Analisis Perbedaan Antara Hasil Tes Fungsi Ginjal pada Pasien Post-Operasi Off-Pump Coronary Artery Bypass Grafting dan On-Pump Coronary Artery Bypass Grafting Selama 7 Tahun di RSUP Haji Adam Malik Medan

Abstract

Background:To analyze the difference between the results of examination of renal function before and after the on-pump CABG (CABG) action compared to the offpump CABG (OPCAB) action for 7 years. Materials and Method A cross-sectional study using medical record evaluated the ureum, creatinine, and creatinine clearance between OPCAB and CABG. This was also followed by urea differences after the procedure of either CABG or OPCAB with a p value of 0.049. Result: There was no statistically significant difference at the time after the procedure, where the result of the p value obtained was 0.187. When viewed from the median value, the creatinine value in the CABG group is 0.82 compared to the OPCAB group of 0.89. While the last variable assessed was CrCl, after the procedure, the value of p = 0.926 is obtained. However, when viewed at the median OPCAB value is 89 compared to CABG which is 86.81. Conclusion: Coronary artery bypass grafting procedures with either the on-pump or off-pump method only minimally affect kidney function. The different procedures also do not differ from each other against creatinine clearance and also serum creatinine. However, there are differences in urea levels.

Latar Belakang : Untuk Mengetahui perbedaan Hasil tes fungsi ginjal Pada Pasien Post-Operasi off-Pump Coronary Arteri Bypass Grafting (OPCAB) dan On-Pump Coronary Arteri Bypass Grafting (CABG) selama 7 tahun di RSUP Haji Adam Malik Medan Metologi Penelitian : Dilakukan penelitian croscetional dengan melihat status rekam medik hasil laboratorium darah Ureum, cretinin, cretinin clearence antara OPCAB dan CABG dengan a p value 0.049. Hasil : Tidak ada perbedaan yang bermakna secara statistik, dimana hasil nilai P 0,187. Pada nilai median group OPCAB nilai creatinin adalah 89 dibanding dengan Group CABG yaitu 86,81 Kesimpulan : Perbedaan prosedur OPCAB dan CABG tidak menunjukan hasil fungsi ginjal yang berbeda.