Korelasi antara Derajat Dehidrasi Menurut WHO dengan Rasio Vena Cava Inferior/Aorta Abdominal Menggunakan Ultrasonografi pada Anak Penderita Diare

Teddy Marzuki Herman, Bachtiar Murtala, Nikmatia Latief, Sri Asriyani, Andi Alfian Zainuddin, Idham Jaya Ganda

Abstract


Penelitian ini bertujuan menilai hubungan antara derajat dehidrasi menurut WHO dengan rasio vena cava inferior / aorta abdominal berdasarkan ultrasonografi pada anak penderita diare. Penelitian ini merupakan penelitian cross sectional terhadap 46 anak penderita diare yang masuk ke IGD pediatrik RSUP Dr. Wahidin Sudirohusodo Makassar dari bulan Oktober 2018 sampai Desember 2018. Penilaian derajat dehidrasi menurut WHO dilakukan oleh dokter anak sesaat setelah dilakukan pemeriksaan ultrasonografi untuk mengukur rasio vena cava inferior/aorta abdominal. Hasil penelitian menunjukkan terdapat korelasi kuat antara derajat dehidrasi menurut WHO dengan rasio IVC/aorta abdominal (p<0,001, r=-0,637). Semakin berat derajat dehidrasi menurut WHO, semakin rendah rasio IVC/aorta abdominal.

Keywords


Ultrasonografi; Rasio IVC/aorta; Dehidrasi menurut WHO; Diare

Full Text:

PDF

References


Chen L and Baker MD. 2007. Novel applications of ultrasound in pediatric emergency medicine. Pediatric Emergency Care 23:115-23

Chen L, Hsiao AL, Moore CL, Dziura JD and Santucci KA. 2005. Utility of bedside bladder ultrasound before urethral catheterization in young children. Pediatrics 115:108-111.

Chen L, Kim Y and Moore CL. 2007. Diagnosis and guided reduction of forearm fractures in children using bedside ultrasound. Pediatric Emergency Care 23:528-531.

El Amrousy D, Gamal R, Elrifaey S and Hassan S. 2018. Non-invasive Assessment of Significant Dehydration in Infants Using the Inferior Vena Cava to Aortic Ratio:Is it Useful? J Pediatr Gastroenterol Nutr 66(6):882-6

Freedman SB and Thull-Freedman JD. 2008. Pediatric dehydration assessment and oral rehydration therapy. Pediatr Emerg Med Rep, 13:13–28

Huang LH. 2017. Dehydration. eMedicine. Diakses 19 April 2018. Available from: http//emedicine.medscape.com

Jauregui J, Nelson D, Choo E, Stearns B, Levine AC, Liebmann O and Shah SP. 2014. The BUDDY (Bedside Ultrasound to Detect Dehydration in Youth) study. Critical Ultrasound Journal 2014, 6:15

Kliegman RM, Stanton BF, Schor NF, Geme JW and Behrman R. 2011. Nelson Textbook of Pediatrics. Philadelphia: Elsevier Science.

Kwon H, Lee HL, Kim K, Kwak YH and Kim DK. 2015. Measurement of inferior vena cava and aorta with bedside ultrasound to assess degree of dehydration in children. Critical Ultrasound Journal 7:23

Levine AC, Shah SP, Umulisa I, Munyaneza RBM, Dushimiyimana JM, Stegmann K, Musavuli J, Ngabitsinze P, Stulac S, Epino HM and Noble VE. 2010. Ultrasound Assessment of Severe Dehydration in Children with Diarrhea and Vomiting. Academic Emergency Medicine 17:1035-1041

Mandelbaum A and Ritz E. 1996. Vena cava diameter measurement for estimation of dry weight in haemodialysis patients. Nephrology Dialysis Transplantation 2:24-7

Modi P, Glavis-Bloom J, Nasrin S, Guy A, Chowa EP, Dvor N, Dworkis DA, Oh M, Silvestri DM, Strasberg S, Rege S, Noble VE, Alam NH and Levine AC. 2016. Accuracy of Inferior Vena Cava Ultrasound for Predicting Dehydration in Children with Acute Diarrhea in Resource-Limited Settings. PLoS ONE 11(1)

Pusat data dan informasi Kementerian Kesehatan RI. 2017. Profil Kesehatan Indonesia 2016. Jakarta: Kementerian Kesehatan Republik Indonesia

Thomas DR, Rubenstein LZ and Stefanacci RG. 2008. Understanding Chlinical Dehydration and Its Treatment. J Am Med Dir Assoc 9:292-301

Vega RM and Avner JR. 1997. A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Pediatric Emergency Care 13:179-182.

World Health Organization. 2014. Integrated Management of Cildhood Illness: distance learning course. Module 4: Diarrhoea. Geneva.

World Health Organization. 2017. Diarrhoeal disease. WHO. Diakses 19 April 2018. Available from : http://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease

Yanagawa Y, Nishi K, Sakamoto T and Okada Y. 2005. Early diagnosis of hypovolemic shock by sonographic measurement of inferior vena cava in trauma patients. Journal of Trauma-Injury Infection & Critical Care 58:825-829.

Yen K and Gorelick MH. 2002. Ultrasound applications for the pediatric emergency department: a review of the current literature. Pediatric Emergency Care 18:226-234.




DOI: https://doi.org/10.33476/mkp.v12i1.1600

Refbacks

  • There are currently no refbacks.


_________________________________________________ 

Copyright of Pharmamedika Health Magazine.

Powered by OJS.

 This work is licensed under a Creative Commons Attribution- NonCommercial 4.0 International License.