Karakteristik Pasien Sirosis Hepatis di Rumah Sakit  Dr Achmad Mochtar Bukittinggi Periode  Tahun 2018 – 2020

Sarah Gita Virma; Prima Adelin; Letvi Mona

doi:10.35324/jknamed.v6i1.229

Sarah Gita Virma Program Studi Pendidikan Dokter Fakultas Kedokteran Universitas Baiturrahmah, Padang
Prima Adelin Bagian Patologi Klinik, Fakultas Kedokteran Universitas Baiturrahmah, Padang
Letvi Mona Bagian Ilmu Penyakit Kulit dan Kelamin, Fakultas Kedokteran Universitas Baiturrahmah, Padang

DOI: https://doi.org/10.35324/jknamed.v6i1.229

Keywords: Sirosis Hepatis, Karakteristik Pasien, Child-Turcotte-Pugh

Abstract

Sirosis hepatis merupakan penyakit hati tahap akhir ketika jaringan hati yang sehat digantikan oleh jaringan parut atau disebut fibrosis. Sirosis hepatis merupakan penyebab kematian ketujuh yang terjadi di dunia. Sirosis hepatis di Indonesia termasuk ke dalam 5 besar penyebab kematian. Penyebab terjadinya sirosis hepatis diantaranya adalah hepatitis B kronik, hepatitis C kronik, NAFLD, dan NASH. Faktor risiko terjadinya sirosis hepatis meliputi usia, jenis kelamin, konsumsi alkohol, dan obesitas. Penelitian ini bertujuan untuk mengetahui karakteristik pasien sirosis hepatis di bagian penyakit dalam Rumah Sakit Dr Achmad Mochtar Bukittinggi periode tahun 2018- 2020. Metode penelitian ini merupakan penelitian observasional deskriptif. Sampel pada penelitian ini ialah pasien sirosis hepatis yang berobat ke bagian penyakit dalam Rumah Sakit Dr Achmad Mochtar Bukittinggi periode tahun 2018 - 2020, dipilih menggunakan teknik total sampling. Data penelitian diperoleh dari catatan rekam medis pasien yang memenuhi kriteria inklusi sebanyak 38 orang. Hasil penelitian didapatkan pasien sirosis hepatis berdasarkan usia ≥40 (86,8%), jenis kelamin laki – laki (71,1%), penyebab hepatitis B (73,7%), dan klasifikasi CTP Child C (52,6%). Kesimpulan penelitian didapatkan pasien sirosis hepatis terbanyak berdasarkan usia ≥40, jenis kelamin terbanyak pada laki – laki, penyebab tersering hepatitis B, dan klasifikasi CTP terbanyak yaitu Child C.

Liver cirrhosis is an end-stage liver disease when healthy liver tissue is being replaced by scar tissue, also known as fibrosis. Liver cirrhosis is the seventh leading cause of death in the world. Liver cirrhosis in Indonesia is included in the top 5 causes of death. The causes of cirrhosis include chronic hepatitis B, chronic hepatitis C, NAFLD, and NASH. Risk factors of liver cirrhosis include age, gender, alcohol consumption, and obesity. This study aims to determine the characteristics of patients with liver cirrhosis in the internal medicine department of Dr. Achmad Mochtar Hospital Bukittinggi for the period of year 2018 - 2020. The research method of this paper is a descriptive observational study. The sample of this study was liver cirrhosis patients who went to the internal disease department of Dr Achmad Mochtar Hospital Bukittinggi for the period of year 2018 - 2020, selected using a total sampling technique. Research data were obtained from the medical record of patients who has met the criteria to be included in this study amounting to the total of 38 persons. The results showed that patients with liver cirrhosis were based on age 40 (86.8%), male gender (71.1%), the cause was hepatitis B (73.7%), and CTP classification was Child C (52.6%). The conclusion of the study was that the most patients with liver cirrhosis were based on age 40, the most gender was male, the most common cause was hepatitis B, and the most CTP classification was Child C.