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Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arteriovenous Fistula pada Pasien Gagal Ginjal Satria, Muhammad; Rustam, Raflis; Rivaldy, Vendry
Jurnal Kesehatan Vol 11, No 2 (2020): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v11i2.2122

Abstract

Hemodialysis is a treatment for kidney failure that uses a machine to send the patient's blood through a filter. Arteriovenous fistulas (AVF) and arteriovenous grafts are vascular access that is designed for long-term use. In the world, the number of patients with end-stage chronic kidney failure (CRF) which requires hemodialysis is increasing. However, almost 50% of arteriovenous fistulas can never be used for hemodialysis, and if they can be used, 25% will experience failure after 2 years. Many factors make the AVF failure, between the injury of the endothelial wall or the hypercoagulation. This study uses a cross-sectional retrospective design. Data is taken from the medical record status of patients with chronic kidney failure in RSUP Dr. M.Djamil Padang from January 2017-December 2019. Data were analyzed by Chi-square and Fisher test. From a sample of 33 people, patients obtained hematocrit values <33%, 33-36%,> 36% failure of AVF as many as 8, 2, and 4 people. While the platelet values <150,000,150,000-400,000 and 400,000 obtained AVF failures were 0.9 and 5 people. There was no relationship of platelet values with AVF failure in hemodialysis patients with p-value=0,323. There was a correlation between hematocrit values and AVF failure in hemodialysis patients with p-value=0,003.
HUBUNGAN NILAI TROMBOSIT DAN HEMATOKRIT DENGAN KEGAGALAN ARTERIOVENOUS FISTULA PADA PASIEN GAGAL GINJAL DI RSUP DR. M. DJAMIL PADANG Satria, Muhammad; Rustam, Raflis; Rivaldy, Vendry
Jurnal Kesehatan Karya Husada Vol 9 No 2 (2021): Jurnal Kesehatan Karya Husada (JKKH)
Publisher : POLITEKNIK KESEHATAN KARYA HUSDA YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v9i2.409

Abstract

ABSTRAK Abstrak: Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arterovenous Fistula pada pasien Gagal Ginjal Kronis di RSUP Dr.dr.M.Djamil Padang Hemodialisis adalah pengobatan pada gagal ginjal yang menggunakan mesin untuk mengirimkan darah pasien melalui sebuah penyaring. Fistula arteriovenosa dan cangkok arteriovenosa merupakan akses vaskuler yang didesain untuk penggunaan jangka panjang. Di dunia jumlah pasien gagal ginjal kronis (GGK) stadium akhir yang memerlukan hemodialisis semakin mening­kat. Akan tetapi hampir 50% fistula arteriovenosa tidak pernah dapat digunakan untuk hemodialisis, dan jika dapat digunakan, 25% akan mengalami kega­galan setelah 2 tahun. Banyaknya faktor-faktor yang menyebabkan kegagalan AVF, diantaranya kerusakan dinding endotel atau adanya aliran darah yang lambat atau hiperkoagulasi. Kata Kunci.Gagal ginjal kronis, Hemodialisis, Arterovenous Fistula, Kegagalan AVF