Pratama, Erdilian Jodi Putra and Dr. dr. Atma Gunawan, SpPD-KGH and dr. Achmad Rifai, SpPD-KGH (2024) Perbandingan Charlson Comorbidity Index Dan Wright Khan Index Dalam Memprediksi Mortalitas Pasien Continuous Ambulatory Peritoneal Dialysis. Magister thesis, Universitas Brawijaya.
Abstract
LATAR BELAKANG: Tingkat mortalitas di antara pasien yang menjalani Continuous Ambulatory Peritoneal Dialysis (CAPD) mengalami peningkatan karena berbagai faktor. Charlson Comorbidity Index (CCI) dan Wright Khan Index (WKI), merupakan alat yang banyak digunakan untuk menilai risiko mortalitas yang terkait dengan komorbiditas. TUJUAN: Untuk mengetahui penggunaan Charlson Comorbidity Index (CCI) dan Wright Khan Index (WKI) dalam memprediksi mortalitas pasien Continuous Ambulatory Peritoneal Dialysis (CAPD). METODE: Studi ini bersifat retrospektif yang dilakukan di RSUD dr. Saiful Anwar pada periode 1 Agustus 2019 hingga 31 Juli 2023 dari rekam medis. Data penelitian berupa karakteristik dasar, data komorbiditas sesuai dengan Charlson Comorbidity Index (CCI) dan Wright Khan Index (WKI) serta mortalitas pasien pada periode 1 Agustus 2019 hingga 31 Juli 2023 diekstraksi dari catatan medis. Hubungan antara CCI dan WKI dalam memprediksi mortalitas pasien Continuous Ambulatory Peritoneal Dialysis (CAPD) dianalisis menggunakan uji Logistic Regression dan dilanjutkan analisis Kaplan Meier. HASIL: Dari total 377 pasien CAPD, terdapat 89 pasien meninggal dan 288 pasien hidup. Risiko rendah (p 0,002) dan sedang (p 0,002) pada WKI memiliki hasil yang signifikan dalam memprediksi mortalitas pasien CAPD dibandingkan CCI, namun tidak pada risiko tinggi WKI (p 0,664) dan keseluruhan risiko skor CCI (rendah p 0,974, sedang p 0,857, tinggi p 0,845). Analisis Kaplan Meier mendapatkan bahwa risiko rendah kedua kelompok WKI dan CCI sama-sama menunjukkan kelangsungan hidup paling tinggi dibandingkan resiko sedang dan tinggi. KESIMPULAN: Wright Khan Index dapat menjadi alat yang berguna dalam memprediksi mortalitas pasien CAPD dibandingkan Charlson Comorbidity Index.
English Abstract
BACKGROUND: The mortality rate among patients undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) has been increasing due to various factors. The Charlson Comorbidity Index (CCI) and the Wright Khan Index (WKI) are widely used tools to assess mortality risk associated with comorbidities. OBJECTIVE: To determine the use of the Charlson Comorbidity Index (CCI) and Wright Khan Index (WKI) in predicting mortality among Continuous Ambulatory Peritoneal Dialysis (CAPD) patients. METHODS: This retrospective study was conducted at Dr. Saiful Anwar Hospital from August 1, 2019, to July 31, 2023, using medical records. Research data included baseline characteristics, comorbidity data according to the Charlson Comorbidity Index (CCI) and Wright Khan Index (WKI), and patient mortality from August 1, 2019, to July 31, 2023, extracted from medical records. The relationship between the Charlson Comorbidity Index (CCI) and Wright Khan Index (WKI) in predicting CAPD patient mortality was analyzed using Multiple Logistic Regression and followed by Kaplan Meier analysis. RESULTS: Out of 377 CAPD patients, 89 died, and 288 survived. Low (p 0.002) and moderate (p 0.002) risks in WKI had a significant relationship with CAPD patient mortality compared to CCI, but not for high WKI risk (p 0.664) and overall CCI risk score (low p 0.974, moderate p 0.857, high p 0.845). Kaplan Meier analysis revealed that both low-risk groups in WKI and CCI showed the highest survival rates compared to moderate and high-risk groups. CONCLUSION: Wright Khan Index may be a useful tool in predicting CAPD patient mortality compared to the Charlson Comorbidity Index.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | 042406 |
| Uncontrolled Keywords: | Continuous Ambulatory Peritoneal Dialysis, Wright Khan Index; Charlson Comorbidity Index; mortalitas |
| Divisions: | Profesi Kedokteran > Spesialis Ilmu Penyakit Dalam, Fakultas Kedokteran |
| Depositing User: | Unnamed user with username nova |
| Date Deposited: | 07 Aug 2024 04:55 |
| Last Modified: | 07 Aug 2024 04:55 |
| URI: | http://repository.ub.ac.id/id/eprint/222640 |
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