PERBANDINGAN COST-EFFECTIVENESS PEMBERIAN ANAL GETIK TRAMADOL DAN KETOROLAC PADA PASIEN PASCA SECTIO-CAESARIA

Analgesics are substances that can reduce pain without causing loss of consciousness. Analgesic often used in post-operation to cope with the pain after the anaesthetic drug effect has gone. This research is an observational study and the data is taken by cross-sectional method from medical records to compare the cost effectiveness of analgesic Tramadol and Ketorolac administration in post-caesarean section patients. Research site is in the obstetrics ward of PKU Muhammadiyah Hospital Yogyakarta. Research data obtained from medical record sub-section of PKU Muhammadiyah Hospital from January 1, 2006 -January 1, 2009. The data taken was analgesic drugs used post caesarean-section and other drugs used as companion to the analgesics. Data were analyzed with independent sample t test if data distribution is normal and f the data distribution is not normal, a non parametric test of Mann-Whitney is used There are two types of commonly used analgesic post caesarean Section Tramadol and Ketorolac. Of each drug users 36 samples of medical records was taken, then the drug which was used as companion of analgesic drugs are written. The results showed that Ketorolac administration is more cost-effective than Tramadol in post-caesarean section patients. It is based on the Mann-Whitney test conducted where the value of Asymp. Sig. (2-tailed) is 0.000 which is smaller than 0.05 (sig.p< 0.05). This is because of differences in average cost of the analgesics post-caesarean section patients using, Tramadol (Rp 98,700) and Ketorolac (Rp 72,000).