Gambaran Ultrasonografi Ginjal pada Penderita Penyakit Ginjal Kronis dengan Hipertensi di RSUP Prof. Dr. R. D. Kandou Periode Juli 2022 – Juli 2023
DOI:
https://doi.org/10.35790/ecl.v12i3.53469Abstract
Abstract: Chronic kidney disease (CKD) has become a serious health issue and is one of the leading causes of death worldwide. Hypertension is one of the common underlying causes and comorbidities of CKD. Prolonged hypertension can worsen kidney function and lead to CKD. This study aimed to obtain an overview of renal ultrasonography in CKD patients with hypertension at Prof. Dr. R. D. Kandou Hospital from July 2022 to July 2023. This was a retrospective and descriptive study with a cross-sectional design using secondary data in the form of patient medical records. The results showed that from 80 CKD patients with hypertension, the highest percentages were in age group over 65 years (37.5%), male (53.8%), and did not undergo hemodialysis (61.3%). The predominant severity level was stage 2 with the most common features found were normal size, increased parenchymal echogenicity, normal cortical thickness, maintained corticomedullary differentiation, normal pelviocalyceal systems, and renal cyst findings. In conclusion, the majority of CKD patients with hypertension were males, aged over 65 years, did not undergo hemodialysis, and in the severity level of grade 2.
Keywords: ultrasonography; chronic kidney disease; hypertension
Abstrak: Penyakit ginjal kronis (PGK) menjadi permasalahan kesehatan yang serius dan merupakan salah satu penyebab utama kematian di seluruh dunia. Hipertensi merupakan salah satu penyebab dan juga penyakit penyerta yang paling umum dari PGK. Hipertensi berkelanjutan dapat menyebabkan fungsi ginjal memburuk dan berujung pada PGK. Penelitian ini bertujuan untuk mengetahui gambaran ultrasonografi (USG) ginjal pada penderita PGK dengan hipertensi di RSUP Prof. Dr. R. D. Kandou periode Juli 2022 – Juli 2023. Penelitian ini menggunakan metode deskriptif retrospektif dengan desain potong lintang yang menggunakan data sekunder berupa rekam medik pasien. Hasil penelitian mendapatkan 80 pasien PGK dengan hipertensi di RSUP Prof. Dr. R. D. Kandou, didominasi oleh kelompok usia di atas 65 tahun (37,5%), jenis kelamin laki-laki (53,8%), dan yang tidak menjalani tindakan hemodialisis (61,3%). Derajat keparahan terbanyak yaitu derajat 2 dengan karakteristik gambaran USG yang paling sering yaitu ukuran normal, ekogenisitas parenkim meningkat, ketebalan korteks normal, batas echo korteks medula jelas, sistem pelviokalises normal, dan temuan kista. Simpulan penelitian ini ialah mayoritas pasien PGK dengan hipertensi ialah laki-laki, usia di atas 65 tahun, tidak melakukan hemodialisis. serta keparahan derajat 2.
Kata kunci: ultrasonografi; penyakit ginjal kronis; hipertensi
References
Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl. 2022;12(1):7–11. Doi: https://doi.org/10.1016/
Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. Laporan nasional riset kesehatan dasar tahun 2018 [Internet]. Lembaga Penerbit Badan dan Pengembangan Kesehatan (LPB). 2018 [cited 2023 Aug 7]. Available from: http://labdata.litbang.kemkes.go.id/images/ download/laporan/RKD/2018/L aporan_Nasional_RKD2018_FINAL.pdf
Pugh D, Gallacher PJ, Dhaun N. Management of hypertension in chronic kidney disease. Drugs [Internet]. 2019;79(4):365–79. Doi: https://doi.org/10.1007/s40265-019-1064-1
Ku E, Lee BJ, Wei J, Weir MR. Hypertension in CKD: Core Curriculum 2019. Am J Kidney Dis. 2019;74(1):120–31. Doi: 10.1053/j.ajkd.2018.12.044
Staplin N, Herrington WG, Murgia F, Ibrahim M, Bull KR, Judge PK, et al. Determining the relationship between blood pressure, kidney function, and chronic kidney disease: Insights from genetic epidemiology. Hypertension. 2022;79(12):2671–81. Doi: 10.1161/HYPERTENSIONAHA.122.19354
Adhiatma A, Zulfachmi W, Widyantara I. Analisis faktor-faktor yang berhubungan dengan kejadian gagal ginjal kronik pada pasien hemodialisis di RSUD Tugurejo Semarang. Jurnal Kedokteran Muhammadiyah. 2017;5(2). Available from: https://jurnal.unimus.ac.id/index.php/kedokteran/ article/view/2592/2441
Neil W. Renal relevant radiology: Use of ultrasound in kidney disease and nephrology procedures. Clin J Am Soc Neprol. 2014;9(2):373–81. Doi: 10.2215/CJN.03170313
Peralta CA, Hicks LS, Chertow GM, Ayanian JZ, Vittinghoff E, Lin F, et al. Control of hypertension in adults with chronic kidney disease in the United States. Hypertension. 2005;45(6):1119–24. Doi: https://doi.org/10.1161/01.HYP.0000164577.81087.70
Fachrunnisa F, Trusda S, Tejasari M. Hubungan antara tingkat hipertensi dengan derajat penyakit ginjal kronis di RS Al-Islam tahun 2014. SpeSIA. 2015;1(2). Doi: http://dx.doi.org/10.29313/kedokteran.v0i0.1286
Centers for Disease Control and Prevention. Chronic Kidney Disease in the United States, 2023 [Internet]. US Department of Health and Human Services. 2023 [cited 2023 Dec 8]. Available from: https://www.cdc.gov/kidneydisease/pdf/CKD-Factsheet-H.pdf
Salsabila A, Herman H, Natasha N, Shafira A, Fauzan R, Wulandari PS. Gambaran karakteristik gagal ginjal kronik obstruktif dan non-obstruktif pada pasien dewasa-lansia di RSUD Raden Mattaher tahun 2017-2020. Journal of Medical Studies (JOMS). 2023;3(2):85–94. Doi: https://doi.org/ 10.22437/joms.v3i2.27367
Arifa SI, Azam M, Handayani OW. Faktor yang Berhubungan dengan Kejadian Penyakit Ginjal Kronik pada Penderita Hipertensi di Indonesia. Jurnal Media Kesehatan Masyarakat Indonesia. 2017;13(4):319–28. Doi: https://doi.org/10.30597/mkmi.v13i4.3155
Pralisa K, Dewi DAK, Ilmiawan MI. Gambaran etiologi penyakit ginjal kronik stadium V pada pasien rawat inap di RSUD Dokter Soedarso Pontianak tahun 2017-2018. Jurnal Cerebellum. 2021;6(3):59. Doi: 10.26418/jc.v6i3.45308
Christy J, Martadiani ED, Sitanggang FP. Gambaran Ultrasonografi Ginjal Pada Penyakit Ginjal Kronis di RSUP Sanglah Denpasar. Jurnal Medika Udayana (JMU). 2020;9(7). Doi: https://doi.org/ 10.24843/MU.2020.V09.i7.P07
P2PTM Kemenkes RI. Faktor Risiko Penyakit Ginjal Kronis (PGK) [Internet]. Kementrian Kesehatan Republik Indonesia. 2022 [cited 2023 Aug 15]. Available from: https://p2ptm.kemkes.go.id/ infographic-p2ptm/penyakit-gangguan-metabolik/apa-saja-faktor-risiko-penyakit-ginjal-kronis-pgk
Yanti AKE, Mamile R, Hidayati PH, Dwimartyono F, Sanna AT. Karakteristik Pasien Penyakit Ginjal Kronis di Rumah Sakit IbnuSina Makassar Tahun 2019-2021. Wal’afiat Hospital Journal. 2022;3(2):126–38. Doi: https://doi.org/10.33096/whj.v3i2.93
Seah AST, Tan F, Srinivas S, Wu HY, Griva K. Opting out of dialysis – Exploring patients’ decisions to forego dialysis in favour of conservative non‐dialytic management for end‐stage renal disease. Health Expectations. 2015;18(5):1018–29. Doi: 10.1111/hex.12075.
Chan CT, Blankestijn PJ, Dember LM, Gallieni M, Harris DCH, Lok CE, et al. Dialysis initiation, modality choice, access, and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int. 2019;96(1):37–47. Doi: 10.1016/j.kint.2019.01.017
Singh A, Gupta K, Chander R, Vira M. Sonographic grading of renal cortical echogenicity and raised serum creatinine in patients with chronic kidney disease. J Evol Med Dent Sci. 2016;5(38):2279–86. Doi: 10.14260/jemds/2016/530
Zewdu M, Kadir E, Berhane M, Alemayehu T. Variation of ultrasonic renal volume between hypertensive and non-hypertensive individuals in relation to body size parameters. Ethiop J Health Sci [Internet]. 2021 [cited 2023 Aug 20];31(4):857–66. Doi: 10.4314/ejhs.v31i4.21
Gareeballah A, Gameraddin MB, Salih S, Tamboul J. Sonographic assessment of kidneys and associated abdominal findings in patients with renal parenchymal diseases. Int J Res Med Sci. 2017;5(3):1048. Doi: 10.18203/2320-6012.ijrms20170660
Hoi S, Takata T, Sugihara T, Ida A, Ogawa M, Mae Y, et al. Predictive value of cortical thickness measured by ultrasonography for renal impairment: A longitudinal study in chronic kidney disease. J Clin Med. 2018;7(12):527. Doi: 10.3390/jcm7120527
Siddappa JK, Singla S, Al Ameen M, Rakshith SC, Kumar N. Correlation of ultrasonographic parameters with serum creatinine in chronic kidney disease. J Clin Imaging Sci. 2013;3:28. Doi: 10.4103/2156-7514.114809
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