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Journal : Indonesian Journal of Multidisciplinary Science

Evaluation of the Influence of Risk Factors on the Time of Onset of Ulcers, Rest Pain, and New Gangrene Post-Angioplasty in Patients with Chronic Limb Threatening Ischemia (CLTI) at Dr. Cipto Mangunkusumo General Hospital Effendi, Haikal; Suhartono, Raden; Kekalih, Aria
Indonesian Journal of Multidisciplinary Science Vol. 4 No. 11 (2025): Indonesian Journal of Multidisciplinary Science
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/ijoms.v4i11.1178

Abstract

Chronic Limb Threatening Ischemia (CLTI) represents the end stage of peripheral arterial disease, characterized by rest pain, ulcers, and gangrene. This study aims to evaluate the influence of metabolic risk factors—namely diabetes mellitus (DM), chronic kidney disease (CKD), and hypertension—on the timing of new symptom onset. This study employed a retrospective observational design involving CLTI patients who underwent successful angioplasty at RSUPN Dr. Cipto Mangunkusumo. Clinical data and the onset time of symptoms were collected and analyzed using univariate, bivariate, and multivariate logistic regression analyses. The study revealed a high prevalence of diabetes mellitus (89.3%, with 56% uncontrolled), hypertension (77.3%, with 41.3% uncontrolled), and chronic kidney disease (32%). Post-angioplasty symptoms included gangrene (33.3%), rest pain (24%), combined rest pain and gangrene (24%), and ulcers (18.7%), with a mean onset time of 80 ± 105 days. Uncontrolled diabetes mellitus (p=0.001; mean 39.46 days), hypertension (p=0.006; mean 54.81 days), and chronic kidney disease (p=0.001; mean 29.58 days) were significantly associated with accelerated symptom onset. Multivariate regression analysis identified hypertension as the strongest predictor (p=0.021; B=59.234; ?=0.273), followed by DM (p=0.027; B=40.693; ?=0.249) and CKD (p=0.036; B=30.234; ?=0.226), collectively explaining 53.9% of the variation in onset time. Uncontrolled DM was associated with increased incidence of ulcers and gangrene; hypertension with combined rest pain and gangrene; while CKD was more frequently associated with rest pain. These findings highlight the importance of aggressive risk factor management and structured post-angioplasty monitoring to delay symptom onset and reduce complications.
Co-Authors Achmad Fauzi Kamal Addin Trirahmanto Adiningsih Sri Lestari Afrionaldi Suparman Agi Satria Putranto Agiananda, Feranindhya Agus D. Susanto Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Ahmad Aulia Ahmad Fuadi Ahmad Syafiq Aldri Frinaldi Aleddin, Rommel Alexander AW Peters Alida Roswita Harahap Alma Thahir Pulungan Ambari, Ade Meidian Amendi Nasution Amilya Agustina Amir Shidik Amir Shidik Amitya Kumara Amitya Kumara Andrijono Angela BM Tulaar Aninditha, Tiara Anis Karuniawati Anita Ratnawati Anitasari Kusumawati Antonius H. Pudjiadi Anwar Jusuf Anwar Santoso Aprilya, Dina Arthur Garson Aryono Hendarto Asmarinah Astri, Setia Wati Astrid Sulistomo Aziza G. Icksan Badriul Hegar Badriul Hegar Bambang Budi Siswanto Bambang Pontjo Priosoeryanto Bambang Supriyatno Basrowi, Ray Wagiu Basuni Radi Batubara, Jose Benjamin Ngatio, Benjamin Betharia Sonata Butarbutar Bethy Suryawathy Hernowo Bondan Harmani Bondan Harmani Boy Hidayat Budhi Antariksa Budi Sampurna Budi Wiweko Budiman Bintang Prakoso Canintika, Anissa Feby Cepi Teguh Pramayadi Chaidir Arif Mochtar Cut Putri Samira Damayanti Rusli Sjarif Danny Rasjiid Garna Darmawan, Irene Darwis, Patrianef Deni Noviana Denta Aditya Episana Desandri, Dwita Rian Dewi Friska Dewi Friska Dewi Sumaryani Soemarko Dewi Yunia Fitriani Dialika Dialika Dilawar, Ismail Dwiputra, Bambang Effendi, Haikal Elisna Syahruddin Elisna Syahruddin Elvioza Elvioza Elvioza Elvioza Endang Parahyanti Erlina Burhan Etty Rekawati Fachruddin, Ismi Irfiyanti Faisal Yunus Faisha Rahma, Melly Faraby Martha Feni Fitriani Ferdy Nurhadi Ferius Soewito Ferry Sandra Firdaus, Najmarani Devi Fitri Octaviana Fitriyadi Kusuma Gatot Purwoto Gede Wirya Kusuma Duarsa Ginting, Tribowo T. 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