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[Latar Belakang: Di Amerika Serikat, terdapat 16.000 kematian setiap tahunnyakarena trauma pada dada, berkontribusi pada 75% kematian akibat trauma. DiRSCM Jakarta, tercatat setidaknya ada 1200 mayat yang masuk dengan hanya33,3% mayat diautopsi sehingga dapat diketahui kerusakan organ dalamnya.Pemanfaatan epidemiologi forensik untuk menentukan hubungan kemaknaanantara temuan luka luar dengan kerusakan organ dalamnya dapat menunjang opiniahli dokter forensik pada kasus yang tidak diautopsi.Metode: Subjek penelitian ini adalah 128 mayat yang diautopsi di DepartemenIlmu Kedokteran Forensik dan Medikolegal FKUI/RSCM Jakarta Tahun 2010-2013, dengan temuan luka luar akibat kekerasan tajam pada dada dan punggung.Dari rekam medis korban yang sesuai dengan kriteria inklusi kriteria dan eksklusidiinput ke dalam program SPSS, dan selanjutnya dianalisis hubungan antarakedua variabel.Hasil: Berdasarkan Uji Chi Square ataupun Uji Fischer, ditemukan hubunganbermakna (p<0,05) antara (i) luka tusuk dada kanan dengan iga kanan, parukanan, dan hati; (ii) luka tusuk dada kiri dengan iga kanan, iga kiri, jantung, parukanan, dan paru kiri; (iii) luka tusuk dada tengah dengan sternum; (iv) luka tusukpunggung kanan dengan iga kanan, jantung, dan paru kanan; (v) luka tusukpunggung kiri dengan kerusakan iga kanan, jantung, paru kanan, paru kiri, hati,dan ginjal kiri; serta (vi) luka bacok dada kiri dengan paru kiri.Pembahasan: Terdapat variasi kemaknaan pada setiap hubungan antara keduavariabel. Hal ini terutama dipengaruhi oleh hubungan secara letak anatomi, yangselanjutnya dipengaruhi oleh jenis luka, alat tajam yang digunakan dalamkekerasan tersebut beserta arah penetrasinya, besar gaya untuk menentukansedalam apa luka yang dihasilkan, dan densitas jaringan organ dalam.;Introduction: In the United States, there are 16,000 deaths each year from chestinjury, giving 75% death caused by trauma. At Cipto Mangunkusumo HospitalJakarta, there are at least 1,200 corpses registered with only 33.3% of the corpse?svisceral organ injury could be discovered. Utilization of forensic epidemiology todetermine the relation between findings of external injuries and damages tovisceral organ could support the opinion of the expert forensic doctor in a case ofnon-autopsy.Method: The subjects of this research are 128 corpses, which were autopsiedfrom 2010 until 2013 in the Forensic Medicine and Medicolegal Department ofFKUI/RSCM Jakarta, exclusively corpses with sharp force trauma in the chestand the back area. The medical records of these corpses, which met the inclusionand exclusion criteria were inputted to SPSS program and analyzed therelationship between them.Result: Based on both Chi Square Test and Fischer Test, significant results(p<0,05) were found between (i) sharp force injury on the right chest area withdamages in the right rib, right lung, and liver; (ii) sharp force injury of the leftchest area with damages in the right rib, left rib, heart, right lung, and left lung;(iii) sharp force injury of the middle chest area with damages in the sternum; (iv)sharp force injury of the right chest area with damages in the right rib, heart andright lung; (v) sharp force injury of left chest area with damages in the right rib,heart, right lung, left lung, liver, and left kidney; and (vi) gash wound on the leftchest area with damages in the left lung.Discussion: There is variation of significance on every relationship between thosetwo variables. It is mainly caused by the anatomical reason, then followed by thetype of injury, weapon used with its penetrating direction, amount of force todetermine how deep the injury is, and tissue density of the visceral organs, Introduction: In the United States, there are 16,000 deaths each year from chestinjury, giving 75% death caused by trauma. At Cipto Mangunkusumo HospitalJakarta, there are at least 1,200 corpses registered with only 33.3% of the corpse’svisceral organ injury could be discovered. Utilization of forensic epidemiology todetermine the relation between findings of external injuries and damages tovisceral organ could support the opinion of the expert forensic doctor in a case ofnon-autopsy.Method: The subjects of this research are 128 corpses, which were autopsiedfrom 2010 until 2013 in the Forensic Medicine and Medicolegal Department ofFKUI/RSCM Jakarta, exclusively corpses with sharp force trauma in the chestand the back area. The medical records of these corpses, which met the inclusionand exclusion criteria were inputted to SPSS program and analyzed therelationship between them.Result: Based on both Chi Square Test and Fischer Test, significant results(p<0,05) were found between (i) sharp force injury on the right chest area withdamages in the right rib, right lung, and liver; (ii) sharp force injury of the leftchest area with damages in the right rib, left rib, heart, right lung, and left lung;(iii) sharp force injury of the middle chest area with damages in the sternum; (iv)sharp force injury of the right chest area with damages in the right rib, heart andright lung; (v) sharp force injury of left chest area with damages in the right rib,heart, right lung, left lung, liver, and left kidney; and (vi) gash wound on the leftchest area with damages in the left lung.Discussion: There is variation of significance on every relationship between thosetwo variables. It is mainly caused by the anatomical reason, then followed by thetype of injury, weapon used with its penetrating direction, amount of force todetermine how deep the injury is, and tissue density of the visceral organs] |
S-Shafira Ninditya.pdf :: Unduh