Background: Pneumonia is an inflammation of lung parenchyma caused by virus, bacteria, fungus and parasite. Treatment efficiency at hospital can be evaluate by clinical pathway that is evidence based tool for guiding health that is established internationally since 1980’s. Copeptine biomarker measurement can be used as tool for CAP clinical pathway evaluation. This study objective is to find out that correlation copeptine biomarker with length of stay patient community acquired pneumonia in Moewardi hospital. Subjects and methods: A mixture of correlative quantitative design between biomarkerof copetine, length of stay and action research. Subjects were taken from the medical record data of community acquired pneumonia patients who were examined for copeptin levels in 2018 followed by action research conducted in two cycles. Results: It was obtained 25 CAP patients examined copeptine levels were then associated with length of stay which found a positive and significant relationship with length of stay with the strength of strong category relationships (r=0,600; p =0,001). From these results it was found that copeptin biomarker levels were able to estimate the length of stay of community acquired pneumonia patients. The result of the action research was that disapproval of copeptine levels was included in the clinical pathway for community acquired pneumonia patients because it was expensive but there was an improvement in the implementation of clinical pathway evaluation in dr. Moewardi hospital by involving all professional care providers namely doctors, nurses, nutritionist and pharmacist. Conclusion: There is a relationship between copeptine biomarkers and length of stay in community acquired pneumonia patients and there is an improvement in the implementation of CP evaluation in Dr. Moewardi Regional Hospital.
Community Acquired pneumonia, Clinical pathway, Copeptin
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