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Journal : Jurnal MedScientiae

Prediktor Mortalitas Pasien Sindrom Koroner Akut di Rumah Sakit X Jakarta Periode September 2023-2024 Rante Tiku, Ristha Monica; Arsita, Elli; Oktavia, Eva
Jurnal MedScientiae Vol. 4 No. 2 (2025): Agustus
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jmedscientiae.v4i2.3721

Abstract

Acute coronary syndrome (ACS) is the leading cause of death from heart disease worldwide. Several studies have identified risk factors that increase mortality among ACS patients, including advanced age, type 2 diabetes mellitus, and chronic kidney disease. This study aims to evaluate the association between these risk factors and mortality in ACS patients at Hospital X Jakarta between September 2023 and September 2024. Contains This study used a retrospective cohort design with analysis of medical record data of patients with ACS. Statistical analysis was performed using chi-squared and Fisher's exact tests to determine the association of age, type 2 diabetes mellitus, and chronic kidney disease with mortality in patients with ACS. Contains A total of 84 patients with a mean age of 59.49 years met the study criteria. The majority of patients had NSTEMI (61.9%) and 56% had type 2 diabetes mellitus. Mortality occurred in 4.8% of the patients. The results of the analysis showed that advanced age (≥60 years) was significantly associated with mortality in SCA patients (p=0.047; RR=4.50). Chronic kidney disease was also significantly associated with mortality (p=0.011; RR=8.16). However, type 2 diabetes mellitus did not show a significant association with mortality (p=0.092). Advanced age and chronic kidney disease were significant predictors of mortality in patients with ACS, whereas type 2 diabetes mellitus was not significantly associated with mortality.  
Prevalence of Amputation Events in Diabetic Ulcer Patients at Tarakan District Hospital Ruchika, Ruchika; Oktavia, Eva; Kartadinata, Riki; Wijaya, Jefry; Ratu, Livia Lita
Jurnal MedScientiae Vol. 2 No. 1 (2023): April
Publisher : Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/JMedScientiae.v2i1.3097

Abstract

Diabetes mellitus (DM) is a condition of increased blood sugar levels that can increase the risk ofmacrovascular and microvascular damage, thereby reducing the quality of life of the sufferer.Objective is to determine the prevalence, demographic data and clinical data from diabetic ulcerpatients who performed amputations at Tarakan Hospital for the period of 2018. The researchsubjects were patients with diabetes mellitus who had diabetic ulcers who were amputated at TarakanHospital for the period 2018. Data on the results of amputation of diabetic ulcer patients werecollected and the researchers set aside forms that included exclusion criteria. Furthermore, dataprocessing using SPSS statistical programs and Microsoft excel. The total sample was obtained by 8samples with amputations from 398 samples at the Tarakan Hospital for the period 2018. The mostages were 17-60 (62.5%) as many as 5. The highest gender was female (62.5%) as many as 5 people.Smoking only 12.5% ​​as much as 1 person. Dyslipidemia obtained 50% as many as 4 people.Hypertension was obtained 62.5% as many as 5 people. The longest duration of suffering from DMwas > 10 years (62.5%) as many as 5 people. Obesity who experienced diabetic ulcer amputation asmany as 4 people (2.0%). Patients aged 17-60 experienced the most amputation of diabetic ulcers.Female, dyslipidemia, hypertension, duration of DM > 10 years, obesity