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Bankground: Cardiovascular disease, including stroke, is a major health problem in the world. Every year, there are more than 13.7 million new cases and 5.5 million deaths from stroke that occur globally. Based on Riskesdas data in 2018, the prevalence of stroke in Indonesia reached 10.9 per mile. In DKI Jakarta Province, the prevalence of stroke based on doctor's diagnosis increased from 9.7 per mile (2013) to 12.2 per mile (2018). Based on IDF data in 2019, the prevalence of diabetes in Indonesia reached 10.7 million cases and made Indonesia the country with the seventh most cases globally. In addition, according to the Health Social Security Administration (BPJS), the funds used for stroke services continued to increase, namely 1.43 trillion (2016), 2.18 trillion (2017) and 2.56 trillion (2018) and decreased to 2. 1 Trillion (2020). Although there is a decline in 2020, stroke is still ranked third as a provider of BPJS social security funds. Diabetes mellitus which is a risk factor for stroke has increased prevalence in DKI Jakarta Province from 2.5% (2013) to 3.4% (2018). Objective: To determine the relationship between type 2 diabetes mellitus and the incidence of stroke in the population aged 18 years. In DKI Jakarta Province in 2018. Methods: The study was conducted with quantitative methods and used an analytical cross-sectional study. The data source used in this study is secondary data from Riskesdas 2018. There are 1,537 samples analyzed according to the inclusion and exclusion criteria. Results: Based on the results of the analysis, the prevalence of stroke was 1.6% and type 2 diabetes mellitus was 7.7%. There is a significant relationship between the variables of type 2 diabetes mellitus and the incidence of stroke. In addition, covariate variables such as age (POR=5.26; 95%CI: 2.28-12.12), occupation (POR=2.63; 95%CI: 1.12-6.19), hypertension ( POR=9.52; 95%CI: 2.83-32.06), and heart disease (POR=5.30; 95%CI: 1.75-16.04) were also significantly associated with the incidence of stroke. Based on the stratification analysis, it was found that the variables that became the interaction effect (modification) were education, hypertension, and heart disease. Meanwhile, the confounding variables were age, education, hypertension, and heart disease. Conclusion: Type 2 diabetes mellitus is an important risk factor to consider in the prevention and control of stroke in Indonesia.
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.
