Perbedaan Status Neurovaskular  pada Pasien Fraktur Ekstremitas di  Instalasi Gawat Darurat (IGD) dan Recovery Room

Ariska Dwi Yunitasari; Isni Lailatul Maghfiroh; Inta Susanti

doi:10.30651/jkm.v11i3.31835

Authors

Ariska Dwi Yunitasari Universitas Muhammadiyah Lamongan
Isni Lailatul Maghfiroh University Muhammadiyah of Lamongan https://orcid.org/0000-0002-7311-6683
Inta Susanti University Muhammadiyah of Lamongan https://orcid.org/0000-0003-0072-7819

DOI:

https://doi.org/10.30651/jkm.v11i3.31835

Keywords:

Fractures, Neurovascular, Emergency Department, Recovery Room

Abstract

Fractures can cause neurovascular impairment due to injury to blood vessels and nerves, which carries a risk of complications such as tissue ischemia and compartment syndrome. Appropriate monitoring and management are essential for patients both before and after surgery. This study aims to determine differences in the neurovascular status of patients with extremity fractures in the Emergency Department and Recovery Room.

The study employed a comparative observational design involving 74 patients selected via consecutive sampling. Data were collected using a neurovascular status observation form with the following indicators: pain, skin color, peripheral pulse, sensation, motor function, extremity temperature, capillary refill, and oxygen saturation, with a scoring range of 8-21. Neurovascular status in the ED and Recovery Room was analyzed using a paired-sample t-test.

In the Emergency Department (ED), neurovascular status impairment among fracture patients was classified as mild for 51.4%, moderate for 21.6%, and severe for 1.4%. Upon entering the Recovery Room, patients showed clinical improvement, with mild impairment changing to 54.1%, moderate dropping to 13.5%, and severe cases decreasing to 0%. Statistical analysis confirmed a significant difference in neurovascular status between the two units (p=0.002).

This clinical improvement is primarily attributed to hemodynamic stabilization, bleeding control, surgical interventions, fluid therapy, and analgesics administered within the Recovery Room. Rather than an abrupt shift, the enhanced neurovascular status reflects a gradual recovery of tissue perfusion and nerve function driven by these combined perioperative interventions. Consequently, continuous neurovascular monitoring remains imperative to prevent secondary complications and ensure an optimal rehabilitative outcome.

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