Analisis Faktor Risiko pada Kejadian Masuk Rumah Sakit Penyakit Jantung Koroner di Rumah Sakit Husada Utama Surabaya
Analysis of Risk Factor for Hospital Admission With Coronary Heart Disease in Husada Utama Hospital Surabaya
DOI:
https://doi.org/10.25026/jsk.v4i1.856Keywords:
penyakit jantung koroner, masuk rumah sakit, faktor risiko, penyakit penyertaAbstract
Penyakit Jantung Koroner (PJK) merupakan salah satu penyebab kematian terbesar di seluruh dunia. Terdapat berbagai faktor yang mempengaruhi morbiditas dan mortalitas akibat PJK, antara lain faktor risiko kardiovaskular dan penyakit penyerta. Penelitian ini bertujuan untuk melihat hubungan antara faktor risiko kardiovaskular dan penyakit penyerta yang dimiliki terhadap keparahan kejadian masuk rumah sakit pasien yang dilihat dari jenis PJK maupun lama perawatan. Penelitian ini merupakan penelitian cross sectional yang melibatkan seluruh pasien PJK yang dirawat di Rumah Sakit Husada Utama Surabaya pada periode Januari 2018 sampai dengan Desember 2019. Data pasien diambil berdasarkan data rekam medis. Analisis data menggunakan teknik univariat, bivariat, dan multivariat. Terdapat 116 pasien yang masuk rumah sakit dengan diagnosa unstable angina, NSTEMI dan STEMI. Faktor risiko yang paling banyak ditemukan adalah usia diatas 65 tahun, pria, memiliki riwayat hipertensi dan diabetes melitus. Penyakit penyerta yang paling banyak dialami yaitu gagal jantung. Terdapat hubungan yang signifikan antara hipertensi dengan jenis PJK yang dialami saat MRS (p=0,032). Sedangkan jumlah penyakit penyerta secara signifikan berpengaruh terhadap lama perawatan pasien PJK di rumah sakit (p=0,000). Kesimpulan dalam penelitian ini adalah faktor risiko hipertensi dan jumlah penyakit penyerta berpengaruh terhadap jenis dan lama perawatan pasien PJK, secara berurutan.
References
[2] Martini FH, Nath JL, Bartholomew EF. Fundamental of Anatomy & Physiology. 10th ed. Pearson Education; 2015.
[3] Lilly LS. Pathophysiology of Heart Disease. 6th ed. Baltimore: Lippincott Williams Wilkins; 2016.
[4] Knuuti J, Wijns W, Achenbach S, Agewall S, Barbato E, Bax JJ, et al. 2019 ESC guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020;41(3):407–77.
[5] Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2018;39(2):119–77.
[6] Hajar R. Risk Factors for Coronary Artery Disease: Historical Perspectives. Hear views Off J 1 Hajar R Risk Factors Coron Artery Dis Hist Perspect Hear Views 2017;18(3)109–14
[7] Buddeke J, Bots ML, Dis I Van, Liem A, Visseren FLJ, Vaartjes I. Trends in comorbidity in patients hospitalised for cardiovascular disease. Int J Cardiol. 2017;248:382–8.
[8] Murray MK, Thalmann IN, Mossialos EA, Zeiher AM. Comorbidities of Coronary Heart Disease and the Impact on Healthcare Usage and Productivity Loss in a Nationally-Based Study. Epidemiol Open Access. 2018;8(3).
[9] Hajar R. Risk Factors for Coronary Artery Disease: Historical Perspectives. Hear Views. 2017;18(2):109–14.
[10] Santosa A, Mahayana P. Risk factors for patients with coronary heart disease hospitalized in Sanjiwani hospital Gianyar. EAI. 2020;
[11] Patriyani REH, Purwanto DF. Faktor Dominan Risiko Terjadinya Penyakit Jantung Koroner (PJK). J Keperawatan Glob. 2016;1(Juni):01-54.
[12] Wicaksono S. Faktor Risiko Penyakit Jantung Koroner ( PJK ) Pada Pasien Rawat Inap Di Intensive Cardiovascular Care Unit ( ICCU ) RSUD Dr M Yunus Bengkulu. J Kesmas Indones. 2020;12:26–32.
[13] Ralapanawa U, Kumarasiri PVR, Jayawickreme KP, Kumarihamy P, Wijeratne Y, Ekanayake M, et al. Epidemiology and risk factors of patients with types of acute coronary syndrome presenting to a tertiary care hospital in Sri Lanka. BMC Cardiovasc Disord. 2019;19(1):1–9.
[14] Sandi MR, Martini S, Artanti KD, Widati S. the Description of Modifiable Risk Factors in Coronary Heart Disease At Dr. Soetomo Regional Public Hospital. J Berk Epidemiol. 2019;7(2):85.
[15] Zhao W, Katzmarzyk PT, Horswell R, Wang Y. HbA1C and Coronary Heart Disease Risk Among Diabetic Patients. Diabetes Care. 2014;37(February):428–35.
[16] Yeung SLA, Luo S, Shooling CM. The Impact of Glycated Hemoglobin ( HbA 1c ) on Cardiovascular Disease Risk?: A Mendelian Randomization Study Using UK Biobank. Diabetes Care. 2018;41(September):1991–7.
[17] Ghani L, Susilawati MD, Novriani H. Faktor Risiko Dominan Penyakit Jantung Koroner di Indonesia. Bul Penelit Kesehat. 2016;44(3):153–64.
[18] Marleni L, Alhabib A. Faktor Risiko Penyakit Jantung Koroner di RSI SITI Khadijah Palembang. J Kesehat. 2017;8(3):478–83.
[19] Csige I, Ujvárosy D, Szabó Z, Lorincz I, Paragh G, Harangi M, et al. The Impact of Obesity on the Cardiovascular System. J Diabetes Res. 2018;2018.
[20] Fuadi, Aleta A. Analisis Faktor Risiko Terhadap Penyakit Jantung Koroner di Ruang ICCU RSUDZA Banda Aceh. J Aceh Med. 2019;3(1):12–27.
[21] Buchanan DM, Arnold S V., Gosch KL, Jones PG, Longmore LS, Spertus JA, et al. The Association of Smoking Status with Angina and Health- Related Quality of Life After Acute Myocardial Infarction Donna. HHS Public Access. 2016;176(1):100–106.
[22] Pieske B, Morris DA. History of acute coronary syndrome: a common, maybe underestimated, risk factor for heart failure with preserved ejection fraction. Rev Esp Cardiol. 2021;74(6):480–1.
[23] Staerk L, Sherer JA, Ko D, Benjamin EJ, Helm RH, States U, et al. Atrial Fibrillation: Epidemiology, Pathophysiology, and Clinical Outcomes. HHS Public Access. 2018;120(9):1501–17.
[24] Lin CY, Chang SL, Lin YJ, Chen YY, Lo LW, Hu YF, et al. An observational study on the effect of premature ventricular complex burden on long-term outcome. Med (United States). 2017;96(1).
[25] Morgan A, Zajeri R, Quint J. Defining the relationship between COPD and CVD: what are the implications for clinical practice? Ther Adv Vaccines. 2018;9(6):259–61.
[26] Wang L, Gao S, Yu M, Sheng Z, Tan W. Association of asthma with coronary heart disease: A meta analysis of 11 trials. PLoS One. 2017;12(6):1–9.
[27] Jankowski J, Floege J, Fliser D, Böhm M, Marx N. Cardiovascular Disease in Chronic Kidney Disease: Pathophysiological Insights and Therapeutic Options. Circulation. 2021;1157–72.
[28] Rezaianzadeh A, Dastoorpoor M, Sanaei M, Salehnasab C, Mohammadi MJ, Mousavizadeh A. Predictors of length of stay in the coronary care unit in patient with acute coronary syndrome based on data mining methods. Clin Epidemiol Glob Heal. 2020;8(2):383–8.
[29] Laurencet ME, Girardin F, Rigamonti F, Bevand A, Meyer P, Carballo D, et al. Early discharge in low-risk patients hospitalized for acute coronary syndromes: Feasibility, safety and reasons for prolonged length of stay. PLoS One. 2016;11(8):1–13.
[30] Suksamai J, Neakeaw N, Daengsri T, Pongsana D, Pumprueg S. Identifying factors that influence the length of stay in patients with non-st segment elevation acute coronary syndrome in Siriraj Hospital. J Med Assoc Thail. 2015;98(1):1–6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Jurnal Sains dan Kesehatan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
