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Hubungan Kadar HBA1C dengan Albuminuria pada Pasien DM Tipe II di RS Atma Jaya Hermawan, Gracenidy Mutiara; Luse, Luse; Chriestya, Febie; Steffanus, Mario
Majalah Kedokteran Indonesia Vol 70 No 2 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.2-2020-171

Abstract

Introduction: World Health Organization (WHO) estimated the number of DM patients in Indonesia in year 2030 could reach up to 21,3 million people. This study was conducted to understand the correlation between HbA1c levels and albuminuria in DMT2 patients.Methods: Data included age, sex, levels of HbA1c, blood pressure, proteinuria, smoking habit, usage of ACE-Inhibitor and/or Angiotensin Receptor Blocker, and duration of treatment that was collected from the medical records of patients DMT2 in Atma Jaya Hospital according to certain inclusion and exclusion criteria using the cross-sectional study with the Spearman correlation method with 95% confidence interval (á = 0.05).Result: There’s a correlation between HbA1c levels and albuminuria (p less than 0,0001) with a quite strong correlation (r=0,439). There is also a relation between age (p less than 0.05), while blood pressure, smoking, and ACE-Inhobitor or Angiotensin Receptor Blocker consumption are not related significantly. Conclusion : This study showed a correlation between HbA1c levels and albuminuria in Type 2 DM patient in Atma Jaya Hospital.
Hubungan antara Kelas Fungsional Gagal Jantung Kronik dengan Tingkat Keparahan Anemia pada Pasien di Rumah Sakit Atma Jaya Nathaniel, Bryan; Luse, Luse; Chriestya, Febie; Maslim, Yunita
Majalah Kedokteran Indonesia Vol 70 No 10 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.10-2020-284

Abstract

Introduction: There are 40 million people predicted to suffer from heart failure (HF), in Indonesia it is around 13% of the population. The incidence of anaemia in heart failure patients is estimated to be between 17-50%. AnGagal emia is known to increase mortality risk and worsening prognosis in HF patients and a better understanding of the mechanism will lead to better treatment effectiveness.Methods: The study uses analytical observational method and a cross-sectional design. Data are taken from medical records admitted in 2016 to 2018 and grouped based on New York Heart Association Functional Class (NYHA-FC) and anemia severity (WHO anaemia cut-off point). Results: Eighty-one anemic HF patients analyzed and consists of 34,57% NYHA II, 24,69% NYHA III, and 40,7% NYHA IV. A total of 50,6% patients are mildy anemic and 49,4% are moderately anemic. No severe anemia was found. Multivariate analysis shows chronic HF functional class did not have a significant relationship with anaemia severity (p = 0,179). Conclusions: There is no significant relationship between Chronic HF NYHA-FC and anaemia severity. Severe anemia are rarely found in HF patients without severe kidney failure.