Hubungan Gagal Jantung Iskemik dengan Jumlah Faktor Risiko Penyakit Jantung Koroner terhadap Lama Rawat Inap di Rumah Sakit

Authors

  • Mayprengki B. Tandipanga Universitas Sam Ratulangi
  • Starry H. Rampengan Universitas Sam Ratulangi
  • Edmond L. Jim Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/ecl.v13i1.54949

Abstract

Abstract: Heart failure is one of the cardiovascular diseases with high hospitalization and mortality rates. Ischemic heart failure is a type of heart failure that is caused by coronary heart disease. Risk factors for coronary heart disease include age, sex, family history, early menopause, smoking, hypertension, dyslipidemia, and diabetes mellitus. Length of Hospital Stay (LOS) is a matrix to measure the length of time a patient stays in the hospital. This study aimed to evaluate the relationship between ischemic heart failure and many risk factors for coronary heart disease on the length of stay at RSUP Prof. Dr. R. D. Kandou. This was an observational and analytical study with cohort studies with a retrospective approach during the period September 2021 – October 2023. The results showed that there were 112 cases with 70 samples that met the inclusion criteria and found 26 cases with a length of stay of >7 days and 44 cases with a length of stay of ≤7 days. Based on the bivariate analysis that has been performed on patients with ischemic heart failure who undergo hospitalization, it shows that there is no significant relationship between the number of risk factors for coronary heart disease and the longer length of hospitalization. In conclusion, there is no significant association between the number of risk factors for coronary heart disease and the longer length of stay in patients with ischemic heart failure.

Keywords: ischemic heart failure; coronary heart disease risk factors; length of stay

 

 Abstrak: Gagal jantung merupakan salah satu penyakit kardiovaskular dengan angka kematian dan perawatan di rumah sakit yang tinggi. Gagal jantung iskemik merupakan gagal jantung yang diakibatkan oleh penyakit jantung koroner. Faktor risiko penyakit jantung koroner antara lain, usia, jenis kelamin, riwayat keluarga, menopause dini, merokok, hipertensi, dislipidemia, dan diabetes melitus. Lama rawat inap atau Length of Hospital Stay (LOS) merupakan matriks untuk mengukur lama waktu rawat inap pasien di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan gagal jantung iskemik dengan Jumlah faktor risiko penyakit jantung koroner terhadap lama rawat inap di RSUP Prof. Dr. R. D. Kandou. Jenis penelitian ialah analitik observasional dengan studi kohort dengan pendekatan restrospektif selama periode September 2021 - Oktober 2023. Hasil penelitian mendapatkan 112 kasus dengan 70 sampel yang memenuhi kriteria inklusi dan didapatkan 26 kasus dengan lama rawat >7 hari dan 44 kasus dengan lama rawat ≤7 hari. Berdasarkan analisis bivariat yang telah dilakukan pada pasien gagal jantung iskemik yang menjalani rawat inap menunjukkan bahwa tidak didapatkan hubungan yang bermakna antara jumlah faktor risiko penyakit jantung koroner dengan lama rawat inap yang lebih lama. Simpulan penelitian ini ialah tidak didapatkan hubungan bermakna antara jumlah faktor risiko penyakit jantung koroner dengan lama rawat yang lebih lama pada pasien gagal jantung iskemik.

Kata kunci: gagal jantung iskemik; faktor risiko penyakit jantung koroner; lama rawat inap

Author Biographies

Mayprengki B. Tandipanga, Universitas Sam Ratulangi

Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Sam Ratulangi, Manado, Indonesia

Starry H. Rampengan, Universitas Sam Ratulangi

Bagian Kardiologi dan Kedokteran Vaskular Fakultas Kedokteran Universitas Sam Ratulangi, Manado, Indonesia

Edmond L. Jim, Universitas Sam Ratulangi

Bagian Kardiologi dan Kedokteran Vaskular Fakultas Kedokteran Universitas Sam Ratulangi, Manado, Indonesia

References

Cardiovascular diseases (CVDs). Available from: https://www.who.int/news-room/fact-sheets/detail/ cardiovascular-diseases-(cvds)

BPJS Kesehatan. Available from: https://www.bpjs-kesehatan.go.id/bpjs/arsip/categories/MzA/publikasi

Rampengan SH, Akbar MP, Dahrma S, Mappangara I, Gunadhi IGN, Prakoso R, et al. Kapita Selekta Kardiologi. Rampengan NH, editor. Jakarta: Badan Penerbi FKUI; 2018.

Panggabean MM, Setiati S, Alwi I, Sudoyono AW, Simadibrata M, Setiyohadi B, et al. Buku Ajar Ilmu Penyakit Dalam (6th ed). Jakarta: InternaPublishing; 2014. p. 1132–5.

Severino P, D’Amato A, Pucci M, Infusino F, Birtolo LI, Mariani MV, et al. Ischemic heart disease and heart failure: role of coronary ion channels. Int J Mol Sci. 2020;21(9). Doi:10.3390/ijms21093167

Jensen RV, Hjortbak MV, Bøtker HE. Ischemic heart disease: an update. Semin Nucl Med. 2020;50(3):195–207. Doi: 10.1053/j.semnuclmed.2020.02.007.

Lahoz R, Fagan A, McSharry M, Proudfoot C, Corda S, Studer R. Recurrent heart failure hospitalizations are associated with increased cardiovascular mortality in patients with heart failure in Clinical Practice Research Datalink. ESC Heart Fail. 2020;7(4):1688. Doi: 10.1002/ehf2.12727

Tekle MT, Bekalu AF, Tefera YG. Length of hospital stay and associated factors among heart failure patients admitted to the University Hospital in Northwest Ethiopia. PLoS One. 2022;17(7):e0270809. Doi: 10.1371/journal.pone. 0270809

Alnajashia MA, Almasouda MA, Aldaham SA, Acuna JM, Zevallos JC. Association of gender and length of stay among Puerto Ricans hospitalized with decompensated heart failure. Medicine. 2016;95(29):e4255. Doi: 10.1097/MD.0000000000004255

Harvey A, Montezano AC, Lopes RA, Rios F, Touyz RM. Vascular fibrosis in aging and hypertension: molecular mechanisms and clinical implications. Can J Cardiol. 2016;32(5):659. Doi: 10.1016/j.cjca. 2016.02.070

Brown JC, Gerhardt TE, Kwon E. Risk factors for coronary artery disease. Risk Factors in Coronary Artery Disease. 2023 ;1–219. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.Available from: https://www.ncbi.nlm.nih.gov/books/NBK554410/

Mitchell RN, Connolly Andrew J. Robbins & Cotran Pathologic Basis of Disease (10th ed). Kumar V, editor. Philadelphia: Elsevier; 2020.

Santoso BR, Sargowo D, Kristianto H. Hubungan antara faktor risiko dengan lama perawatan pada pasien gagal jantung di RSUD Ulin Banjarmasin dengan pendekatan teori self-care orem’s. Dunia Keperawatan. 2014;2(2):1-10. Doi: 10.20527/dk.v2i2.3082

Rezaei S, Akbari Sari A, Arab M, Majdzadeh R, Shaahmadi F, Mohammadpoorasl A. The association between smoking status and hospital length of stay: evidence from a hospital-based cohort. Hosp Pract. 2016;44(3):129–32. Doi: 10.1080/21548331.2016.1178579

Son YJ, Lee HJ. Association between persistent smoking after a diagnosis of heart failure and adverse health outcomes: a systematic review and meta-analysis. Tob Induc Dis. 2020;18(January):05 Doi: 10.18332/tid/116411

Mutmainnah I, Rotty LWA, Wantania FEN. Pengaruh aktivitas fisik terhadap profil lipid penderita penyakit jantung koroner. e-CliniC. 2022;11(1):72–9. Doi: 10.35790/ecl.v11i1.44317

Hasanah N. Hubungan aktivitas fisik dengan kualitas hidup pasien gagal jantung yang berobat di RSUD Dr. Saiful Anwar dan RSI Aisyiyah Kota Malang. 2019. Available from: http://repository.ub.ac.id/id/eprint/175679

Niazi M, Galehdar N, Jamshidi M, Mohammadi R, Moayyedkazemi A. A review of the role of statins in heart failure treatment. Curr Clin Pharmacol. 2020;15(1):30. Doi: 10.2174/1574884714666190802125627

Gebreegziabher Y, McCullough PA, Bubb C, Loney-Hutchinson L, Makaryus JN, Anand N, et al. Admission hyperglycemia and length of hospital stay in patients with diabetes and heart failure: a prospective cohort study. Congestive Heart Failure. 2008;14(3):117–20. Doi: 10.1111/j.1751-7133.2008.07569.x

Nauli SE, Hasanah DY, Zulkarnain E, Arifianto H, Sasmaya H, Suciadi LP, et al. Pedoman Tatalaksana Gagal Jantung (3rd ed). Jakarta: PERKI; 2023. Available from: https://www.inaheart.org/guidelines/pedoman-tatalaksana-gagal-jantung-2023

Downloads

Published

2025-01-01

How to Cite

Tandipanga, M. B., Rampengan, S. H., & Jim, E. L. (2025). Hubungan Gagal Jantung Iskemik dengan Jumlah Faktor Risiko Penyakit Jantung Koroner terhadap Lama Rawat Inap di Rumah Sakit. E-CliniC, 13(1), 23–29. https://doi.org/10.35790/ecl.v13i1.54949

Issue

Section

Articles