WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Prawito, Ahsan, Tina Handayani Nasution

ABSTRACT

Background: The purpose of this study was to analyze the factors of internal factors patient (respiratory rate, and body temperature), GAP Trauma score , Age, Pressure) in major trauma patients at baseline Emergency Room Regional General Hospital Jombang, associated with outcomes (out-of-hospital conditions) of deseaded or alife. So we get the related factors and the highest relation of outcome. Methods: The type of research used is observational analytics with retrospective design approach. Research sample of 182 major trauma patients with ISS scale> 15, cause of traffic accident and fall. Referral patients and not admitted through the Emergency room were excluded from the study. The total population of trauma patients in Jombang Hospital one years of 2017 is 1823. Result: In Bivariate analysis by using spearman rho test, it is found that variable data related to outcome is respiratory rate p value = 0.001, body temperature p values = 0.010 and GAP scale with p values = 0,000. The confidence interval is 95% (? = 0.005). Multivariate analysis with logistic regression tests got the final model variable GAP scale with coefficient valued 0,496 value expB = 1,643. This shows the GAP variable as the highest factor associated with outcome of major trauma patients. The prediction ability of outcome models on GAP scale got the value of AUC = 0,962 which means that model able to predict outcome based on discrimination equal to 96,2%. Conclusion: Internal factors patient (respiratory rate, and body temperature), GAP Trauma score , Age, Pressure) are correlate with outcome in major trauma patients. variable GAP scale is the highest variable related outcome in major trauma patient of regional general hospital Jombang. GAP scales can be used to predict outcomes of major trauma patients.