PERBEDAAN KOMORBID GAGAL JANTUNG KONGESTIF PADA USIA LANJUT DENGAN USIA DEWASA DI RS.Dr.KARIADI PERIODE JANUARI-DESEMBER 2006

Abstract

Background: Heart failure still becomes a health problem in Indonesia. Overlap between signs and symptoms in heart failure and also many comobidities hampered a doctor to diagnose and treat. The purpose of this research was to describe heart failure patients in Kariadi hospital Semarang from January to December 2006 to find out the differences of heart failure comorbidity on the elderly with on the adult. Method: This was a descriptive research with secondary data from medical record. The sample were medical records of heart failure patients in Kariadi hospital from January to December 2006 with ECG, echocardiography, and laboratory examination. Data about comorbidity are collected and analized by SPSS 15.0 for Windows program. The difference of heart failure comorbidity on the two groups were compared by Chi-square and Fisher’s exact test. Result: Comorbid that more often appear on the elderly were hypertension, type2 diabetes mellitus, renal insuficiency, coronary heart disease, valvuler heart disease, anemia, bronchiectasis, stroke, chronic obstructive pulmonary disease, asthma bronkhial, pneumonia, obesity, depresion, pericardial effusion, and hyponatremia. Comorbid that more often appear on the adult were atrial fibrilation, miocard infarct, pleural effusion, hypertensif retinopathy, diabetic retinopathy, dislipidemia, hypoalbuminemia, hyperuricemia. Conclusion: Heart failure patients in Kariadi hospital in 2006 who have comorbidity were 64 (88,9 %). The most frequent comorbidity in the elderly were hypertension, diabetes mellitus, pneumonia, hypertensif retinopaty, renal insuficiency and anemia. The most frequent comorbidity on the adult were hypertension, hypertensif retinopaty, diabetes mellitus, atrial fibrilation, and hyperuricemia. Key word: comorbid, heart failure, elderly, adult