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All Journal CRJIM (Clinical and Research Journal in Internal Medicine) Journal Of World Science
Jahidi, Savero Mizan
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The Duration of Hemodialysis and its Implication to Barthel Score and Laboratory Parameters among End Stage Renal Disease Patients Jahidi, Savero Mizan; Mardiana, Nunuk; Wardhani, Indrayuni Lukitra
Clinical and Research Journal in Internal Medicine Vol 2, No 1 (2021): First Issue of 2021
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2021.002.01.3

Abstract

Background: While it was proven that hemodialysis for treating patients with end stage renal disease (ESRD) provided the reduced mortality rate, the reports on its adequacy in the context of laboratory parameters and psychological function were limited. Aim: To assess the implication of hemodialysis duration on Barthel score and laboratory parameters among ESRD patients.  Methods: During the period, a cross-sectional study was conducted at Dr. Soetomo General Hospital. Information related to age, gender, history of hypertension, history of diabetes mellitus, and the levels of hemoglobin, albumin, calcium, and phosphor were retrieved from medical records. While, we performed the interview to each participant using Barthel index questionnaire to assess the function independence. We used multiple logistic regression analysis to determine the correlation and estimate of effect. Results: We totally include we included 65 patients with the hemodialysis duration of more than one year and 16 patients with the hemodialysis duration of less than one year. Our results found that the higher levels of albumin and hemoglobin were observed in patients with hemodialysis duration of more than one year. While, the duration of hemodialysis did not affect the Barthel score and serum mineral parameters. Conclusion:  The duration of hemodialysis of more than one year is associated with the improvement of albumin and hemoglobin levels
Cardio-Renal-Anemia Syndrome and Acute Type 2 Respiratory Failure Following Hemodialysis: A Case Report on the Challenges of Critical Care Management Jahidi, Savero Mizan; Aflahudin, M. Ahda Naufal; Asyiroh, Hubah; Mohani, Chandra Irwanadi
Journal of World Science Vol. 3 No. 12 (2024): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v3i12.1241

Abstract

Cardiorenal anemia syndrome (CRAS) is a complex condition involving heart failure, chronic kidney disease (CKD), and anemia, often complicated by comorbidities such as diabetes and hypertension. This case study presents a critically ill patient with a history of diabetes and hypertension who developed life-threatening Type 2 respiratory failure due to CRAS following hemodialysis. Upon admission, the patient exhibited severe respiratory distress, low oxygen saturation, bilateral pulmonary edema, and delayed capillary refill time, indicating a dire initial condition. Blood tests confirmed anemia, leukocytosis, and elevated creatinine, while blood gas analysis revealed uncompensated respiratory acidosis. Multidisciplinary management involved oxygen therapy, diuretics, intravenous antibiotics, and mechanical ventilation due to suspected sepsis. This report highlights the complex interplay of CRAS-related complications and underscores the significance of early, integrated treatment strategies to improve patient outcomes.
Co-Authors Aflahudin, M. Ahda Naufal Asyiroh, Hubah Chandra Irwanadi Mohani, Chandra Irwanadi Nunuk Mardiana, Nunuk Wardhani, Indrayuni Lukitra