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PENGARUH STATUS GIZI TERHADAP KESINTASAN DUA TAHUN PASIEN GAGAL GINJAL TAHAP AKHIR YANG MENJALANI CONTINUOUS AMBULATORY PERITONEAL DIALYSIS Atma Gunawan; Besut Daryanto; Romanis Bungainda Silalahi
Majalah Kesehatan Vol. 9 No. 4 (2022): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2022.009.04.2

Abstract

Berbagai penelitian menunjukkan tingginya prevalensi malnutrisi pada pasien dialisis kronik, namun hingga saat ini, penelitian lebih banyak dilakukan pada pasien yang menjalani hemodialisis. Penelitian ini bertujuan untuk mengetahui pengaruh status gizi terhadap kesintasan pasien gagal ginjal tahap akhir yang menjalani continuous ambulatory peritoneal dialysis (CAPD) di RSUD Dr. Saiful Anwar Malang. Penelitian ini adalah penelitian observasional analitik berupa retrospective cohort. Sampel penelitian adalah pasien gagal ginjal tahap akhir yang menjalani terapi CAPD di RSUD Dr. Saiful Anwar Malang yang dipilih dengan teknik simple random sampling. Hasil dari analisis data berdasarkan nutritional risk index (NRI) dan instant nutritional assessment (INA) didapatkan asosiasi bermakna terhadap risiko mortalitas pasien CAPD (p < 0,05). Hal ini berbeda dengan indikator BMI yang tidak memiliki asosiasi terhadap risiko mortalitas pada pasien CAPD (p > 0,05). Kesimpulan dari penelitian ini adalah status gizi berdasarkan indikator NRI pada kategori severe mempunyai tingkat mortalitas lebih tinggi dibandingkan kategori no risk, dan status gizi berdasarkan indikator INA kategori severe malnourished memiliki mortalitas lebih tinggi dibandingkan kategori lain dan status gizi mempengaruhi kesintasan dua tahun pasien gagal ginjal tahap akhir yang menjalani CAPD.  
Prevalence and comorbid for late-stage chronic kidney disease (CKD) in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) due to urinary obstruction Hafidz Hanafi; Besut Daryanto; Atma Gunawan
JURNAL INDONESIA DARI ILMU LABORATORIUM MEDIS DAN TEKNOLOGI Vol 6 No 2 (2024): Promising and Valuable Research Towards Diagnosis, Prognosis and Treatment of Dis
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/ijmlst.v6i2.5821

Abstract

Chronic Kidney Disease (CKD) is a condition of gradual or chronic decline in kidney function, which is quite severe and caused by various kidney diseases, including urinary obstruction. This disease is progressive and generally irreversible. CKD requires kidney replacement therapy, one of which is continuous ambulatory peritoneal dialysis (CAPD). To determine the prevalence and risk factors for End Stage Renal Disease (ESRD) in patients undergoing CAPD due to urinary obstruction. We performed a retrospective cohort with a cross-sectional study was conducted using secondary data from medical record data of ESRD patients with CAPD accompanied by urinary obstruction at Dr. Saiful Anwar General Hospital, Malang, Indonesia. The prevalence of CKD in patients with CAPD accompanied by urinary obstruction was 6,50% and dominated by males (57,8%) with an age range of 41-50 years (26%). The majority of comorbidities are severely high the Body Mass Index (BMI) (89,0%) and hypertension (80,8%). The location of obstruction is mostly unilateral (5,64%) with mild levels (4,06%). Urinary obstruction is a frequent clinical finding in CKD patients with CAPD. The most common risk factor in this study was hypertension. The prevalence and comorbidities among CAPD patients with Urinary obstruction (UO) are better understood because to this study. It is necessary to recognise its limitations, particularly the small sample size and single-centre design. Future studies should involve more centres and larger patient groups in order to provide a more thorough knowledge of the mechanisms behind the high survival rates among CAPD patients.