CORRELATION OF RATIO OF ALBUMIN CREATININE URINE WITH SOFA SCORE AS PREDICTOR OF MORTALITY IN SEPSIS PATIENTS IN H. ADAM MALIK GENERAL HOSPITAL MEDAN.

Andro Asituah Sitorus, Achsanuddin Hanafie, Dadik Wahyu Wijaya

Abstract


Sepsis is a systemic response to an infection process that causes organ dysfunction. Urine albumin creatinine ratio has long been used as a predictor of mortality in septic patients/ This study aims to Correlation of Ratio of Albumin Creatinine Urine with SOFA Score as Predictor of Mortality in Sepsis Patients in H. Adam Malik General Hospital Medan. Clinical observational analytic study with a prospective cohort design. Samples with non-probability sampling technique with consecutive sampling method as many as 46 people diagnosed with sepsis in an integrated inpatient room, intensive care room of  RSUP Haji Adam Malik Medan and fulfill all inclusion and exclusion criteria. Bivariate analysis uses Pearson test if the data is normally distributed, spearman test if it is not normally distributed.The value of albumin creatinine ratio can be used as an alternative as a predictor of mortality of septic patients treated at the ICU of HAM Hospital with a sensitivity of 89% and a specificity of 75%. The value of creatinine albumin ratio showed a significant correlation to the worsening rate on T2 (p <0.05). The ratio of the maximum creatinine ratio has a good predictor value with CI 69.9% - 94.5% (p = 0.020). The value of creatinine albumin ratio in patients with sepsis is a predictive factor of mortality in septic patients.


Keywords


Sepsis, SOFA score , Ratio Albumin Kreatinin Urine.

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References


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