WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Novi Mustahdiati Nasri*, Titin Andri Wihastuti and Heri Kristianto

ABSTRACT

The incidence of head injury in the emergency room at Ulin General Hospital Banjarmasin reached 107 cases per month with the severe head injury patients who died reached 52%. This mechanism of death is associated with inflammatory process known as SIRS (Systemic Inflammatory Response Syndrome). It’s important to know the outcome of head injury patients through the SIRS mechanism, one of which uses the GAP score. In addition to supporting clinical decision making and planning necessary actions, it can also help prioritize relief measures for patients who have a greater risk of death. The purpose was to determine whether the components of SIRS could predict the outcome of head injury patients based on the GAP score. This research used observational analytic design and cross sectional approach. Samples were taken using purposive sampling technique, totaling 80 samples. The results showed that pulse rate didn’t have a correlation with patient outcome (p value=0.334). The p value for the variable body temperature, respiratory frequency, and leukocyte count were 0.000, 0.003, and 0.042, there is a. After multivariate testing, it was found that SIRS components that can be used as a predictor is body temperature and leukocyte count. Therefore, it can be concluded that two of the four components of SIRS can be used as outcome predictors of head injury patients. Further specific research is needed, especially in severe head injury, so that the resulting predictor is more accurate.

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