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Habib Burahman
Universitas Sultan Ageng Tirtayasa

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Correlation Between Serum Creatinine Levels and Length of Stay in Type 1 Cardiorenal Syndrome Patients at RSUD Banten Muhammad Afif Haryanto; Habib Burahman; Kenny Cantika Abadi
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.41805

Abstract

Type 1 Cardiorenal Syndrome (CRS) is a clinical condition characterized by acute kidney function decline resulting from sudden cardiac decompensation, with serum creatinine serving as the primary biomarker for Acute Kidney Injury (AKI) severity. This study aimed to determine the correlation between serum creatinine levels based on KDIGO AKI staging and length of hospital stay in Type 1 CRS patients at RSUD Banten. An analytical observational cross-sectional study was conducted using secondary data from medical records at RSUD Banten for the 2025 period; 93 respondents were enrolled by consecutive sampling. The independent variable was serum creatinine categorized by KDIGO criteria (Stage 1 vs. Stage 2 and 3 AKI), the dependent variable was length of stay (45 years, 79.5%), with hypertension prevalence of 68.8% and diabetes mellitus of 18.3%; 80 respondents (86.0%) were classified as Stage 2 and 3 AKI KDIGO, while 13 (14.0%) were Stage 1; statistical analysis revealed a significant correlation between serum creatinine levels and length of stay (p = 0.017; PR = 1.463; 95% CI: 0.94–2.26), with Stage 2 and 3 AKI showing a higher proportion of ≥5-day hospitalization (90.0%) compared to Stage 1 (61.5%). There is a statistically significant correlation between serum creatinine levels and length of stay in Type 1 CRS patients, where greater AKI severity is associated with longer hospitalization duration.
The Relationship Between Uncontrolled Hba1c and the Incidence of Minor Amputations in Diabetic Foot Ulcer Patients at Banten Regional Hospital Fitri Anggraini; Habib Burahman; Baety Adhayati
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.39966

Abstract

Diabetes Mellitus (DM) is a metabolic disorder characterized by elevated blood sugar levels due to impaired insulin production or function. One of its chronic complications is diabetic foot ulcers, which can lead to infection, gangrene, and even amputation, especially in patients with poor glycemic control, as assessed by HbA1c. This condition increases morbidity and mortality, and reduces quality of life. This study aims to determine the relationship between uncontrolled HbA1c levels and the incidence of minor amputations in patients with diabetic foot ulcers at Banten Regional Hospital. This study was an observational analytical study with a cross-sectional design using a retrospective approach through medical records of diabetic foot ulcer patients at Banten Regional Hospital. The sampling technique used was consecutive sampling with a sample size of 100 subjects who met the inclusion and exclusion criteria. Data analysis was performed using univariate and bivariate analysis using SPSS. The chi-square test was used to determine the relationship between HbA1c and the incidence of minor amputations. The results of the study from a total of 100 subjects showed that from univariate analysis, in the uncontrolled HbA1c group (>7%) the majority experienced minor amputations (53.8%), while in the controlled HbA1c group (≤7%) the majority did not experience amputations (57.1%). From bivariate analysis, there was no significant relationship between HbA1c levels and the incidence of minor amputations (p=0.402). The results of this study also have a 95% Confidence Interval (CI) with a lower value of 0.679 and an upper value of 3.561. There was no significant relationship between uncontrolled HbA1c levels and the incidence of minor amputations.
The Relationship Between Hypertension and the Incidence of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus at RSUD Banten Lirra Aisya; Habib Burahman; Maytia Pratiwishita
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.41074

Abstract

Diabetic retinopathy is one of the most common microvascular complications in patients with type 2 diabetes mellitus (T2DM) and a significant cause of blindness. This study aimed to analyze the association between hypertension and the incidence of diabetic retinopathy in T2DM patients at RSUD Banten. This study used a cross-sectional design with a retrospective approach based on medical records. A total of 62 T2DM patients at RSUD Banten during the period 2023–2025 were selected using non-probability consecutive sampling. Hypertension status was determined based on blood pressure ≥140/90 mmHg, a physician diagnosis of hypertension, or documented use of antihypertensive medication, while diabetic retinopathy was assessed through funduscopy or fundus photography findings. Of 62 subjects, 31 (50%) had hypertension and 23 (37.1%) had diabetic retinopathy. The proportion of diabetic retinopathy in the hypertension group was 41.9% and 32.3% in the non-hypertension group. Chi-Square analysis showed no significant association between hypertension and diabetic retinopathy (p = 0.430; PR = 1.30; 95% CI 0.674–2.508). The mean HbA1c was 5.48% ± 0.58%, indicating well-controlled glycemia across all subjects. There is no significant association between hypertension and diabetic retinopathy in T2DM patients at RSUD Banten. These findings suggest that in patients with controlled glycemia, hypertension alone may not be sufficient to demonstrate a significant contribution to diabetic retinopathy, highlighting the multifactorial nature of this complication.
Co-Authors Baety Adhayati Fitri Anggraini Kenny Cantika Abadi Lirra Aisya Maytia Pratiwishita Muhammad Afif Haryanto