Derajat Sindroma Distres Respirasi pada Foto Thorax dan Derajat Asfiksia pada Neonatus Prematur  

Oleh:

Ningrum, Farah Hendara ; Sukmaningtyas, Hermina ; Wahyuni, Mardiana

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI - non-atma jaya
Dalam koleksi: Media Medika Indonesiana vol. 44 no. 01 (Jan. 2010), page 33-36.
Topik: Respiratory distress syndrome. APGAR score. premature neonates. chest X-ray

Ketersediaan

Perpustakaan FK Nomor Panggil: M30.K.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The degrees of respiratory distress syndrome from thorax X-ray and degrees of asphyxia in preterm neonates Background: Respiration Distress Syndrome (RDS) is a complication of prematurity lung disorder and common causes of premature neonatal morbidity. Clinically RDS provides signs of asphyxia that can be assessed with APGAR score. Chest X-ray can also diagnose and determine the degree of RDS radiologically. This study aims to find the relationship degree of RDS clinically with radiologically. Methods: Analytic observational study with cross-sectional design. The subjects were premature neonates with asphyxia in Kariadi General Hospital Semarang who had APGAR score and RDS on the standard Chest x-ray examination and selected using consecutive sampling method. The relationship between the RDS clinical degree based on APGAR score with radiological degrees tested with the Chi square test (X2) and Kendall tau-b. There were four grading for RDS. Chest x-ray images were interpretated by 2 expert radiologists independently and then Kappa value was evaluated. Results: There were 23 RDS cases consisted 12 severe. 8 moderate and 3 mild asphyxia cases. Radiologically showed grade I (9). grade II (5). grade III (5) and grade IV (4) neonates. Kappa value = 1 (p<0,001). Chi square test (X2) showed clinical asphyxia degree was not significantly different with the degree of RDS on chest x-ray. Kendall tau-b correlation test showed a significant and moderate degree correlation (r=0.5; p=0,01). Conclusions: The degree of asphyxia in premature infants are in line with radiological images.

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