Pengaruh Resusitasi Cairan terhadap Nilai Revised Trauma Score (RTS) pada Pasien Trauma di Instalasi Gawat Darurat RSUD dr. H. Moch. Ansari Saleh Kota Banjarmasin
Abstract
Trauma is one of the leading causes of death and disability worldwide, accounting for approximately 50% of all deaths. Generally, trauma patients experience both external bleeding, which is visible, and internal bleeding, which is not visible; both result in the loss or reduction of blood volume. Fluid resuscitation is the primary treatment for trauma to maintain and restore oxygenation following blood loss. This study aims to analyze the effect of fluid resuscitation on the Revised Trauma Score (RTS) in trauma patients at the emergency department of Dr. H. Moch Ansari Saleh Regional General Hospital in Banjarmasin. The study employed a pre-experimental design with a one-group pretest-posttest design involving 14 participants selected via accidental sampling. Using the nonparametric Wilcoxon test, the results showed a change in the RTS score with a p-value (0.001) < α (0.005). This indicates that fluid resuscitation has an effect on increasing the RTS score in trauma patients. Rapid and appropriate fluid resuscitation plays a crucial role in supporting the initial stabilization process and improving the clinical condition of trauma patients.
Keywords
Fluid Resuscitation, Revised Trauma Score (RTS), Trauma
References
Aalberg, I., Nordseth, T., Klepstad, P., Rosseland, L. A., & Uleberg, O. (2025). Incidence, severity and changes of abnormal vital signs in trauma patients: A national population-based analysis. Injury, 56(1). https://doi.org/10.1016/j.injury.2024.111884
Abbas, K. A. (2020). Fluid resuscitation in trauma. Indonesian Journal of Anesthesiology and Reanimation, 1(2), 52. https://doi.org/10.20473/ijar.v1i22019.52-57
Ali, S., Bhatti, T., Rimsha, S., Hashmi, R. M., Khan, S., Rind, W., & Mussab, R. M. (2024). The predictive accuracy of the New Trauma Score and the Revised Trauma Score in predicting the mortality of patients presenting to the emergency department of a tertiary care hospital in Karachi. Cureus. https://doi.org/10.7759/cureus.76421
Al-Thani, H., El-Menyar, A., Mekkodathil, A., Taha, I., Mahmood, S., Shunni, A., Hammo, A. A., Al-Ani, M., & Asim, M. (2025). Significance of a hypotensive episode following traumatic injury: A retrospective observational study. World Journal of Critical Care Medicine, 14(3). https://doi.org/10.5492/wjccm.v14.i3.104778
Aprilia, H. (2017). Gambaran status fisiologis pasien cedera kepala di IGD RSUD Ulin Banjarmasin tahun 2016. Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan, 8(1), 237–249.
ATLS. (2018). Student course manual ATLS advanced trauma life support (M. Claire, Ed.; 10th ed.).
Bharti, A., Mohan, K., Singh, R., Vajpai, I., Midha, T., & Diwedi, A. (2019). A clinico-epidemiological study on trauma cases attending a tertiary care hospital in North India. Journal of Orthopaedics and Allied Sciences, 7(1), 17. https://doi.org/10.4103/joas.joas_42_18
Datu, R. S. V., Latuminase, B., & Pangkerego, S. (2024). Faktor-faktor yang berhubungan dengan kemampuan perawat dalam pelaksanaan primary survey di RSUD Anugerah Tomohon. Jurnal Ilmiah Surya Pedidikan, 2(1), 81–89.
Daud, I., & Retno Wulan, D. (2021). Efektivitas EWS dan RTS untuk memprediksi outcome pada pasien cedera kepala di ruang IGD RSUD Ulin Banjarmasin. Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan, 12(2), 2549–4058. https://doi.org/10.33859/dksm.v12i2
Dinkes Kalsel. (2023). Profil kesehatan tahun 2023 Kota Banjarmasin.
Dong, W. H., Yan, W. Q., Song, X., Zhou, W. Q., & Chen, Z. (2022). Fluid resuscitation with balanced crystalloids versus normal saline in critically ill patients: A systematic review and meta-analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 30(1). https://doi.org/10.1186/s13049-022-01015-3
Dormann, J., Dahms, K., Steinfeld, E., Ansems, K., Janka, H., Metzendorf, M. I., Breuer, T., Horst, K., Hildebrand, F., Marx, G., & Benstoem, C. (2025). Crystalloid vs. colloid fluid resuscitation in polytrauma patients: A systematic review. European Journal of Trauma and Emergency Surgery, 51(1). https://doi.org/10.1007/s00068-025-02921-8
Dugar, S., Choudhary, C., & Duggal, A. (2020). Sepsis and septic shock: Guideline-based management. Cleveland Clinic Journal of Medicine, 87(1), 53–64. https://doi.org/10.3949/CCJM.87A.18143
Dumovich, J., & Singh, P. (2022, September 22). Physiology, trauma. National Institutes of Health. https://www.ncbi.nlm.nih.gov/books/NBK538478/
Elsamadicy, A. A., Serrato, P., Belkasim, S., Ghanekar, D. S., Khalid, S., Larry, S., & Sciubba, D. M. (2025). Impact of patient age on morbidity and mortality in adults with acute traumatic cervical spinal cord injury: An ACS trauma quality programs database study. Clinical Neurology and Neurosurgery.
Fecher, A., Stimpson, A., Ferrigno, L., & Pohlman, T. H. (2021). The pathophysiology and management of hemorrhagic shock in the polytrauma patient. Journal of Clinical Medicine, 10(20). https://doi.org/10.3390/jcm10204793
Ferrada, P., Ferrada, R., Jacobs, L., Duchesne, J., Ghio, M., Joseph, B., Taghavi, S., Qasim, Z. A., Zakrison, T., Brenner, M., Dissanaike, S., & Feliciano, D. (2024). Prioritizing circulation to improve outcomes for patients with exsanguinating injury: A literature review and techniques to help clinicians achieve bleeding control. Journal of the American College of Surgeons, 238(1), 129–136. https://doi.org/10.1097/XCS.0000000000000889
Heather, A. W., & Hariharan, R. (2023). Fluid resuscitation. Old Dominion University, Johns Hopkins University, Baylor University.
Jokšić-Mazinjanin, R., Marić, N., Đuričin, A., Gojković, Z., Vasović, V., Rakić, G., Jokšić-Zelić, M., & Saravolac, S. (2023). Prehospital trauma scoring systems for evaluation of trauma severity and prediction of outcomes. Medicina (Lithuania), 59(5). https://doi.org/10.3390/medicina59050952
Kowalski, A., & Brandis, D. (2018). Shock resuscitation.
Laksmita Sari, A., Inayah, L. A., & Faozi, E. (2024). Penerapan revised trauma score untuk menilai mortalitas pada pasien trauma: Systematic review. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 10(3), 420–428.
Mansour, D. A., Eisha, H. A. A., & Asaad, A. E. (2021). Validation of revised trauma score in the emergency department of Kasr Al Ainy. https://doi.org/10.4103/ejs.ejs_82_19
Mohammed, Z., Saleh, Y., AbdelSalam, E. M., Mohammed, N. B. B., El-Bana, E., & Hirshon, J. M. (2022). Evaluation of the Revised Trauma Score, MGAP, and GAP scoring systems in predicting mortality of adult trauma patients in a low-resource setting. BMC Emergency Medicine, 22(1). https://doi.org/10.1186/s12873-022-00653-1
Notoatmodjo. (2020). Metodologi penelitian kesehatan. Rineka Cipta.
Nursalam. (2020). Metodologi penelitian ilmu keperawatan (P. P. Lestari, Ed.; 5th ed.). Salemba Medika.
Purnama, E., & Aprilia, H. (2019). Hubungan pemberian terapi oksigen sistem aliran rendah dengan status fisiologis (Revised Trauma Score) pada pasien trauma di Rumah Sakit Umum Daerah Ulin Banjarmasin. Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan, 10(2), 665–674.
Ramesh, G. H., Uma, J. C., & Farhath, S. (2019). Fluid resuscitation in trauma: What are the best strategies and fluids? International Journal of Emergency Medicine, 12(1). https://doi.org/10.1186/s12245-019-0253-8
Rekam Medik RSUD dr. Moch Ansari Saleh. (2025, October 2). Data pasien trauma Instalasi Gawat Darurat RSUD dr. Moch Ansari Saleh. Rekam Medik RSUD dr. Moch Ansari Saleh.
Ristanto, R., Indra, M. R., Poeranto, S., & Rini, I. S. (2017). Akurasi revised trauma score sebagai prediktor mortality pasien cedera kepala. Jurnal Kesehatan Hesti Wira Sakti, 4(2), 76–90.
Sari, P. D. (2019). Pengaruh resusitasi cairan terhadap perubahan status hemodinamik mean arterial pressure (MAP) pada pasien syok hipovolemik di Instalasi Gawat Darurat. Jurnal Wiyata.
Sugiyono. (2023). Metode penelitian kuantitatif kualitatif dan R&D. Alfabeta.
Tirtayasa, P. M. W., & Philippi, B. (2023). Prediction of mortality rate of trauma patients in emergency room at Cipto Mangunkusumo Hospital by several scoring systems. Medical Journal of Indonesia, 22(4), 227–231. https://doi.org/10.13181/mji.v22i4.603
Vafabin, M., Bitaraf, S., & Amiri, A. (2019). A comparison between the ability of Revised Trauma Score and Kampala Trauma Score in predicting mortality: A meta-analysis. Archives of Academic Emergency Medicine, 7(1).
WHO. (2023). Global status report on road safety 2023.
WHO. (2024, December 13). Road traffic injuries. World Health Organization.
Yousefi, M. R., Karajizadeh, M., Ghasemian, M., & Paydar, S. (2024). Comparing NEWS2, TRISS, and RTS in predicting mortality rate in trauma patients based on prehospital data set: A diagnostic study. BMC Emergency Medicine, 24(1). https://doi.org/10.1186/s12873-024-01084-w
Yu, Z., Xu, F., & Chen, D. (2021). Predictive value of Modified Early Warning Score (MEWS) and Revised Trauma Score (RTS) for the short-term prognosis of emergency trauma patients: A retrospective study. BMJ Open, 11(3). https://doi.org/10.1136/bmjopen-2020-041882
Zaki, H. A., Elmelliti, H., Shaban, A., Shaban, A., Elkandow, A., Abdelrahim, M. G., Musaed, W., & Shaban, E. E. (2026). Balanced crystalloids versus normal saline for trauma resuscitation: A systematic review and meta-analysis. American Journal of Emergency Medicine, 101, 84–91. https://doi.org/10.1016/j.ajem.2025.12.030
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