FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA READMISSION PADA PASIEN STROKE DI RUMAH SAKIT: LITERATURE REVIEW

Darmawati Kurniya, Yunina Elasari, Fadhiyah Noor Anisa

Abstract


Latar Belakang: Secara global ada sekitar 25,7 juta penderita stroke, 6,5 juta orang meninggal akibat penyakit stroke, 113 juta orang lainnya mengalami kecacatan seumur hidup, dan terdapat 10,3 juta kasus stroke baru, serta banyaknya angka  kejadian stroke yang terjadi di negara berkembang yang terdiri dari 81,0% mengalami stroke dan 75,2% diantaranya terjadi kematian. Readmission merupakan suatu penerimaan baru dirumah sakit yang sama atau yang lain, dalam interval waktu tertentu setelah pasien stroke keluar, readmission dapat disebabkan oleh kualitas perawatan yang kurang baik selama dari awal pasien masuk atau sesudah pasien masuk, yang disebabkan karena perawatan yang tidak lengkap, tidak terselesaikan masalahnya, komunikasi yang tidak memadai, dan koordinasi layanan yang kurang baik seperti perencanaan pulang atau akses keperawatan, karena stroke sering menjai penyebab readmission di rumah sakit, dan readmission setelah stroke. Sehingga penyampaian tentang alasan mengapa readmission terjadi dan membantu untuk mencegah readmission yang sehingga dapat dihindari oleh dokter serta lembaga perawatan kesehatan dalam mengientifikasi pasien yang berisiko tinggi serta melakukan intervensi agar dapat mencegah terjadinya readmission.

Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan terjadinya readmission pada pasien stroke.                                                                 

Metode: Penelitian ini menggunakan pendekatan Literature review dengan menggunakan 10 jurnal yang menggunakan studi literatur 5 tahun terakhir dan berasarkan kriteria yang telah ditetapkan peneliti.

Hasil: Dari 10 jurnal yang didapatkan dan dilakukan kajian literature faktor yang mempengaruhi terjadinya readmission ialah strok berulang, stroke iskmeik, komorbiitas, jenis kelamin, status sosial, usia, demografis, lamanya rawat inap di rumah sakit,  ekonomi dan infeksi

Kesimpulan: Stroke iskmeik merupakan penyumbang terbanyak dari kasus readmission dan menjadi penyebab yang paling umum yaitu TIA dan keparahan stroke dapat mempengaruhi terjadinya readmission, terjadinya infeksi pada bagian saluran kemih dan pernafasan yang disebabkan karena penggunaan alat bantu makan dan alat bantu pernafasan, adanya komplikasi, usia yang apat mempengaruhi terjadinya readmission terutama pada pada pasien yang lanjut usia dan itu berisiko lebih tinggi terkena readmission setelah 30 hari keluar dari rumah sakit, dan terdapat faktor dari sosial, demografis, komorbiditas, lamanya rawat inap di rumah sakit, dan ada faktor ekonomi.

 

Background: Globally, there are about 25.7 million stroke sufferers, 6.5 million people died from stroke, 113 million other people have life disabilities, and there are 10.3 million new stroke cases, as well as the incidence of stroke occurrences in developing countries which consist of of 81.0% had a stroke and 75.2% of them had death. Readings of new admissions at the same hospital or another, within a certain time interval after the patient is discharged, re-admission can be caused by poor quality of care during the initial admission or after admission, which is due to incomplete, unresolved treatment , inadequate communication, and poor coordination services such as discharge planning or access to nursing, as stroke is a frequent cause of re-admission to hospital, and re-enrollment after stroke. So that it communicates the reasons why readbacks occur and helps to prevent readmissions that doctors and health care institutions can avoid in identifying high-risk patients and intervening to prevent readmissions.

Objective: This study aims to determine the factors associated with the occurrence of readmission in stroke patients.

Method: This study uses a literature review approach using 10 journals that use literature studies for the last 5 years and based on the criteria set by the researcher.

Results: From 10 journals obtained and conducted a literature review, the factors that influence the occurrence of readmissions are repeated strokes, ischemic strokes, comorbidities, sex, social status, age, demographics, length of stay in hospital, economy and infection.

Conclusion: Ischemic stroke is the largest contributor to readmission cases and is the most common cause, namely TIA and stroke severity can affect the readmission, the occurrence of infections in the urinary and respiratory tracts caused by the use of eating aids and breathing aids, complications, age can be reached. affect the occurrence of readmission, especially in elderly patients and it is at higher risk of getting a readmission after 30 days of discharge from the hospital, and there are factors from social, demographic, comorbidity, length of stay in hospital, and there are economic factors.


Keywords


Hospital, Readmission, Stroke; Hospital, Readmission, Stroke

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References


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