Keselarasan Pneumonia Radiologik dengan Kiasifikasi World Health Organization (WHO)

Tahun 2000 Volume 35 Nomor 3
Oleh : Magdalena Sidhartani

Tujuan: Meneliti apakah klasifikasi pneumonia WHO selaras dengan pneumonia secara radiologik

Rancangan:
Penelitian belah lintang, test diagnostik.

Tempat:
RSUP Dr. Kariadi Semarang.

Subjek:
Anak di bawah lima tahun ( yang dirawat di Bagian I/mu Kesehatan Anak dengan keluhan utama batuk dan sesak nafas antara Desember 1994 – Mei 1995.
Ukuran Keluaran Ulama: Sensitivitas, spesifisitas dan semua perhitungan test diagnostik, dan "likehood ratio"

Hasil:
215 anak balita memenuhi kriteria inklusi, 59% laki-laki dan terbanyak bayi 0-12 hulan . Lima puluh empal anak didiagnosis sebagai pnemonia secara radiologik oleh adanya infiltrat difus dan konsolidasi. Batas nafas cepat menurut WhO secara tunggal tidak merupakan indikator pnemonia. Peningkatan frekuensi nafas menunjukkan pnemonia berat. Retraksi subkostal merupakan indikator pnemonia yang sangat sensitifdengan "likehood ratio" positif 2,55.

Kesimpulan:
Ada ketidakselarasan pnemonia radiologik dengan klasifikasi WHO kecuali retraksi subkostal.

Objective: To investigate whether WHO classification of pneumonia was in accordance with radiological pneumonia. Design: Cross sectional study, a diagnostic test.

Setting:
Dr. Kariadi General Hospital, Semarang.

Subjects:
Children under five years old admitted at the Department of Child Health, between December 1994-May 1995 who comply and satisfy the inclusion criteria of cough and diffIcult breathing. Main Outcome Measures: Sensitivity and spec and all properties of a diagnostic lest, and likelihood ratio.

Result:
215 children were eligible for the study; 59% were males, infants predominates. Fifty four had radiological findings of pneumonia as apparent infiltrates or consolidation. The cut-off points of Respiratory Rate (RR) proposed by WHO could not be used exclusively as an indicator oJ pneumonia. A steady rise of RR showed a severe pneumonia. Subcostal retraction was very sensitive indicator of pneumonia with likelihood ratio positive 2.55.

Conclusion:
There was a disagreement between radiologic pneumonia with WHO classification except subcostal retraction.