Diska Yulia Trisiana, Didik Haryanto, Khairunnisa
OBJECTIVE : Cyanotic CHD is a congenital disease, the insidence tend to increase by the time. At M Djamil Hospital there were 85 cases in 2013-2015. Surgical intervention is the best treatment but still limited in our country. Brain abscess is the complication mostly found in patient that can be serious and fatal. Many factors considered to be risk factors for brain abscess in cyanotic CHD. The aim of this study is to identify characteristics and factors in the occurence of brain abscess in cyanotic CHD patients. METHODS : This was a retrospective study. Data were collected from medical records of cyanotic CHD patient admitted at M Djamil Hospital from 2016 to 2018. The data collected were basic personal data, clinical, and laboratory results. The defenitive diagnosis of brain abscess were made from brain CT scan. Nutritional status was determined with WHO growth chart. Bivariate analysis was made using paired sample T test and chi-square. Data were analyzed with SPSS. P value <0.05 were considered to be statistically significant. RESULT : A total 15 cases (14.5%) of brain abscess were found in 104 cyanotic CHD patients. Majority patient were boys (67.3%). The subjects mean age was 4.95 years and the youngest age was 1 year old. Bivariate analysis with independent t test revealed that nutritional status (p=0.009), cyanotic spell (p=0.028), and outcome (p=0.005) were significant related factors for brain abscess. Hemoglobin (16.65±3.57), leucocyte (18775±7749.28), hematocryte (54.87±7.90), oxygen saturation (59.93±9.21) were statistycally significant (p value < 0.05 chi-square test). No significant relation of age, sex, diagnosis of cyanotic CHD and platelet with brain abscess. No bacterial growth in the abscess culture. 9 of 15 patient with brain abscess were died. CONCLUSION : Hemoglobine, high hematocryte, low peripheral oxygen saturation, leucocytosis, cyanotic spell, and poor nutritional status were the significant related factors to brain abscess in cyanotic CHD patients. No bacterial growth in abscess culture. Mortality was still high, sixty percent of brain abscess child were died.