UI - Tugas Akhir :: Kembali

UI - Tugas Akhir :: Kembali

Pengaruh hiperglikemia admisi terhadap kejadian aritmia selama perawatan pasien sindrom koroner akut = The influence of hyperglycemia at admission on in hospital arrhythmia in patients with acute coronary syndrome

Ahmad Fariz Malvi Zamzam Zein; Nasution, Sally Aman, supervisor; Rr. Dyah Purnamasari Sulistianingsih, supervisor; Arif Mansjoer, supervisor (Fakultas Kedokteran Universitas Indonesia, 2016)

 Abstrak

ABSTRAK
Latar Belakang: Aritmia selama perawatan merupakan komplikasi yang sering
terjadi pada pasien sindrom koroner akut (SKA) sehingga dibutuhkan identifikasi
risiko secara dini.
Tujuan: Mengetahui insidens pasien SKA yang mengalami aritmia selama
perawatan dan mengetahui pengaruh hiperglikemia admisi terhadap kejadian
aritmia selama perawatan pasien SKA.
Metode: Studi kohort retrospektif ini menggunakan rekam medik pasien SKA yang
dirawat di ICCU RSPUN dr. Cipto Mangunkusumo dalam periode 1 Januari-31
Desember 2014. Hiperglikemia admisi didefinisikan sebagai kadar gula darah
admisi >140 mg/dL. Kejadian aritmia selama perawatan meliputi aritmia atrium,
takikardia supraventrikular, blok AV derajat tinggi, dan aritmia ventrikel, yang
diidentifikasi dalam tujuh hari pertama perawatan.
Hasil: Terdapat 232 subjek pada penelitian ini. Prevalensi hiperglikemia admisi
adalah 50,43%. Insidens pasien SKA yang mengalami aritmia selama perawatan
adalah 21,55% (IK 95% 16,26-26,84). Analisis bivariat menunjukkan
hiperglikemia admisi terkait dengan peningkatan risiko aritmia selama perawatan
(RR 1,747; IK 95% 1,042-2,930). Tidak terdapat hubungan yang bermakna antara
jenis SKA, diabetes melitus (DM), obesitas, dan hipertensi dengan kejadian aritmia
selama perawatan. Analisis multivariat menunjukkan OR hiperglikemia admisi
setelah penyesuaian adalah 2,852 (IK 95% 1,351-6,024), dengan variabel perancu
DM.
Simpulan: Insidens pasien SKA yang mengalami aritmia selama perawatan adalah
21,55%. Hiperglikemia admisi dapat meningkatkan risiko kejadian aritmia selama perawatan pasien SKA.ABSTRACT Background: The in-hospital arrhythmias complicating acute coronary syndrome
(ACS) is a common complication, and its ealy risk identification is urgently needed.
Aim: to determine the incidence of in-hospital arrhythmia complicating ACS and
to determine the influence of HA on in-hospital arrhythmia complicating ACS.
Methods: a retrospective cohort study was conducted using secondary data from
medical records of patients with ACS who were admitted to ICCU RSCM between
January 1st-Desember 31st, 2014. Hyperglycemia at admission was defined when
the blood glucose level at admission was >140 mg/dL. The in-hospital arrhythmias
were observed during the first seven days of hospitalization.
Result: there were 232 subjects. The prevalence of HA WAS 50.43%. The
incidence of in-hospital arrhythmias was 21.55% (95% CI 16.26-26.84). In
bivariate analysis, there was significant association between HA and in-hospital
arrhythmia (RR 1.747; 95% CI 1.042-2.930). There were no significant relationship
among the type of ACS, diabetes mellitus (DM), obesity, and hypertension, with
the influence of HA on in-hospital arrhythmia. In multivariate analysis, the adjusted
OR of HA was 2.852 (95% CI 1.351-6.024), and DM was the confounding variable.
Conclusion: In-hospital arrhythmias is a common complication in patients with
ACS. Hyperglycemia at admission may increase the risk of in-hospital arrhythmia complicating ACS. ;Background: The in-hospital arrhythmias complicating acute coronary syndrome
(ACS) is a common complication, and its ealy risk identification is urgently needed.
Aim: to determine the incidence of in-hospital arrhythmia complicating ACS and
to determine the influence of HA on in-hospital arrhythmia complicating ACS.
Methods: a retrospective cohort study was conducted using secondary data from
medical records of patients with ACS who were admitted to ICCU RSCM between
January 1st-Desember 31st, 2014. Hyperglycemia at admission was defined when
the blood glucose level at admission was >140 mg/dL. The in-hospital arrhythmias
were observed during the first seven days of hospitalization.
Result: there were 232 subjects. The prevalence of HA WAS 50.43%. The
incidence of in-hospital arrhythmias was 21.55% (95% CI 16.26-26.84). In
bivariate analysis, there was significant association between HA and in-hospital
arrhythmia (RR 1.747; 95% CI 1.042-2.930). There were no significant relationship
among the type of ACS, diabetes mellitus (DM), obesity, and hypertension, with
the influence of HA on in-hospital arrhythmia. In multivariate analysis, the adjusted
OR of HA was 2.852 (95% CI 1.351-6.024), and DM was the confounding variable.
Conclusion: In-hospital arrhythmias is a common complication in patients with
ACS. Hyperglycemia at admission may increase the risk of in-hospital arrhythmia complicating ACS.

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Jenis Koleksi : UI - Tugas Akhir
No. Panggil : SP-PDF
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Entri tambahan-Nama badan :
Program Studi :
Subjek :
Penerbitan : [Place of publication not identified]: Fakultas Kedokteran Universitas Indonesia, 2016
Bahasa : ind
Sumber Pengatalogan : LibUI ind rda
Tipe Konten : text
Tipe Media : computer
Tipe Carrier : online resource
Deskripsi Fisik : xviii, 70 pages : illustration + appendix
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
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SP-PDF 16-17-346967788 TERSEDIA
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