Hubungan Kadar Kreatinin dengan Mortalitas Pasien yang Dirawat di Unit Perawatan Intensif (UPI) RSUD Raden Mattaher Jambi Periode 2023 – 2025
DOI:
https://doi.org/10.55497/majanestcricar.v44i3.524Keywords:
kreatinin, mortalitas, pasien kritis, unit perawatan intensifAbstract
Pendahuluan: Kreatinin serum merupakan indikator penting fungsi ginjal yang diketahui berkaitan dengan peningkatan risiko mortalitas di Unit Perawatan Intensif (UPI). Penelitian ini dilakukan untuk menilai kadar kreatinin serum sebagai parameter dan indikator prognostik dini terhadap risiko mortalitas pasien di UPI RSUD Raden Mattaher Jambi periode 2023–2025
Metode: Penelitian kuantitatif analitik observasional dengan desain cross sectional menggunakan data rekam medis pasien UPI periode Oktober 2023–Oktober 2025. Hubungan antara kadar kreatinin dan mortalitas dianalisis menggunakan uji Chi-Square untuk mengetahui adanya hubungan antar variabel dan Prevalence Ratio (PR) digunakan untuk membandingkan besarnya prevalensi mortalitas pada setiap kategori kadar kreatinin.
Hasil: Dari 600 pasien, 146 (24,3%) meninggal dunia. Mortalitas tertinggi terdapat pada kadar kreatinin tinggi (30,8%), diikuti normal (21,4%) dan rendah (14,7%). Terdapat hubungan bermakna antara kadar kreatinin dan mortalitas (p < 0,05). Pasien dengan kadar kreatinin tinggi memiliki risiko 1,44 kali lebih tinggi dibandingkan kelompok normal.
Simpulan: Kadar kreatinin saat masuk UPI berhubungan secara signifikan dengan mortalitas pasien. Kadar kreatinin dapat digunakan sebagai salah satu parameter sederhana untuk membantu penilaian prognosis pasien kritis di unit perawatan intensif.
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