Hubungan Analisa Gas Darah terhadap Derajat Skor Downe pada Bayi Baru Lahir dengan Distres Pernapasan di Unit Neonatologi RSUP. H. Adam Malik Medan

Abstract

reasons why newborns need to be treated in the neonatal intensive care unit. Down score commonly used as a basis for evaluating respiratory distress clinically in infants, while blood gas analysis can be a parameter for identifying respiratory distress in infants. The combine approach for diagnosing using the blood gas value and score downe offer a better change of finding an accurate diagnosis, prognosis and proper therapeutic regimen. Objective. The aims of this study is to determine the association between blood gas analysis and Downe score in the newborns with respiratory distress in Neonatology unit of H. Adam Malik General Hospital Medan. Method. this type of research is an analytical observational study with cross sectional design. The collected data are a secondary data from the medical records of newborns with respiratory distress in the Neonataology Unit of H. Adam Malik General Hospital Medan in the years 2022-2023, the data taken using a consecutive sampling. Result and Discussion. The results of the analysis using the Kruskal-Wallis test between pH and HCO3 for the Downe score show a values (p<0.05), while PO2 and PCO2 show values (p>0.05). Furthermore, the analysis using ANOVA on BE for the Downe score shows a value (p<0.05). Conclusion. There is a significant association between pH, BE, and HCO3 with the Downe score, but there is no association between PO2 and PCO2 with the degree of the Downe score.