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All Journal Jurnal Farmasi Klinik Indonesia Majalah Obat Tradisional Jurnal Inovasi Hasil Pengabdian Masyarakat (JIPEMAS) Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery Journal of Health Sciences and Medicine Jurnal Ilmiah Medicamento Jurnal Farmasi Indonesia Usadha
Ketut Agus Adrianta
Universitas Mahasaraswati Denpasar
Agriculture, Biological Sciences & Forestry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Journal : Jurnal Farmasi Klinik Indonesia

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The Effect of N-Acetylcysteine on Glomerulus Filtration Rate in Patients with Chronic Kidney Disease Post Percutaneous Coronary Intervention Putu Rika Veryanti; Gamaliel Agripa; Ketut Agus Adrianta
Jurnal Farmasi Klinik Indonesia Vol 11, No 3 (2022)
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15416/ijcp.2022.11.3.217

Abstract

The use of contrast for percutaneous coronary intervention (PCI) procedures in chronic kidney disease (CKD) patients can worsen kidney function. N-Acetylcysteine is widely used as a preventive therapy for contrast-induced nephropathy (CIN). However, previous studies have shown inconsistent results, so that further research regarding the effectiveness of N-Acetylcysteine to prevent CIN is needed. This study aimed to determine the effect of N-Acetylcysteine on glomerulus filtration rate (GFR) in patients with CKD who underwent PCI. This research was conducted at Jakarta's national central general hospitals from July to December 2019 with a retrospective study design. Through the purposive sampling method, we obtained 72 samples. The sample was selected from the patient's medical records in the period January-June 2019. Patients who underwent PCI and had a history of CKD were included in the study. The data were analyzed by t and chi-square tests to determine the effect of N-Acetylcysteine on the patient's GFR. The results showed that CKD patients underwent PCI were dominated by male (61.11% vs 38.89%) and 33.33% of patients aged 55-64 years. Most patients had GFR values between 30-59.99 ml/min/1.73m2 with 100 ml of contrast administration. The ratio of contrast amount to GFR > 3.7 was found in 47.22% of patients. The administration of N-Acetylcysteine as a preventive therapy for CIN post-PCI increased the GFR value of CKD patients by 2.69±5.72. N-Acetylcysteine had a significant effect on the GFR of post-PCI CKD patients (p=0.000).
Co-Authors Agung Ari Chandra Wibawa Bagus Komang Satriyasa Debby Juliadi Desak Made Wihandani Dewa Ayu Ika Pramitha Fitria Megawati Gamaliel Agripa Gunawan, I Wayan Suardi Adi Herleeyana Meriyani I Gede Made Suradnyana I Gusti Agung Ayu Kusuma Wardani I Gusti Agung Ayu Kusuma Wardani I Made Jawi I Nyoman Gede Tri Sutrisna I Putu Windra Gunawan IGAA Kusuma Wardani Meriyani, Herleeyana Ni Nyoman Wahyu Udayani Ni Putu Siska Sugiantari Ni Putu Udayana Antari Puguh Santoso Puguh Santoso puguh santoso, puguh Putra, I Made Agus Sunadi Suena, Ni Made Dharma Shantini Veryanti, Putu Rika Wardani, I Gusti Agung Ayu Kusuma Yeni Cendana