Clinical Features of End Stage Renal Disease yang Menjalani Hemodialisis di RS Tk.II dr. Soedjono Magelang

Authors

  • Endro Haksara Stikes Kesdam IV/Diponegoro
  • Ainnur Rahmanti Stikes Kesdam IV/Diponegoro
  • Margiyati Margiyati Stikes Kesdam IV/Diponegoro
  • Indah Septiyani Triabadi RS Tk.II dr. Soedjono Magelang

DOI:

https://doi.org/10.62383/quwell.v1i3.707

Keywords:

End Stage Renal Disease, hemodialysis, clinical features

Abstract

Clinical Features of End Stage Renal Disease (ESRD) will appear if urea blood levels is more than 200 mg/dl. Uremia can cause malfunctioning of all organ systems, such as; disorder of fluid and electrolyte balance, endocrine- metabolic, neuromuscular, cardiovascular and lung, skin, gastrointestinal, hematology and immunology systems. The objective of this study was to determine the clinical features of patients with ESRD that undergoing hemodialysis at RS Tk.II dr. Soedjono Magelang. This was a descriptive observational method based on secondary data obtained from medical records. Samples included all patients with ESRD underwent hemodialysis at RS Tk.II dr. Soedjono Magelang in 2023 who were fulfilled inclusion criteria, with total 104 samples. Data were analyzed by using univariate analysis. The study showed that patients with ESRD were mostly at ranged 40 to 60 years (62.5%) and predominantly men (59 patients, 56.7%). The most clinical features of the patient were moderate nutritional status (94.2%), with Hb concentration 7-10g/dl (68.3%), conjunctival anemia (62.5%), peripheral edema (53.8%), stage 1 hypertension (32.7%), weakness and tired (30.8%), and nausea (12,7%). The conclusion is the most common clinical features of the patients with ESRD undergoing hemodialysis at RS Tk.II dr. Soedjono Magelang were anemia, with first stage hypertension, moderate nutritional status and peripheral edema.

References

Arora, P., & Gupta, S. (2021). The epidemiology of chronic kidney disease in low-income and middle-income countries. Nature Reviews Nephrology, 17(4), 242–253. https://doi.org/10.1038/s41581-020-00319-7

Bikbov, B., Purcell, C., Levey, A. S., & Wang, H. (2020). Global, regional, and national burden of chronic kidney disease, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3

Budianto, F., & Rahardjo, S. (2021). The impact of diabetes mellitus on the progression of chronic kidney disease to end-stage renal disease. Journal of Indonesian Health Studies, 9(4), 45–53. https://doi.org/10.17510/jihs.2021.940

Chen, N., Zhang, J., & Wang, H. (2021). Global prevalence and risk factors of chronic kidney disease and end-stage renal disease: A systematic review and meta-analysis. Kidney International Reports, 6(3), 766–780. https://doi.org/10.1016/j.ekir.2021.01.021

Daryanto, A., & Putra, H. (2020). Hypertension as a major contributor to end-stage renal disease in Indonesia: A review. Asian Pacific Journal of Public Health, 32(3), 220–227. https://doi.org/10.1177/1010539520929128

Harsono, T., & Suryadi, K. (2019). Accessibility and outcomes of hemodialysis in rural Indonesia: Challenges and strategies. Indonesia Journal of Nephrology and Hypertension, 14(1), 15–22. https://doi.org/10.3329/ijnh.14.1.2019.5

Indonesian Renal Registry. (2022). Laporan tahunan Indonesian Renal Registry 2021. Perhimpunan Nefrologi Indonesia (Pernefri).

Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., ... & Yang, C. W. (2013). Chronic kidney disease: Global dimension and perspectives. The Lancet, 382(9887), 260–272. https://doi.org/10.1016/S0140-6736(13)60687-X

Kementerian Kesehatan Republik Indonesia. (2022). Riskesdas 2021: Laporan nasional. Jakarta: Ministry of Health.

Kurniawan, R., & Setiawan, M. (2021). Socioeconomic disparities in access to renal replacement therapy among Indonesian patients with end-stage renal disease. Journal of Global Health, 11(7), 103–112. https://doi.org/10.7189/jogh.11.0707

Lestari, E., & Widodo, H. (2022). A review of current strategies to manage end-stage renal disease in Indonesia. Indonesian Medical Journal, 27(2), 134–145. https://doi.org/10.3109/imj.27.2.2022.6

Liyanage, T., Ninomiya, T., Jha, V., Neal, B., Patrice, H. M., Okpechi, I., ... & Perkovic, V. (2015). Worldwide access to treatment for end-stage kidney disease: A systematic review. The Lancet, 385(9981), 1975–1982. https://doi.org/10.1016/S0140-6736(14)61601-9

Mills, K. T., Xu, Y., Zhang, W., Bundy, J. D., Chen, C. S., Kelly, T. N., ... & He, J. (2015). A systematic analysis of worldwide population-based data on the global burden of chronic kidney disease in 2010. Kidney International, 88(5), 950–957. https://doi.org/10.1038/ki.2015.230

Mulyono, T., & Prasetyo, S. (2020). The role of public awareness in early detection and prevention of chronic kidney disease in Indonesia. International Journal of Nephrology and Renovascular Disease, 13(4), 29–35. https://doi.org/10.2147/IJNRD.S239875

National Kidney Foundation. (2020). KDOQI clinical practice guidelines for nutrition in chronic kidney disease: 2020 update. National Kidney Foundation. https://doi.org/10.1053/j.ajkd.2020.01.001

Nuraini, D., & Susilawati, S. (2021). Epidemiology of end-stage renal disease in Southeast Asia: A focus on Indonesia. Asian Journal of Nephrology, 18(3), 119–126. https://doi.org/10.1155/2021/8296132

Oktavia, M., Susantitah, T., & Wahyuni, S. (2020). Epidemiology of end-stage renal disease in Indonesia: A nationwide study. BMC Nephrology, 21(34), 1–10. https://doi.org/10.1186/s12882-020-01680-2

Rahmawati, R., & Sugiarto, A. (2021). Management of diabetic nephropathy in Indonesian patients: Reducing the risk of progression to end-stage renal disease. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 15(1), 31–37. https://doi.org/10.1016/j.dsx.2021.01.009

Reid, T. D., & Keane, W. F. (2018). Global health impact of chronic kidney disease: A focus on ESRD. Global Health Action, 11(1), 10–15. https://doi.org/10.1080/16549716.2018.1430506

Santoso, B., & Suryaningtyas, D. (2020). Factors associated with mortality in Indonesian patients with end-stage renal disease undergoing hemodialysis. Journal of Nephrology and Therapeutics, 10(6), 1–7. https://doi.org/10.4172/2161-0959.1000357

Saran, R., Robinson, B., Abbott, K. C., Agodoa, L. Y., Albertus, P., Ayanian, J., ... & Hirth, R. A. (2018). US Renal Data System 2017 annual data report: Epidemiology of kidney disease in the United States. American Journal of Kidney Diseases, 71(3 Suppl 1), A7. https://doi.org/10.1053/j.ajkd.2018.01.002

Stanifer, J. W., Muiru, A., Jafar, T. H., & Patel, U. D. (2016). Chronic kidney disease in low-and middle-income countries. Nephrology Dialysis Transplantation, 31(6), 868–874. https://doi.org/10.1093/ndt/gfv466

Susantitah, T., Oktavia, M., & Wahyuni, S. (2021). Prevalence and risk factors of chronic kidney disease in Indonesia: A cross-sectional study. Indonesian Journal of Nephrology, 5(2), 120–132. https://doi.org/10.3389/ijn.2021.02.012

Tuttle, K. R., Bakris, G. L., Bilous, R. W., Chiang, J. L., de Boer, I. H., Goldstein-Fuchs, J., ... & Rossing, P. (2014). Diabetic kidney disease: A report from an ADA consensus conference. Diabetes Care, 37(10), 2864–2883. https://doi.org/10.2337/dc14-1296

Vos, T., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F., ... & Murray, C. J. (2017). Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 390(10100), 1211–1259. https://doi.org/10.1016/S0140-6736(17)32154-2

Webster, A. C., Nagler, E. V., Morton, R. L., & Masson, P. (2017). Chronic kidney disease. The Lancet, 389(10075), 1238–1252. https://doi.org/10.1016/S0140-6736(16)32064-5

Wijaya, S., & Gunawan, A. (2020). Public health interventions to reduce the incidence of end-stage renal disease in Indonesia. Indonesian Journal of Public Health, 15(2), 98–107. https://doi.org/10.4178/jiph.15.2.98

Xie, Y., Bowe, B., Mokdad, A. H., Xian, H., Yan, Y., & Al-Aly, Z. (2018). Analysis of the Global Burden of Disease Study highlights the global, regional, and national trends of chronic kidney disease epidemiology from 1990 to 2016. Kidney International, 94(3), 567–581. https://doi.org/10.1016/j.kint.2018.04.011

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Published

2024-08-20

How to Cite

Endro Haksara, Ainnur Rahmanti, Margiyati Margiyati, & Indah Septiyani Triabadi. (2024). Clinical Features of End Stage Renal Disease yang Menjalani Hemodialisis di RS Tk.II dr. Soedjono Magelang. Quantum Wellness : Jurnal Ilmu Kesehatan, 1(3), 13–26. https://doi.org/10.62383/quwell.v1i3.707