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Association between admission blood sugar levels and length of stay among patients with acute heart failure: A cross-sectional study in Aceh, Indonesia Gusti, Naufal; Heriansyah, Teuku; Saputra, Irwan
Narra X Vol. 1 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v1i2.75

Abstract

Heart failure persists to be a major health problem worldwide. Numerous factors associated with this condition have been studied to determine its prognosis. History of diabetes mellitus is one of the factors extensively studied, nonetheless, the correlation between acutely elevated admission blood glucose in critically ill patients or stress hyperglycemia towards the prognosis of heart failure remains inconclusive among previously reported studies. Therefore, the aim of this study was to investigate the correlation between admission blood glucose and the length of stay of acute heart failure patients. A cross-sectional study was conducted in Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia from July to August 2020. Patients’ data were retrieved from medical records documenting admission blood glucose and length of stay. Total sampling was employed, where eighty-five patients diagnosed as acute heart failure were included. The results showed that patients (n=85) had the general characteristics of being normoglycemic on admission (69.4%) and having 5–10 days length of stay (44.7%) with Killip 2 as the presiding Killip Class (50.6%). According to Gamma’s Correlation Coefficient, the p-value of this study is 0.012 (p< 0.05) with a correlation value of 0.454. Therefore, our study revealed the presence of a significant moderate-correlation between admission blood glucose and the length of stay among patients with acute heart failure.
Glaukoma Kongenital Primer: Tinjauan Pustaka Safira, Maya; Gusti, Naufal
Cermin Dunia Kedokteran Vol 53 No 03 (2026): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i03.1576

Abstract

Primary congenital glaucoma is a form of glaucoma caused by abnormal development of the anterior chamber angle, particularly the trabecular meshwork, which obstructs aqueous humor outflow and leads to increased intraocular pressure. This condition is one of the leading causes of blindness in children and has long-term consequences on visual development and overall quality of life. More than 75% of primary congenital glaucoma cases are diagnosed within the first 12 months after birth; in more severe cases, the disease may already be detected at birth. Persistent elevation of intraocular pressure that is not promptly treated can result in permanent optic nerve damage, globe enlargement (buphthalmos), corneal edema and opacity, and progressive visual field defects. Diagnosis is generally established based on characteristic clinical features such as epiphora, photophobia, and blepharospasm, supported by comprehensive ophthalmologic examination. Surgical intervention remains the primary treatment approach, aiming to reduce intraocular pressure and prevent further complications. Early detection and timely management are essential to preserve visual function and prevent permanent visual impairment in affected children.