Year: 2024 | Month: June | Volume: 11 | Issue: 6 | Pages: 640-647
DOI: https://doi.org/10.52403/ijrr.20240671
Relationship Between Hemoglobin Levels, Index Severity Score, Leukocytes and Degree of Open Fracture with Surgical Complications (Clavien Dindo Classification) in Long Bone Open Fracture Patients with External Fixation and Internal Fixation at Prof. IGNG Ngoerah Hospital
Armansyah Nur Dewantara1, Putu Astawa2, I Gusti Ngurah Wien Aryana2
1Resident of Orthopaedics and Traumatology Department, 2Consultant of Orthopaedics and Traumatology Department,
Faculty of Medicine, Udayana University, prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Indonesia
Corresponding Author: Armansyah Nur Dewantara
ABSTRACT
Introduction: Open bone fractures are an emergency case in the field of orthopedics that must be treated quickly because of its significant morbidity and mortality. Several parameters and classifications are used to assess the impact severity of one open bone fracture. There is no study that has discussed the comparison of each parameter yet. Aims of this study to determine the relationship between hemoglobin levels, injury severity score, leukocytes and the degree of open fracture with the outcome of long bone open fracture patients who are carried out external and internal fixation installation surgery and measured through the degree of Clavien Dindo.
Methods: This research was carried out at RSUP Prof I.G.N.G. Ngoerah, Denpasar, Bali with research time from May 2023 to December 2023. Clinical and laboratory data were obtained from secondary data from patient medical records. Data analysis in research uses descriptive analysis and inferential analysis.
Results: In this study, a sample of 32 patients was obtained with more males than females with percentages of 65.6% and 34.4%. Based on age, the average is 31 years with the youngest being 16 years and the oldest being 58 years. The Hemoglobin level and leukocyte respectively have an average of 8.51 and 17.7 with score of Gustilo Anderson and ISS 2.73 and 10.06. The results of this study showed a significant relationship (p<0.05) with hemoglobin p = 0.525, leukocytes p = 0.01, gustilo Anderson P = 0.028 and ISS p = 0.022 to the classification of clavein dindo
Conclusion: The conclusion of this study is that the Clavien-Dindo has a relationship with several factors such as hemoglobin, leukocyte, ISS and gustilo Anderson which can affect patient condition.
Keywords: Open Fracture, Clavien Dindo, Hemoglobin, Leukocyte, Index Severity Score, Gustilo Anderson
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