Analisis outcome pasien bedah dan non bedah di IGD berdasarkan early warning score

Analysis of surgical and non-surgical patient outcomes in the emergency room based on Early Warning Score

Authors

  • Sri Wulan Megawati Bhati Kencana University
  • Haerul Imam Bhati Kencana University
  • Sumbara Bhati Kencana University
  • Nandar Wirawan RSUD Umar Wirahadi Jawa Barat

DOI:

https://doi.org/10.33023/jikep.v12i1.3004

Keywords:

EWS, Non SUrgery, Surgery, Outcome

Abstract

Perburukan kondisi pasien di rawat inap dapat diprediksi dengan menggunakan Early Warning Score (EWS). Urgensi penelitian ini adalah dampak implementasi EWS terhadap outcome pasien masih belum bisa dipastikan pada berbagai populasi termasuk pasien bedah dan non bedah yang menjadi fokus penelitian ini.  Tujuan penelitian ini adalah untuk menganalisis Outcome Pasien Bedah dan Non-Bedah di IGD Berdasarkan EWS. Metode penelitiannya adalah restrospektif. Populasi pada penelitian ini adalah seluruh rekam medik pasien di IGD 3 bulan terakhir dengan kriteria sampel yang ditetapkan mengunakan purposive consecutive sampling. Data yang dikumpulkan adalah terkait dengan data demografi, monitor EWS dan outcome pasien. Pelaksanaan penelitian dibantu oleh enumeurator. Data dianlisis secara univariat menggunakan distribusi frekuensi dan bivariat dengan Chi-square. Hasil penelitian menunjukan tidak terdapat korelasi anatar pasien bedah dan non bedah dengan nilai EWS, tetapi terdapat korelasi antara nilai EWS dengan outcome pasien. Sistem EWS perlu diterapkan secara konsisten pada seluruh pasien untukmendeteksi dini perburukan klinis sehingga mendapatkan penatalaksanaan yang tepat.

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References

Abbott, T. E. F., Ahmad, T., Phull, M. K., Fowler, A. J., Hewson, R., Biccard, B. M., … Pearse, R. M. (2018). The surgical safety checklist and patient outcomes after surgery: A prospective observational cohort study, systematic review and meta-analysis. British Journal of Anaesthesia, 120(1), 146–155. https://doi.org/10.1016/j.bja.2017.08.002

Asgarzadeh, S., Ebadi, A., Saberi Shahrbabaki, A., Safari, S., Aghili, S. H., Farhang Ranjbar, M., & Sadeghi, S. (2024). National Early Warning Score in predicting adverse outcomes for patients admitted to emergency department: A prognostic accuracy study. Archives of Academic Emergency Medicine, 12(1), e1.

Ayu Mira Dewi, B., Susila, I. M. D. P., & Darmawan, A. K. N. (2020). Pengaruh penggunaan Adult Early Warning Scoring (AEWS) terhadap tingkat mortalitas di RSUD Bali Mandara. Jurnal Kesehatan Saelmakers Perdana, 3(2), 1–7.

Chen, L., Zheng, H., Chen, L., Wu, S., & Wang, S. (2021). National Early Warning Score in predicting severe adverse outcomes of emergency medicine patients: A retrospective cohort study. Journal of Multidisciplinary Healthcare, 14, 2067–2078. https://doi.org/10.2147/JMDH.S324068

Diel, M. M., Kristina, T. N., & Nurmalia, D. (2022). Intervensi untuk meningkatkan self-efficacy perawat: A literature review. Jurnal Surya Muda, 4(2), 181–195.

Edelson, D. P., Churpek, M. M., Carey, K. A., Lin, Z., Huang, C., Siner, J. M., … Rhodes, D. J. (n.d.). Early warning scores with and without artificial intelligence. [Nama jurnal belum tersedia].

Gerry, S., Birks, J., Bonnici, T., Watkinson, P., & Collins, G. (2020). Early warning scores for detecting deterioration in adult hospital patients: A systematic review and critical appraisal. Clinical Medicine, 20(4), 370–377. https://doi.org/10.7861/clinmed.2019-0284

Haegdorens, F., Monsieurs, K. G., De Meester, K., & Van Bogaert, P. (2019). An intervention including the National Early Warning Score improves patient monitoring practice and reduces mortality: A cluster randomized controlled trial. Journal of Advanced Nursing, 75(9), 1996–2005. https://doi.org/10.1111/jan.13947

Hodgson, L. E., Congleton, J., Venn, R., Forni, L. G., & Prowle, J. R. (2022). NEWS2 and deterioration in hospital patients: A multi-site observational study. Resuscitation, 179, 45–53. https://doi.org/10.1016/j.resuscitation.2022.07.020

Jacob, A., Qudsi, A., Kumar, N. S., Trevarthen, T., & Awad, W. I. (2024). Utilisation of the National Early Warning Score (NEWS) and assessment of patient outcomes following cardiac surgery. Journal of Clinical Medicine, 13(22), 6850. https://doi.org/10.3390/jcm13226850

Kim, M. I., Knight, T., Sullivan, M., Smith, M. A., Pike, N., Richardson, M., … Bell, D. (2020). The prognostic value of National Early Warning Scores during transfer of care from community settings to hospital: A retrospective service evaluation. BMJ Open, 10(4), e032105. https://doi.org/10.1136/bmjopen-2019-032105

Kostakis, I., Smith, G. B., Prytherch, D. R., Meredith, P., Price, C., Chauhan, A., Briggs, J., & Scott, P. (2021). The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by SARS-CoV-2. Resuscitation, 159, 150–157. https://doi.org/10.1016/j.resuscitation.2020.10.039

Mahmoodpoor, A., Sanaie, S., Saghaleini, S., et al. (2022). Prognostic value of National Early Warning Score and Modified Early Warning Score on intensive care unit readmission and mortality: A prospective observational study. [Nama jurnal belum dicantumkan].

Masela, V. C., Kosasih, C. E., & Emaliyawati, E. (2023). Pengaruh Early Warning Score terhadap keselamatan pasien. Journal of Telenursing (JOTING), 5(2). https://doi.org/10.31539/joting.v5i2.7248

Megawati, S. W. M., & Sondari, S. D. T. I. (2021). Dampak implementasi model Early Warning Score terhadap mutu pelayanan rawat inap. Jurnal Medika Cendikia, 8(1), 1–52.

Megawati, S. W. M., Sujana, W., & Khotimah, N. I. H. K. (2023). Pengalaman perawat dalam penerapan Early Warning Score di ruang rawat inap. Jurnal Keperawatan ’Aisyiyah, 10(2), 151–160.

Price, C., Prytherch, D., Kostakis, I., & Briggs, J. (n.d.). Evaluating the performance of the National Early Warning Score in different diagnostic groups. Resuscitation.

Royal College of Physicians. (2017). National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. RCP.

Stolze, A., Vernooij, L., de Korte-de Boer, D., Hollmann, M. W., Buhre, W. F. F. A., Boer, C., & Noordzij, P. G. (2025). Performance of the early warning system score in predicting postoperative complications in older versus younger patients. Perioperative Medicine, 14, 39. https://doi.org/10.1186/s13741-025-00516-w

Subbe, C. P., Duller, B., & Bellomo, R. (2017). Effect of an automated notification system for deteriorating ward patients on clinical outcomes. Critical Care, 21(1), 52. https://doi.org/10.1186/s13054-017-1635-z

Thai, V., & Heenan, M. (2023). Predictive performance of early warning scores in postoperative patients: A systematic review. Journal of Clinical Nursing, 32(17–18), 5671–5682. https://doi.org/10.1111/jocn.16832

Wuytack, F., Meskell, P., Conway, A., McDaid, F., Santesso, N., Hickey, F. G., … Devane, D. (2017). The effectiveness of physiologically based early warning or track and trigger systems after triage in adult patients presenting to emergency departments: A systematic review. BMC Emergency Medicine, 17, 38. https://doi.org/10.1186/s12873-017-0148-z

Published

2026-02-28

How to Cite

Megawati, S. W., Imam, H., Sumbara, & Wirawan, N. (2026). Analisis outcome pasien bedah dan non bedah di IGD berdasarkan early warning score: Analysis of surgical and non-surgical patient outcomes in the emergency room based on Early Warning Score . Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 12(1), 131-136. https://doi.org/10.33023/jikep.v12i1.3004