Codification of Death Index, Complications, and Secondary Diagnosis of HIV AIDS Patients Who Died at RSUD Dr. Soetomo

Abstract

The number of deaths of HIV AIDS patients increases
every semester, seen from 2017 to semester 2 of 2018. These
deaths are recorded with complex cases of OI, meaning
not only due to HIV AIDS but also due to other diseases of
more than one kind. This study aims to analyze the types
of complications and a secondary diagnosis of HIV-AIDS
patients who died in Dr. Seotomo Surabaya. This type
of research is descriptive with a retrospective approach,
namely by looking at the respondent’s history objectively
written on the patient’s medical record. Respondents
have 3 types of disease complications, with three major
complications diagnoses are D64.9 (Anemia, unspecified),
E87.6 (Hypocalcemia. Potassium deficiency), and J96.9
(Respiratory failure, unspecified). At the time of treatment,
the majority (26%) of respondents were diagnosed with
2 secondary diagnoses, the three biggest diagnoses
were E88.0 (Disorders of plasma-protein metabolism,
not elsewhere classified. Alpha-1-antitrypsin deficiency.
Bisalbuminaemia), D64.9 (Anemia, unspecified), and
E87.0 (Hypocalcemia. Potassium (K) deficiency). The
majority of complications and secondary diagnoses lead
to protein deficiency. This is caused by the body’s immune
system composed of protein but damaged by the HIV
virus. For this reason, CD4 laboratory tests are needed to
control the efficiency of ARV therapy.