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Journal : Jurnal NERS

Predictors of Mortality among Patients Lost to Follow up Antiretroviral Therapy Kusuma Dewi, Putu Dian Prima; Widiarta, Gede Budi
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.755 KB) | DOI: 10.20473/jn.v13i1.6568

Abstract

Introduction: The death of HIV/AIDS patients after receiving therapy in Bali is the seventh highest percentage of deaths in Indonesia. LTFU increases the risk of death in PLHA, given the saturation of people with HIV taking medication. The level of consistency in the treatment is very important to maintain the resilience and quality of life of people living with HIV. This study aims to determine the incidence rate, median time and predictors of death occurring in LTFU patients as seen from their sociodemographic and clinical characteristics.Methods: This study used an analytical longitudinal approach with retrospective secondary data analysis in a cohort of HIV-positive patients receiving ARV therapy at the Buleleng District Hospital in the period 2006-2015. The study used the survival analysis available within the STATA SE 12 softwareResults: The result showed that the incidence rate of death in LTFU patients was 65.9 per 100 persons, with the median time occurrence of 0.2 years (2.53 months). The NNRTI-class antiretroviral evapirens agents were shown to increase the risk of incidence of death in LTFU patients 3.92 times greater than the nevirapine group (HR 3.92; p = 0.007 (CI 1.46-10.51). Each 1 kg increase in body weight decreased the risk of death in LTFU patients by 6% (HR 0.94; p = 0.035 (CI 0.89-0.99).Conclusion: An evaluation and the monitoring of patient tracking with LTFU should be undertaken to improve sustainability. Furthermore, an observation of the LTFU patient's final condition with primary data and qualitative research needs to be done so then it can explore more deeply the reasons behind LTFU.
Co-Authors a Puspa Ningrum, Kadek Agustina Agus Windu Yasa Bukian, Putu Antariksawan, I Wayan Ari Pertama Watiningsih Ari Pertama Watiningsih Ari Pertama Watiningsih Pertama Watiningsih Bukian, Putu Agus Windu Yasa Cindy Meilinda Sari Desak Ketut Sugiartini Desak Ketut Sugiartini Desak Ketut Sugiartni Dewa Ayu Dian Purnami Dewi Aprelia Meriyani Dwi Lestari Dwijayanti, Lina Anggaraeni Gede Budi Widiarta Gede Ivan Kresnayana Gusti Ayu Darmiti Gusti Putu Candra Heri, Mochamad I Dewa Ayu Rismayanti I Gede Agus Sastra Wijaya I Made Sundayana I Made Sundayana I Wayan Sujana Indrie Lutfiana Kadek Agustina Puspa Ningrum Kadek Ayu Suarmini Kadek Ayu Suarmini Kadek Ayu Suarmini Kadek Indah Novi Lestari Kadek Nadia Sintia Dewi Kadek Yudi Aryawan Ketut Putra Sedana Komang Ayu Sri Utami Luh Ayu Dianiati Luh Ayu Purnami Luh Eka Sri Adnyani Luh Ersi Tunggal Putri Luh Made Ina Krishanty Luh Mariyoni Luh Megayani Luh Pariastini Luh Putu Desy Puspaningrat Luh Putu Mylinda Yani Luh Putu Sri Artadi Luh Yenny Armayanti Luh Yuki Restiana Sari Made Nila Yuwinda Sari Megaputri, Putu Sukma Megaputri, Putu Sukma Ni Ketut Ayu Wulandari Ni Komang Emi Wahyuni Ni Luh Putu Ayu Ariantini Ni Luh Seri Astuti Ni Made Dwi Yunica Astriani Ni Made Karlina Sumiari Tangkas Ni Made Karlina Sumiari Tangkas Ni Made Karlina Sumiari Tangkas Ni Made Raningsih Ni Nengah Yunariasih Ni Nyoman Siarni Ni Putu Ayu Purnama Sari Ni Putu Ika Novita Gunawan Pratama, Agus Ari Putu Agus Windu Yasa Bukian Putu Agus Yasa Windu Bukian Putu Juli Asmari Putu Monna Frisca Widiastini Putu Sukma Megaputri Putu Sukma Megaputri Putu Sukma Megaputri Sugiartini, Desak Ketut Sumiari Tangkas, Ni Made Karlina Sundayana, I Made Tangkas, Ni Made Karlina Sumiari Widiarta, Made Bayu Oka Yopita Triguno