Survival of Patients on Maintenance Hemodialysis Base on Comorbidity of Cardiovascular Disease in Persahabatan Central General Hospital 2015-2019
DOI:
https://doi.org/10.31965/infokes.Vol19.Iss2.547Keywords:
Survival, Hemodialysis, Cardiovascular DiseaseAbstract
Chronic kidney disease is the progressive loss of kidney function over months or years. The significant increase in new cases of chronic kidney disease is in line with the increasing number of patients undergoing hemodialysis as kidney replacement therapy in an effort to survive. Comorbid cardiovascular disease is a major risk factor for morbidity and mortality with chronic kidney disease. The study was conducted to determine the survival of hemodialysis patients in the group with comorbid cardiovascular disease and the group without comorbid cardiovascular disease. This study used a retrospective cohort design. The location of this study was conducted at Persahabatan Central Public Hospital, DKI Jakarta, and used secondary data from the hospital information system data from 2015 to 2019. The variables significantly related to the survival of patients undergoing hemodialysis with comorbid cardiovascular disease were age, complications of anemia, diabetes mellitus, and hypertension. The age variable has a p-value of 0.029 with an HR of 1.54 (95% CI OR 1.043-2.262). The anemia variable has a p-value of 0.013 with an HR of 1.60 (95% CI 1.117-2.515). The diabetes mellitus variable has a p-value of 0.000 with HR2.71 (95% CI 1.780-4.11). The hypertension variable has a p-value of 0.004 with HR1.79 (95% CI 1.208-2.646). In conclusion, patients undergoing hemodialysis with comorbid cardiovascular disease have a risk of death of 0.76 times compared to patients undergoing hemodialysis with the comorbid non-cardiovascular disease. This study's internal validity was not good due to selection bias and non-differential misclassification information bias. Thus, the results of this study cannot be generalized.
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References
Bikbov, B., Purcell, C. A., Levey, A. S., Smith, M., Abdoli, A., Abebe, M., ... & Owolabi, M. O. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709-733. doi: https://doi.org/10.1016/S0140-6736(20)30045-3
Chen, T. K., Knicely, D. H., & Grams, M. E. (2019). Chronic Kidney Disease Diagnosis and Management: A Review, JAMA - Journal of the American Medical Association, 322(13). 1294–1304. doi: https://doi.org/10.1001/jama.2019.14745.
De Jager, D. J., Grootendorst, D. C., Jager, K. J., van Dijk, P. C., Tomas, L. M., Ansell, D., ... & Dekker, F. W. (2009). Cardiovascular and noncardiovascular mortality among patients starting dialysis. Jama, 302(16), 1782-1789. doi: https://doi.org/10.1001/jama.2009.1488
Habibah, I. A., Widiharih, T., & Suparti, S. (2018). Ketahanan Hidup Pasien Gagal Ginjal Dengan Metode Kaplan MEIER (Studi Kasus di Rumah Sakit Umum Daerah dr. R. Soedjati Soemodiarjo Purwodadi). Jurnal Gaussian, 7(3), 270-280. doi: https://doi.org/10.14710/j.gauss.v7i3.26660
Indonesian Renal Registry. (2018). 11th Report of Indonesian Renal Registry 2018. Indonesian Renal Registry.
Kementerian Kesehatan Republik Indonesia. (2018). Hasil Utama RISKESDAS 2018. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2016). Infodatin Situasi Lanjut Usia (Lansia) di Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kuo, K. L., Hung, S. C., Tseng, W. C., Tsai, M. T., Liu, J. S., Lin, M. H., ... & Hung, T. P. (2018). Association of Anemia and Iron Parameters With Mortality Among Patients Undergoing Prevalent Hemodialysis in Taiwan: The AIM‐HD Study. Journal of the American Heart Association, 7(15), e009206. doi: https://doi.org/10.1161/JAHA.118.009206
Mardhatillah, M., Arsin, A., Syafar, M., & Hardianti, A. (2020). Ketahanan Hidup Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisis Di Rsup Dr. Wahidin Sudirohusodo Makassar. Jurnal Kesehatan Masyarakat Maritim, 3(1), 21-33.
Modi, Z. J., Lu, Y., Ji, N., Kapke, A., Selewski, D. T., Dietrich, X., ... & Gipson, D. S. (2019). Risk of cardiovascular disease and mortality in young adults with end-stage renal disease: an analysis of the US Renal Data System. JAMA cardiology, 4(4), 353-362. doi: https://doi.org/10.1001/jamacardio.2019.0375
Msaad, R., Essadik, R., Mohtadi, K., Meftah, H., Lebrazi, H., Taki, H., …& Saile, R. (2019). Predictors of mortality in hemodialysis patients. Pan African Medical Journal, 33(61), 1-14. doi: https://doi.org/10.11604/pamj.2019.33.61.18083.
Prasad, N., & Jha, V. (2015). Hemodialysis in Asia. Kidney Diseases, 1(3), pp. 165–177. doi: https://doi.org/10.1159/000441816.
Price, S., & Wilson, L. (2005). Patofisiologi Konsep Klinis Proses-Proses Penyakit. Jakarta: EGC.
Siagian, K. N., & Damayanty, A. E. (2018). Identifikasi Penyebab Penyakit Ginjal Kronik Pada Usia Dibawah 45 Tahun Di Unit Hemodialisis Rumah Sakit Ginjal Rasyida Medan Tahun 2015. Jurnal Kedokteran Anatomica (Anatomica Medical Journal), 1(3), 159-166.
Sikole, A., Nikolov, V., Dzekova, P., Stojcev, N., Amitov, V., Selim, G., Asani, A., Gelev, S., Grozdanovski, R., Masin, G., Klinkmann, H., & Polenakovic, M. (2007). Survival of patients on maintenance haemodialysis over a twenty-year period.Prilozi, 28(2), 99-110.
Syam, T. F. (2013) Ketahanan Hidup Pasien Ginjal Kronik Yang Menjalani Hemodialisis Berdasarkan Komorbiditas Diabetes Mellitus Di RSUD Arifin Achmad Pekanbaru Tahun 2011-2012. Thesis. Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Indonesia.
Umami, V., Lydia, A., Nainggolan, G., & Setiati, S. (2015). Pengembangan model prediksi mortalitas 3 bulan pertama pada pasien penyakit ginjal kronik yang menjalani hemodialisis. Jurnal Penyakit Dalam Indonesia, 2(3), 170-182. doi: http://dx.doi.org/10.7454/jpdi.v2i3.82
World Kidney Day. (2019). UHN World Kidney Day. Brussels: World Kidney Day.
World Kidney Day. (2020) Chronic Kidney Disease. Brussels: World Kidney Day.
Yulianto, D., & Basuki, H. (2017). Analisis ketahanan hidup pasien penyakit ginjal kronis dengan hemodialisis di RSUD Dr. Soetomo Surabaya. Jurnal Manajemen Kesehatan Yayasan RS. Dr. Soetomo, 3(1), 96-108. doi: https://doi.org/10.29241/jmk.v3i1.92
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