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Chronic Renal Failure As a Risk Factor For Cardiac Arrest in The Intensive Care Unit (ICU) Pramono, Ardi; Azizah, Salma; Chayati, Nur; Sagiran, Sagiran
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.20008

Abstract

ABSTRACT Chronic renal failure is a global problem, and there is a reciprocal relationship with cardiovascular disease. Cardiac arrest is one of the complications that can occur in patients with chronic renal failure. The study will look at whether chronic renal failure is a risk factor for cardiac arrest with chronic renal failure in patients in the ICU. This study used a cross-sectional analytical observational study design. The data taken was in the form of medical record data of patients with chronic renal failure in the ICU of PKU Muhammadiyah Gamping Hospital who experienced cardiac arrest without seeing the comorbidities of the disease. Total subjects amounted to 168 patients. To determine chronic renal failure as a risk factor for cardiac arrest, the data obtained were carried out bivariate regression test with a meaning of <0.05. Bivariate test results showed a p>0.05 value, meaning chronic renal failure is not significantly a risk factor for cardiac arrest. Subjects with chronic renal failure had a relative risk (RR) of 1.27, which means they had a 1.27 times higher risk of cardiac arrest than patients without chronic renal failure. Chronic renal failure is not significantly a risk factor for cardiac arrest, but it has a greater risk of cardiac arrest than without chronic renal failure. Further research is needed, taking into account the underlying comorbid disease. Keywords: Chronic Renal Failure, Risk Factors, Cardiac Arrest, Intensive Care Unit (ICU)
Relationship Between Age and the Incidence of Postoperative Hypertension Pramono, Ardi; Sugiyarti, Chaerunnisa AP
Al Makki Health Informatics Journal Vol. 1 No. 1 (2023): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v1i1.3

Abstract

Postoperative hypertension is a significant and transient increase in blood pressure that develops within the first 4 hours to 48 hours after a surgical procedure. These events are associated with increased sympathetic tone and vascular resistance. Hypertension is defined as a systolic blood pressure of 130 mmHg and/or a diastolic blood pressure of 80 mmHg. Postoperative hypertension can lead to complications of increased myocardial oxygen demand, cerebrovascular accident, and even death. This study aims to determine the effect of age on post-operative hypertension at PKU Muhammadiyah Gamping Hospital. This research is an analytical observational study using a cross sectional design and using the chi-square test to determine the relationship between age (p < 0.05) and the incidence of postoperative hypertension. The subjects of this study were 123 men who underwent mild to moderate elective surgery using general anesthesia. This study shows that there is a relationship between age and the incidence of hypertension after surgery with general anesthesia (p, 0.05). There were 67 subjects experiencing postoperative hypertension (54.5%) and the majority of subjects (66.66%) in the age range 46-80 years, had postoperative hypertension and the most minor incidence (29%) was in the age range 17-25 year.
The Study of Congestive Heart Failure as a Risk Factor of Cardiac Arrest in ICU Pramono, Ardi; Hernawan, Andhika Rajendra
Jurnal Kedokteran Brawijaya Vol. 33 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.02.7

Abstract

Cardiovascular disease, especially congestive heart failure, is the second most common cause of death after stroke In Indonesia, current data on cardiac arrest in the ICU, especially those related to CHF, are still limited. This study aimed to determine the relationship between congestive heart failure and cardiac arrest in Intensive Care Unit (ICU) inpatients. The study used an analytic observational method with a cross-sectional research design. To find the relationship between the two variables, a regression test was performed on subjects with congestive heart failure and cardiac arrest in the ICU. Data was collected from 316 subjects, including 111 Congestive Heart Failure (CHF) subjects and 205 without CHF. Of the 111 CHF subjects, 51 subjects (45.9%) experienced cardiac arrest, and 60 subjects (54.1%) did not experience cardiac arrest. In comparison, the 205 subjects without CHF comprised 125 subjects (61.0%) who experienced cardiac arrest, and 80 subjects (39.0%) did not experience cardiac arrest. There is a relationship between congestive heart failure (CHF) and cardiac arrest, but CHF is not the only risk factor for cardiac arrest (p<0.05; OR 0.75). Congestive heart failure is associated with cardiac arrest in ICU patients with a relative risk of 0.75 times compared to subjects without congestive heart failure. Future research is needed to find the cause of congestive heart failure leading to cardiac arrest.
Tingkat Pengetahuan Kegawatdaruratan dan Basic Life Support pada Relawan AMBULANMU Puspita, Sartika; Pramono, Ardi; Saleh, Edwyn; Medawati, Ana; Nadytia, Annasta Febria; Hudawati, Sinta Noer
Jurnal Pengabdian Masyarakat Kesehatan Gigi FOKGII (JPMKG FOKGII) Vol. 3 No. 1 (2026): Februari 2026
Publisher : Forum Komunikasi Kedokteran Gigi Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Kasus kegawatdaruratan medis seperti henti jantung banyak terjadi di masyarakat dan memerlukan penganan awal yang cepat dan tepat. Relawan ambulans merupakan tokoh pertama yang diharapkan dapat memberikan pertolongan pertama pada pasien sebelum penanganan medis di rumah sakit. Program pengabdian masyarakat ini bertujuan untuk mengetahui tingkat pengetahuan para relawan ambulans dalam menangani kegawatdaruratan dan kesiapannya dalam memberikan Basic Life Support. Rangkaian kegiatan yang dilaksanakan adalah survey dengan membagikan kuesioner kepada 23 relawan. Kegiatan pelatihan BLS ini dilakukan menggunakan metode edukasi dan demonstrasi resusitasi jantung dan paru (RJP) serta praktek melakukan RJP serta evaluasi tingkat pemahanan dan keterampilan peserta. Hasil kuesioner menunjukkan rata-rata nilai pengetahuan relawan masih sangat rendah sebelum dilakukan kegiatan pelatihan ini, yaitu 35,6 (dari nilai keseluruhan maksimal 100).  Oleh karena itu, pelatihan kegawatdaruratan dan Basic Life Support secara berkelanjutan kepada relawan ambulans dibutuhkan untuk meningkatkan pengetahuan dan kemampuan penanganan kondisi kegawatdaruratan sehingga relawaan ambulanmu memiliki bekal yang cukup untuk menolong pasien dalam kondisi darurat.