Skripsi

Hubungan Status Sosiodemografi dan Karakteristik Klinis dengan Emergency Department Length of Stay (EDLOS) pada Lansia di RSUPN Cipto Mangunkusumo = The Relationship Between Sociodemographic Status and Clinical Characteristics with Emergency Department Length of Stay (EDLOS) in Eldery Patient at RSUPN Cipto Mangunkusumo.

Latar Belakang Studi sebelumnya secara konsisten menunjukkan pasien lanjut usia (lansia) memiliki risiko lebih tinggi terhadap Emergency Department Length of Stay (EDLOS) memanjang dibandingkan kategori usia lain. Hal ini berkaitan dengan tingkat kompleksitas kondisi medis pasien lansia yang lebih tinggi dibandingkan kelompok usia muda. Pemahaman faktor-faktor yang berhubungan dengan EDLOS pada lansia penting untuk meningkatkan efisiensi pelayanan dan keselamatan pasien. Metode Penelitian deskriptif analitik ini dilakukan dengan pendekatan potong lintang pada 132 data sekunder pasien lansia (usia ≥60 tahun) yang datang ke IGD RSUPN Cipto Mangunkusumo pada periode penelitian. Analisis bivariat dengan chi-square dilakukan untuk menilai hubungan setiap variabel dengan EDLOS dengan cut-off 4 jam. Nilai statistik p < 0,05 dinyatakan sebagai hubungan yang signifikan. Hasil Median EDLOS pasien sebesar 402 (42–1834) menit dengan proporsi 75,8% EDLOS memanjang (≥ 4 jam) dan 24,2% EDLOS normal (< 4 jam). Faktor-faktor yang signifikan terhadap EDLOS pada pasien lansia di IGD RSUPN Cipto Mangunkusumo antara lain tingkat keparahan (OR = 7,345; CI 95% = 2,959–18,234), skor komorbiditas (OR = 7,529; CI 95% = 1,435–39,496), jumlah tindakan diagnostik (OR = 10,472; CI 95% = 2,995– 36,615), jumlah tindakan terapetik, dan status disposisi (OR = 3,429; CI 95% = 1,453– 8,091). Kesimpulan Faktor yang berhubungan signifikan terhadap EDLOS pada pasien lansia di IGD RSUPN Cipto Mangunkusumo adalah tingkat keparahan, skor komorbiditas, jumlah tindakan diagnostik, jumlah tindakan terapetik, dan status disposisi. Sedangkan, faktor yang tidak berhubungan signifikan dengan EDLOS adalah kategori usia, jenis kelamin, waktu kedatangan, dan cara kedatangan.
Kata Kunci: IGD, karakteristik klinis, lama waktu tunggu, lansia


Introduction Previous studies consistently show that elderly patients have a higher risk of prolonged Emergency Department Length of Stay (EDLOS) compared to other age categories. This is related to the higher level of complexity of medical conditions in elderly patients compared to younger groups. Understanding the factors associated with EDLOS in the elderly is important to improve service efficiency and patient safety. Keywords: Method This descriptive-analytic study was conducted using a cross-sectional approach on 132 secondary data of elderly patients (aged ≥ 60 years) who visited the Emergency Department of RSUPN Cipto Mangunkusumo during the study period. Bivariate analysis with chi-square was performed to assess the relationship of each variable with EDLOS using a 4-hour cut-off. A p-value < 0.05 was considered a significant relationship. Results The median EDLOS of patients was 402 (42–1834) minutes with a proportion of 75.8% prolonged EDLOS ( ≥ 4 hours) and 24.2% normal EDLOS ( < 4 hours). Significant factors affecting EDLOS in elderly patients at the Emergency Department of RSUPN Cipto Mangunkusumo included severity level (OR = 7.345; 95% CI = 2.959–18.234), comorbidity score (OR = 7.529; 95% CI = 1.435–39.496), number of diagnostic procedures (OR = 10.472; 95% CI = 2.995–36.615), number of therapeutic procedures, and disposition status (OR = 3.429; 95% CI = 1.453–8.091). Conclusion Factors significantly associated with EDLOS in elderly patients at the Emergency Department of RSUPN Cipto Mangunkusumo were severity level, comorbidity score, number of diagnostic procedures, number of therapeutic procedures, and disposition status. Meanwhile, factors not significantly associated with EDLOS were age category, gender, time of arrival, and mode of arrival.
Keywords: clinical characteristics, elderly, emergency department, length of stay