Kuswardhani, T., Astika, N., Putrawan, I., & Purnami, K. R. (2019). Hubungan antara sepsis dan kejadian sindroma delirium pada penderita lanjut usia dengan penyakit infeksi di Instalasi Gawat Darurat RSUP Sanglah Denpasar. Medicina, 50(2). https://doi.org/10.15562/medicina.v50i2.227

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