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|Title: ||Analisis BUN Sebagai Prediktor Mortalitas Pasien Gagal Jantung RSUP Haji Adam Malik|
|Authors: ||Afina, Harastha Khairi|
|Advisors: ||Lubis, Anggia C.|
|Issue Date: ||28-Oct-2013|
|Abstract: ||Blood urea nitrogen (BUN) measures the amount of urea nitrogen, a waste product of protein metabolism, in the blood. Urea is formed by the liver and carried by the blood to the kidneys for excretion. Because urea is cleared from the bloodstream by the kidneys, a test measuring how much urea nitrogen remains in the blood can be used as a test of renal function. An elevated BUN can be caused not only by impaired renal function, but also congestive heart failure, dehydration, acute miocardial infarction, stress, excessive protein intake, etc. Elevation in BUN level can reflect hemodynamic change during heart failure as a result of poor renal perfusion.
Heart failure has bad outcome. Overall, 50% of patients are dead in 4 years. 40% of patients admitted to hospital with heart failure are dead or readmitted within 1 year. (Dickstein, et al, 2008) The goal of this study was to determine the impact of elevated BUN with the increased of 3 months mortality rate of heart failure.
This research is an analytic study with prospective approach. Population in this research is patients with heart failure. Total sample is 64 people. This research was conducted by referring to patients medical records in Cardiology Departement RSHAM. 27 people is dead during follow up; 14 people with increased BUN level and 13 of other people with normal level.
The result of data analysis using Chi Square showed the p value is 0.043 and OR=1.9 . It demonstrated that Increased BUN is strongly associated with increased numbers of mortality in patients with heart failure.|
|Keywords: ||Blood Urea Nitrogen (BUN)|
|Appears in Collections:||SP - General|
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