Therapeutic Outcomes And Mortality Related To Hemodialysis Among Hospitalized Hypertensive And Diabetic Patients In Jakarta, Indonesia And Penang, Malaysia
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Date
2018-07
Authors
Ramatillah, Diana Laila
Journal Title
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Publisher
Universiti Sains Malaysia
Abstract
Therapeutic outcomes of hemodialysed patients usually depend on proper pharmacotherapy given and follow up of the patients. Based on the high mortality incidence of this category, a study was conducted in both countries, Indonesia and Malaysia. A total of 455 patients from HD center Jakarta and Penang were included in this study based on inclusion and exclusion criteria. A retrospective evaluation of 199 patients in both countries were also included. All patients that fulfilled the criteria were included in HD center Penang and Jakarta as convenience sampling. In 256 hemodialysed patients who were evaluated by prospective, 14.8 % had diabetes mellitus, 55.1% had hypertension and 30.1 % had diabetes mellitus and hypertension. All the data was produced on a validated data collection form and also all the patients were interviewed prospectively through an already established questionnaire. All the prospective patients were followed up for nine months in both centers. Based on the assessment of KDQoL-SF24, the differences between HD centers in Jakarta and Penang were found in the burden of kidney disease, work status and social support. However, overall health rating for both countries were more than standard score (> 59.37 ± 19.54). Duration of cardiovascular disease elevated risk of death more than 2 times in both centers of Indonesia and Malaysia during the follow up time. In addition, patients who undergone hemodialysis in Indonesia showed significant relationship (P =0.006) between duration of cardiovascular and probability of dying with23% of these patients had duration of cardiovascular diseases ≤ 5 years and only 3.4 % of these patients had duration of cardiovascular diseases ≥ 6 years.
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Keywords
Therapeutic outcomes of hemodialysed patients , depend on proper pharmacotherapy given