Amira Anwar, Elisna Sjahruddin, Wahju Aniwidyaningsih, Indah Suci Widyahening, Agus Dwi Susanto
Backgroud: The causes of death for patients with lung cancer were inadequately described. This study were to describe the causes of death in lung cancer and contributing factors and to describe discrepancies between the causes of death from medical records and death audit.
Methods: A cross sectional study involving lung cancer patients. The immediate and indirect causes of death from medical records were assessed and compared with death audit. The discrepancies between both were analysed. Study was conducted for all lung cancer patients that died from January 2010 until December 2011 at Persahabatan Hospital.
Results: A total of 96 cases were found from medical record, massive pleural effusion was found as the immediate causes in 19 (19,8%), while sepsis was found as the indirect causes 44 (45,8%). From the death audit, massive pleural effusion was found as immediate causes in 48 (50%), while sepsis was found as the indirect causes in 16 (16,7%) subjects. The discrepancies between both were found in 53 (55,2%). SOP was executed in 37 (38,5%) and unexecuted in 59 (61,5%). There is no signifi cant correlation between the executed SOP with cost factors (p=0,48).
Conclusion: Immediate cause of death lung cancer patient base on death audit was massive pleural effussion and indirect cause was sepsis. (J Respir Indo. 2014; 34: 11-6)
Key words: lung cancer, death audit, immediate death, indirect death.