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Chronic kidney disease had become a concern because of the increasing global incidence, prevalence, and mortality. Based on Riskesdas data, CKD in North Sumatra province increased from 0.2% in 2013 to 0.33% in 2018. This study aimed to determine the dominant risk factors for chronic kidney disease in Dr. RSUD. Djasamen Saragih, Pematang Siantar City. This study was an analytic observational study with a case-control design. The research subjects were 505 CKD patients who were treated at Dr. Djasamen Saragih Hospital, Pematangsiantar City, with a case of 101 patients who were diagnosed by doctors as having chronic kidney failure which were obtained from medical records. Hospital controls were 404 patients without CKD. The inclusion criteria of research subjects were 15 years old and complete medical record data. Exclusion criteria for research subjects where a history of kidney transplantation was owned by patients and patients whose medical record data was incomplete. The multivariate results showed that the dominant risk factors for CKD in Dr. Djasamen Saragih Hospital were hypertension (OR=4.63; 95% CI: 2.69-7.99) and gout (OR=5.46; 95% CI: 3.17). -9.41). Promotive efforts and early detection of risk factors from an early age need to be increase to minimize the incidence of risk factors and chronic kidney disease and it is suggest that the hospital can improve the facilities and completeness of patient data, and form a team of health educators to increase the knowledge of visiting patients related to CKD
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
Latar Belakang: Penyakit ginjal kronik (PGK) merupakan salah satu komplikasi mikrovaskular utama pada pasien diabetes melitus (DM) tipe 2 yang meningkatkan morbiditas dan mortalitas. Penelitian ini bertujuan mengidentifikasi determinan independen PGK pada pasien DM tipe 2 di Puskesmas Menteng periode 2024–2025. Metode: Penelitian observasional analitik dengan desain potong lintang menggunakan data sekunder rekam medis elektronik pasien DM tipe 2 di Puskesmas Menteng periode 2024–2025. Sebanyak 462 responden yang memenuhi kriteria inklusi dan eksklusi diikutsertakan dalam penelitian. Analisis dilakukan menggunakan regresi Poisson dengan robust variance untuk memperoleh adjusted prevalence ratio (aPR) dan confidence interval (CI) 95%. Hasil: Sebanyak 338 responden (73,16%) mengalami PGK. Pasien berusia ≥60 tahun memiliki prevalensi PGK 1,46 kali lebih tinggi dibandingkan pasien berusia
Background: Chronic kidney disease (CKD) is one of the major microvascular complications in patients with type 2 diabetes mellitus (T2DM), contributing to increased morbidity and mortality. This study aimed to identify the independent determinants of CKD among patients with T2DM at Menteng Primary Health Center during 2024–2025. Methods: An analytical observational study with a cross-sectional design was conducted using secondary data from electronic medical records of patients with T2DM at Menteng Primary Health Center during 2024–2025. A total of 462 participants who met the inclusion and exclusion criteria were included in the study. Data were analyzed using Poisson regression with robust variance to estimate adjusted prevalence ratios (aPRs) and 95% confidence intervals (95% CIs). Results: A total of 338 participants (73.16%) had CKD. Participants aged ≥60 years had a 1.46-fold higher prevalence of CKD than those aged
