GAMBARAN SPINAL CORD INJURY DI RSUP FATMAWATI TAHUN 2020

Authors

  • Yudha Asy'ari Program Magister Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Indonesia
  • Asri C. Adisasmita Departemen Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Indonesia

DOI:

https://doi.org/10.31004/jkt.v5i4.39469

Keywords:

Cedera Medula Spinalis, Etiologi Cedera Medula Spinalis, Komplikasi Cedera Medula Spinalis

Abstract

Spinal Cord Injury (SCI) adalah cedera medula spinalis yang dapat menyebabkan morbiditas dan mortalitas. Hingga saat ini studi terkait gambaran Spinal Cord Injury di Indonesia masih sulit ditemukan. Penelitian ini bertujuan untuk mengetahui Gambaran pasien Spinal Cord Injury di rawat inap RSUP Fatmawati pada tahun 2020. Studi Cross sectional dilakukan dengan meninjau rekam medis dari pasien yang didiagnosa Spinal Cord Injury yang dirawat inap selama 2020 di RSUP Fatmawati. Total sampling digunakan pada penelitian ini, didapatkan 82 pasien rawat inap yang terdiagnosa SCI. Proporsi perempuan (51.2%) lebih banyak daripada laki-laki (48.8%). Kelompok umur terbanyak adalah kelompok umur 46-60 tahun sebesar 30.5%. 50% pasien memiliki indeks massa tubuh normal. Mayoritas pasien berpendidikan SMA (42.7%), tidak memiliki pekerjaan (41.5%), berstatus menikah (53.7%), dan bertempat tinggal di luar Jakarta (63.4%).  Penyebab paling umum dari SCI adalah Infeksi (Mycobacterium TB) 40.2%, diikuti Neoplastic 14.6%, dan jatuh 14.6%. Klasifikasi SCI terbanyak adalah SCI AIS D (42.7%) dengan Neuro Level Injury (NLI) di segmen Torakal (52.4%). 82.9% pasien mengalami komplikasi SCI. Komplikasi yang paling banyak ditemukan adalah neurogenic bladder (74.4%), neurogenic bowel (61%), dan spastisitas (24.4%). Kejadian Non-Traumatic SCI (NTSCI) hampir empat kali lipat dari Traumatic SCI (TSCI) di RSUP Fatmawati. Kebijakan kesehatan masyarakat harus bertujuan untuk mengurangi penyebab NTSCI khususnya Infeksi (Mycobacterium TB) dimana dapat diobati sebelum menyebar ke medula spinalis. Selain itu, perhatian khusus harus diberikan untuk jangka panjang manajemen pasien SCI untuk menurunkan angka morbiditas dan mortalitas

References

Badan Penelitian dan Pengembangan Kesehatan Kementerian RI. (2018). Riset Kesehatan Dasar (Riskesdas) 2018.

Barbiellini Amidei, C., Salmaso, L., Bellio, S., & Saia, M. (2022). Epidemiology of traumatic spinal cord injury: A large population-based study. Spinal Cord, 60(9), 812–819. https://doi.org/10.1038/s41393-022-00795-w

Benevento, B. T., & Sipski, M. L. (2002). Neurogenic Bladder, Neurogenic Bowel, and Sexual Dysfunction in People With Spinal Cord Injury. Physical Therapy, 82(6), 601–612. https://doi.org/10.1093/ptj/82.6.601

Bickenbach, J., Officer, A., Shakespeare, T., von Groote, P., World Health Organization, & The International Spinal Cord Society. (2013). International perspectives on spinal cord injury / edited by Jerome Bickenbach ... [Et al]. World Health Organization. https://iris.who.int/handle/10665/94190

eLearnSCI?:: Modules. (t.t.). Diambil 20 Desember 2024, dari https://www.elearnsci.org/intro.aspx?id=4&

Goyal, V., Paracka, D. J., Gaur, R., & Shukla, A. (2022). Bowel Management in Patients With Chronic Spinal Cord Injury: A Cross-Sectional Survey. Cureus. https://doi.org/10.7759/cureus.25893

Kriz, J., Kulakovska, M., Davidova, H., Silova, M., & Kobesova, A. (2017). Incidence of acute spinal cord injury in the Czech Republic: A prospective epidemiological study 2006–2015. Spinal Cord, 55(9), 870–874. https://doi.org/10.1038/sc.2017.20

Lee, B. B., Cripps, R. A., Fitzharris, M., & Wing, P. C. (2014). The global map for traumatic spinal cord injury epidemiology: Update 2011, global incidence rate. Spinal Cord, 52(2), 110–116. https://doi.org/10.1038/sc.2012.158

Liu, C., Huang, C., Yang, Y., Chen, S., Weng, M., & Huang, M. (2009). Relationship between neurogenic bowel dysfunction and health-related quality of life in persons with spinal cord injury. Journal of Rehabilitation Medicine, 41(1), 35–40. https://doi.org/10.2340/16501977-0277

Mehdar, K. M., Mahjri, A. A., Al Rashah, A. A., & Alyazidi?, A. (2019). Epidemiology of Spinal Cord Injuries and their Outcomes: A Retrospective Study at the King Khalid Hospital. Cureus. https://doi.org/10.7759/cureus.6511

Physiotherapy Management of Individuals with Spinal Cord Injury. (t.t.). Physiopedia. Diambil 20 Desember 2024, dari https://www.physio-pedia.com/Physiotherapy_Management_of_Individuals_with_Spinal_Cord_Injury

Rupp, R., Biering-Sørensen, F., Burns, S. P., Graves, D. E., Guest, J., Jones, L., Read, M. S., Rodriguez, G. M., Schuld, C., Tansey, K. E., Walden, K., & Kirshblum, S. (2021). International standards for neurological classification of spinal cord injury. Topics in Spinal Cord Injury Rehabilitation, 27(2), 1–22. https://doi.org/10.46292/sci2702-1

Rupp, R., Biering-Sørensen, F., Burns, S. P., Graves, D. E., Guest, J., Jones, L., Read, M. S., Rodriguez, G. M., Schuld, C., Tansey-MD, K. E., Walden, K., & Kirshblum, S. (2021). International Standards for Neurological Classification of Spinal Cord Injury. Topics in Spinal Cord Injury Rehabilitation, 27(2), 1–22. https://doi.org/10.46292/sci2702-1

Sekhon, L. H. S., & Fehlings, M. G. (2001). Epidemiology, Demographics, and Pathophysiology of Acute Spinal Cord Injury: Spine, 26(Supplement), S2–S12. https://doi.org/10.1097/00007632-200112151-00002

Smith, É., Fitzpatrick, P., Lyons, F., Morris, S., & Synnott, K. (2022). Epidemiology of non-traumatic spinal cord injury in Ireland–a prospective population-based study. Journal of Spinal Cord Medicine, 45(1), 76–81. https://doi.org/10.1080/10790268.2020.1762829

Yang, R., Guo, L., Wang, P., Huang, L., Tang, Y., Wang, W., Chen, K., Ye, J., Lu, C., Wu, Y., & Shen, H. (2014). Epidemiology of spinal cord injuries and risk factors for complete injuries in Guangdong, China: A retrospective study. PLoS ONE, 9(1), 1–10. https://doi.org/10.1371/journal.pone.0084733

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Published

2024-12-25

Issue

Vol. 5 No. 4 (2024): DESEMBER 2024

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Articles

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Copyright (c) 2024 Yudha Asy'ari, Asri C. Adisasmita

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