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All Journal JUKEJ: Jurnal Kesehatan Jompa
Fidelya Kaamila Hasna
Universitas Muhammadiyah Semarang
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Faktor Risiko Mortalitas pada Anak dengan Gagal Ginjal yang Menjalani Hemodialisis: Studi Cross-Sectional di RS Dr. Moewardi Surakarta Fidelya Kaamila Hasna; Agus Saptanto; Galih Prakasa Adhyatma; Oky Rahma Prihandani
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 3 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss3.3049

Abstract

Kidney failure in children is a serious condition requiring renal replacement therapy such as hemodialysis and is associated with high mortality rates. Several clinical factors, including age, nutritional status, anemia, hypertension, and hyperkalemia, are suspected to contribute to mortality. However, data regarding mortality-related factors among pediatric patients undergoing hemodialysis in Indonesia remain limited. This study aimed to identify factors associated with mortality in pediatric patients undergoing hemodialysis. This research used an analytic observational design with a cross-sectional approach. Data were obtained from medical records of pediatric patients aged 0–18 years who underwent hemodialysis from January 2022 to December 2025. A total of 66 patients met the inclusion and exclusion criteria. Data were analyzed using univariate and bivariate analysis with chi-square/Fisher exact tests and odds ratio (OR) analysis. Most patients were male (54.5%) and aged 13–18 years (57.6%). Hypertension (p = 0.012), hyperkalemia (p = 0.002), and nutritional status based on height-for-age (p = 0.040) were significantly associated with mortality. Hyperkalemia was the most dominant factor, increasing mortality risk by 10.2 times. Early detection and optimal management are important to reduce mortality risk in children with kidney failure.
Co-Authors Agus Saptanto Galih Prakasa Adhyatma Oky Rahma Prihandani