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All Journal journal of internal medicine E-Jurnal Medika Udayana Jurnal Penyakit Dalam Udayana KESANS : International Journal of Health and Science
Nyoman Paramita Ayu
Bagian Penyakit Dalam, Fakultas Kedokteran Universitas Udayana
Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Physics Public Health

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Faktor determinan kesintasan hidup lebih dari lima tahun pada pasien hemodialisis reguler Sudjana, Karismayusa; Ayu, Nyoman Paramita; Kandarini, Yenny; Widiana, Raka; Sudhana, Wayan; Loekman, Jodi Sidharta; Suwitra, Ketut
Jurnal Penyakit Dalam Udayana Vol 2 No 2 (2018): Vol 2 No 2 (2018) July-December 2018
Publisher : PAPDI BALI

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Abstract

Latar Belakang: Pasien hemodialisis regular memiliki risiko mortalitas yang lebih tinggi dibandingkan populasinormal. Angka kesintasam hidup lima tahun pasien hemodialisis regular adalah 35,8% namun angka ini bervariasi di tiap populasi dan dipengaruhi berbagai faktor.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor determinan dari kesintasan hidup lebih dari lima tahun pada pasien hemodialisis regular.Metode: Penelitian ini menggunakan metode kasus-kontrol. Data diambil dari Indonesian Renal Registry Report di Rumah Sakit Umum Pusat Sanglah, Denpasar, Bali. 37 pasien yang menjalani hemodialisis regular selama lebih dari 5 tahun dicocokkan dengan 37 pasien yang menjalani hemodialisis regular selama kurang dari 5 tahun, berdasarkan umur. Data dianalisis dengan uji chi-square.Hasil: Prevalensi pasien yang menjalani hemodialisis regular selama lebih dari 5 tahun didapatkan 9,52%. Kamimenganalisa etiologi penyakit ginjal kronik (PGK), jenis kelamin, tekanan darah, anemia, dan status kecukupanhemodialisis. Perbedaan signifikan kedua kelompok didapatkan pada etiologi PGK (p = 0,021) dan anemia  p=0,0). Tidak didapatkan perbedaan signifikan pada jenis kelamin, tekanan darah, dan status kecukupan hemodialisis (p = 0,63, p = 0,64, dan p = 0,34).Simpulan: Penelitian kami menunjukkan bahwa faktor determinan yang berperan signifikan pada kesintasan hidup lebih dari 5 tahun adalah etiologi PGK dan status anemia.
PREVALENSI DAN HUBUNGAN SINDROM METABOLIK DENGAN PENYAKIT GINJAL KRONIK PADA POPULASI DESA LEGIAN, KUTA BALI Ayu, Paramita; Kandarini, Yenny; Widiana, G Raka; Sudhana, W; Loekman, Jodhi S; Suwitra, K
journal of internal medicine Vol. 12, No. 2 Mei 2011
Publisher : journal of internal medicine

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Abstract

Metabolic syndrome may relate to pathogenesis of chronic kidney disease (CKD). There is scarce data with regard to thatphenomenon in Indonesian general population. We conduct a study to determine the prevalence of metabolic syndrome and itsrelationship with CKD individuals in general population of Legian Village, Bali. An analytical cross sectional study was carriedout in the community of Legian Village, a tourist destination in Bali. Samples were selected through simple random sampling.Two hundred and eighty four samples (117 males and 107 females, aged 46.1 ± 10.02 years) were included. Prevalenceof hypertension, hypertrigliseridemia, hypoHDL-cholesterol, central obesity, impaired fasting glucose (IFG), obese and CKDwas 14.1%, 38.4%, 25%, 18%, 11.6%, 51.8% and 11.6% respectively. Using bivariate analysis, there were strong and significantrelationship between hypertension (OR 2.6, 95%CI 1.12 to 6.19, p = 0.02) and IFG (OR 5.21; 95%CI 2.23 to 12.13, p = 0.00) withCKD. Using multivariate logistic regression entering those components of metabolic syndrome into the model, it was consistentlyfound that hypertension and DM is the associated factors for CKD in the population. There was increasing odds of CKD about1,0-fold every augment of metabolic syndrome components (OR 1.098; 95%CI 0.83 to 1.44). As our conclusion, hypertensionand IFG are associated factor for CKD in general population. Multiple components increased risk factor for CKD.
HUBUNGAN ANTARA BEBERAPA PARAMETER ANEMIA DAN LAJU FILTRASI GLOMERULUS PADA PENYAKIT GINJAL KRONIK PRADIALISIS Paramita Ayu, Nyoman; Suega, Ketut; Raka Widiana, Gede
journal of internal medicine Vol. 11, No. 3 September 2010
Publisher : journal of internal medicine

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Abstract

Anemia is one of chronic kidney disease (CKD) complication and it affects many organs including cardiovascular. Earlydetection and evaluation are important to prevent more serious complications. There is scarce data with regard about correlationbetween anemia and glomerulus ltration rate (GFR) in pradialysis CKD.Aim of this study is to determine correlation between anemia parameters and GFR, also prevalence of anemia in pradialysisCKD in Sanglah Hospital, Denpasar-Bali. An analytical cross sectional study was carried out in Sanglah Hospital. Samples wereselected through simple random sampling.Eighty samples (58 males and 22 females, aged 54 ± 10 years) were included. Prevalence of anemia, serum iron belowthan 50 ug/dl, transferrin saturation below than 20% and erythropoietin below than 5 mIU/ml was 41.3%, 25%, 20%, and 25%respectively. Using Pearson?s analysis, there were signicant correlation between haemoglobin (r = 0.76, p = 0.00) and serumiron (r = 0.29, p = 0.01) with LFG. Using linier regression entering those variables into model, it found formula haemoglobin= 7.63 + 0.13GFR (R-square = 0.58, p = 0.00) and serum iron = 54.71 + 0.48GFR (R-square = 0.08, p = 0.01). There wassignicant correlation between haemoglobin and serum iron with LFG. Forty one percent pradialysis CKD patients had anemiacomplication.
Physical Examination in Patients with Steal Syndrome Xaviera, Xaviera; Paramita Ayu, Nyoman
Jurnal KESANS : Kesehatan dan Sains Vol 3 No 6 (2024): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v3i6.278

Abstract

In Indonesia, the number of haemodialysis (HD) patients is increasing every year. In 2014, there were 17,193 new patients. This number has increased in 2015 as many as 21,050 patients and in 2016 as many as 25,446 patients. HD is a process that involves diffusion and ultrafiltration with the aim of removing certain elements from the blood by taking advantage of the difference in the rate of diffusion of blood as it passes through a semipermeable membrane. HD access is established in the arm by connecting the arm vein with the radial or ulnar artery. Arteriovenous fistula (AVF) is the most ideal HD access, because it can be used for the long term, lower morbidity, and mortality, but complications often occur, one of which is steal syndrome. This syndrome can present with different signs and symptoms depending on the severity and duration of post-access access for renal failure patients undergoing HD therapy
HUBUNGAN KARAKTERISTIK PASIEN DENGAN DERAJAT KLINIS ASMA DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR Prabandari, Anak Agung Sagung Mirah; Suardamana, Ketut; Paramita Ayu, Nyoman
E-Jurnal Medika Udayana Vol 11 No 9 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i9.P14

Abstract

Asma merupakan penyakit tidak menular dengan kasus terbanyak pada anak-anak. Data mengenai karakteristik pasien asma di Indonesia telah banyak ditemukan, namun data hubungan karakteristik pasien tersebut terhadap derajat klinis asma masih jarang dilaporkan, padahal data ini penting untuk perencanaan penanganan dan pencegahan asma yang prevalensinya terus meningkat. Tujuan penelitian ini yaitu untuk mengetahui hubungan karakteristik pasien dengan derajat klinis asma di RSUP Sanglah Denpasar. Penelitian ini merupakan penelitian analitik cross sectional yang dilakukan di Rumah Sakit Umum Pusat (RSUP) Sanglah Denpasar. Sumber data adalah 81 rekam medis pasien asma periode Januari 2016 – Desember 2016. Variabel bebas adalah usia diagnosis, jenis kelamin, tempat tinggal, kegemukan, atopi, dan merokok, sedangkan variabel tergantung adalah derajat klinis asma meliputi intermiten dan persisten. Data dianalisis dengan menggunakan uji chi square. Hasil penelitian menunjukkan adanya hubungan signifikan antara kegemukan (OR=10,96; 95%CI=2,31-52,03; p=0,03), riwayat atopi (OR=6,66; 95%CI=1,39-31,34; p=0,017), dan onset anak-anak (OR=0,22; 95%CI=0,06-0,87; p= 0,03) dengan derajat klinis asma, sedangkan tidak ada hubungan signifikan antara jenis kelamin, tempat tinggal, dan merokok dengan derajat klinis asma. Kata Kunci: karakteristik pasien, asma, derajat klinis, RSUP Sanglah
Co-Authors I Gde Raka Widiana Jodhi S Loekman Jodi Sidharta Loekman K Suwitra Ketut Suardamana Ketut Suega Ketut Suwitra Prabandari, Anak Agung Sagung Mirah Sudjana, Karismayusa W Sudhana Wayan Sudhana Xaviera, Xaviera Yenny Kandarini