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Chronic kidney disease is a serious problem both in the world and in Indonesia. The prevalence of chronic kidney disease sufferers in the world in 2017 reached 9.1% based on population. While in Indonesia in 2013 it was 0.2%. In Central Java in 2013-2018 there was an increase in prevalence of 0.12%. This study aims to determine the risk factors for chronic kidney disease in the elderly in Central Java. The method used in this study is Universitas Indonesia viii nested case control. The data source used in this study is Riskesdas 2018. A total of 67 respondents belong to the case group and 201 respondents belong to the control group. Based on the analysis, it was found that 6% of respondents who suffer from diabetes mellitus, 32.8% hypertension, and 15.3% obesity, have smoking behavior 44.8%, have poor physical activity 31%, have a low level of education 87.3%, and 45.5% female. Diabetes mellitus had a significant relationship with the OR of 3.27 with 95% CI (1.18~9.09). For this reason, it is important to carry out early detection of Diabetes Mellitus and Chronic Kidney Disease by adding a urine dipstick test to the PTM Posbindu program. Meanwhile, the elderly who suffer from diabetes mellitus are advised to have a kidney function test at least once a year. In addition, health promotion regarding healthy living needs to be improved again
Prevalence diabetes is increasing rapidly especially in low and middle- income countries, one of which is Indonesia. Based on Riskesdas in 2018, the prevalence of diabetes mellitus based on the diagnosis of doctors in the population of all ages by province reaches 1,5%. The incidence rate of kidney disease in the diabetic population does not decrease. Some large cross-sectional studies in the world reveal that the prevalence of chronic kidney disease in people with type 2 diabetes even reaches 50%. Duration suffering diabetes is a risk factor for chronic kidney disease that needs to be considered. This study aims to determine the relationship duration suffering from diabetes with chronic kidney disease in patients with type 2 diabetes mellitus in Indonesia. This type of research is quantitative, with cross-sectional study design. This study uses secondary data from the 2018 Riskesdas survey. The number of samples was 639 people, who met the inclusion and exclusion criteria in this study. The analysis used cox regression The prevalence of chronic kidney disease in patients with type 2 diabetes mellitus in Indonesia is 17.68%. There was a relationship duration suffering diabetes with chronic kidney disease in patient type 2 diabetes mellitus in Indonesia which is statistically significant with p = 0.0000. So, important to screening mass type 2 diabetes mellitus as early as possible and routine screening kidney function since type 2 diabetes mellitus diagnose by a doctor.
Kematian pasien Penyakit Ginjal Kronik (PGK) pada usia dewasa yang menjalankan hemodialisis setelah tiga bulan adalah jarang. Namun, masih mungkin terjadi. Padahal layanan hemodialisis dibutuhkan seumur hidup. Tujuan studi ini adalah engetahui faktor – faktor risiko yang berhubungan dengan kematian pasien PGK usia dewasa yang menjalankan hemodialisis reguler. Metode yang digunakan adalah kasus kontrol tanpa pencocokkan dengan perbandingan 1:2. Uji statistik yang digunakan adalah regresi logistik. Faktor risiko yang berhubungan terhadap kematian adalah riwayat gagal jantung (OR = 2,3; IK 95% = 1,2 – 4,4; nilai p = 0,009), riwayat obstruksi pasca ginjal (OR = 3,5; IK 95% = 1,6 – 7,6; nilai p = 0,002), glukosa sewaktu ≥140 mg/dl (OR = 2,1; IK 95% = 1,2 – 3,6; nilai p = 0,011), Gangguan Ginjal Akut (GGA) (OR = 6,5; IK 95% = 3,8 – 11,1; nilai p = 0,000), dan Indeks Massa Tubuh (IMT) <18,5 kg/mm2 (OR = 3,0; IK 95% = 1,2 – 7,6; nilai p = 0,019).
Faktor – faktor risiko yang berhubungan dengan kematian pasien PGK pada usia dewasa yang menjalankan hemodialisis reguler adalah riwayat gagal jantung, riwayat obstruksi pasca ginjal, glukosa sewaktu ≥140 mg/dl, GGA, dan IMT <18,5 kg/mm2
Mortality of Chronic Kidney Disease (CKD) patients in adults undergoing hemodialysis after three months is rare. However, it is still possible. Even though hemodialysis services are needed for life. The objective of this study is to determine the risk factors associated with the death of adult CKD patients undergoing regular hemodialysis. The study design was unmatched control case with a ratio of 1:2. The statistical test used was logistic regression. Risk factors were history of heart failure (OR = 2.3; CI 95% = 1.2 – 4.4; p value = 0.009), history of obstruction post renal (OR = 3.5; CI 95% = 1.6 – 7.6; p value = 0.002), random glucose ≥140 mg/dl (OR = 2.1; CI 95% = 1.2 – 3.6; p value= 0.011), Acute Kidney Injury (AKI) (OR = 6.5; CI 95% = 3.8 – 11.1; p value = 0.000), and Body Mass Index
Obesity is a process of abnormal or excessive fat accumulation that can harm a person's health. Obesity can be determined by measuring the body mass index (BMI), which is a person's body weight (in kilograms) divided by the square of their height (in meters). A person with a BMI of 25 or more is categorized as obese according of Asia Pacific obesity classification. Objective of this study was to determine the relationship of obesity to get incidence of disability in the elderly who has diabetes mellitus in Indonesia in 2018. Variables in this study were obesity, disability, age, sex, physical activity, stress, asthma, hypertension and heart disease. This study using secondary data from Basic Health Research (Riskesdas) 2018 with cross sectional design. The population of this study was the elderly who has diabetes mellitus (ever diagnosed by a doctor and or currently taking DM drugs). The minimum number of samples in this study was 1233 elderly respondents who has diabetes mellitus. This study was analyzed till the multivariate stage used of Logistic Regression. The results of this study found was a significant relationship between obesity to get incidence of disability in elderly who has diabetes mellitus in Indonesia in 2018 with a POR value of 2.509 (95% CI; 1.136 - 5,539). The meaning is, obese for elderly with an age range of 75-90 years have a 2,509 times chance compared to the non-obese elderly with an age range of 60-74 years. Increasing the achievement of program posbindu PTM, so that as early to find risk factors obesity to be prevented immediately.
