Profil Anemia pada Pasien Chronic Kidney Disease di Rumah Sakit Universitas Sebelas Maret

Authors

  • Rizki Amelia Faujiah Program Studi Kedokteran, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Indonesia
  • Evi Liliek Wulandari Bagian Ilmu Penyakit Dalam, Rumah Sakit Universitas Sebelas Maret, Sukoharjo, Indonesia
  • Sigit Setyawan Bagain Parasitologi, Fakultas Kedokteran, Univeritas Sebelas Maret, Surakarta, Indonesia
  • Coana Sukmagautama Bagian Ilmu Penyakit Dalam, Rumah Sakit Universitas Sebelas Maret, Sukoharjo, Indonesia

DOI:

https://doi.org/10.20961/plexus.v4i6.2531

Keywords:

anemia, hemoglobin, normositik normokromik, profil anemia, Penyakit Ginjal Kronik

Abstract

Pendahuluan: Anemia adalah komplikasi umum pada pasien Chronic Kidney Disease (CKD), terutama pada stadium lanjut, yang disebabkan oleh penurunan produksi eritropoietin dan inflamasi kronik. Identifikasi profil anemia pada CKD sangat penting untuk merancang strategi penanganan yang efektif dan mencegah komplikasi lebih lanjut. Penelitian ini diharapkan dapat memberikan wawasan baru mengenai profil anemia pada pasien CKD di Rumah Sakit Universitas Sebelas Maret.

Metode: Penelitian ini menggunakan desain deskriptif cross sectional dengan teknik total sampling pada pasien rawat inap CKD di Rumah Sakit Universitas Sebelas Maret (RS UNS) selama tahun 2024. Data dikumpulkan dari rekam medis dan hasil laboratorium, lalu dianalisis secara deskriptif menggunakan SPSS.

Hasil: Dari 161 pasien CKD, mayoritas berusia ≥60 tahun (53,09%) dan berjenis kelamin laki-laki (57,76%). Stadium terbanyak adalah stadium 5 hemodialisis (37,89%). Rerata kadar hemoglobin (Hb) sebesar 9,51 ± 2,55 g/dL. Derajat anemia sedang paling banyak ditemukan (52,8%), diikuti anemia berat (23,6%), anemia ringan (13%), dan tidak anemia (10,6%). Jenis anemia terbanyak adalah anemia normositik normokromik (68,3%), disusul mikrositik hipokromik (21,1%), sedangkan anemia makrositik tidak ditemukan. Terdapat tren penurunan kadar Hb seiring peningkatan stadium CKD.

Kesimpulan: Anemia merupakan komplikasi yang umum terjadi pada pasien Chronic Kidney Disease (CKD) di RS UNS. Derajat anemia sedang merupakan bentuk yang paling banyak dijumpai, mengindikasikan adanya gangguan eritropoiesis yang signifikan namun belum mencapai kondisi kritis. Selain itu, jenis anemia yang paling dominan adalah anemia normositik normokromik, dengan stadium terbanyak pada pasien adalah stadium 5 Hemodialisis (5HD).

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2026-01-05

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