POTENSI MODIFIKASI MODEL PIERS UNTUK PREDIKSI LUARAN IBU DENGAN PREEKLAMSIA PADA RUMAH SAKIT TIPE B DI INDONESIA: PENELITIAN RETROSPEKTIF DI RSUD ANSARI SALEH BANJARMASIN, KALIMANTAN SELATAN

Herdiantri Sufriyana, Lisda Handayani, Fitri Yuliana, Taufiq Syafi’i

Abstract


ABSTRACT
Background: Preeclampsia is the most common cause (32%) of maternal deaths in Indonesia. Model Piers
(Pre-eclampsia Integrated Estimate Risk) can predict the outcomes / complications of pre-eclampsia and
associated with a reduction in maternal morbidity. This study aims to assess the potential modification of the
model to predict the outcome Piers mothers with preeclampsia in Type B hospitals in Indonesia. Methods:
This research is a prognostic with the analytical method and quantitative approach retrospectively. This study
used the capture technique stratified random sampling to obtain the medical records of 160 people with
preeclampsia and 160 controls in hospitals Banjarmasin Ansari Saleh 2014. Identified availability of
variables in the model along with the outer piers preeclampsia. Performed univariate, bivariate and
multivariate corresponding availability of variables the model Piers. Result: eight of the 48 variables in the
model Piers consistently found in all samples, while output available were complication preeclampsiaeclampsia
and/or HELLP syndrome. The gestational age was significantly influent eclampsia for the subject
in this study (P <0.05), HELLP syndrome (P <0.05), and a combination of both (P <0.01). Predictive value of
a logistic regression model with the variables that the outer form of the syndrome HELLP or in combination
with eclampsia is 0.811 (AUC ROC; CI 95% from 0.636 to 0.986) and 0.767 (AUC ROC; CI 95% 0.666 to
0.868), while the prediction of eclampsia was not significant (P> 0.05). Conclusion: Modifications Piers
models to predict potential outcomes of women with preeclampsia in RS type B in Indonesia if it is supported
by policies and standards that consider this model and supported a larger number of samples.


Keyword : Piers models, preeclampsia, eclampsia, HELLP syndrome


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