Profil ACR-EULAR 2010 Pasien Poliklinik Reumatologi IRJ RSUD DR.Soetomo Surabaya Tahun 2018
DOI:
https://doi.org/10.30649/htmj.v19i2.174Kata Kunci:
Reumatoid Artritis, ACR-EULAR 2010, RSUD Dr.SoetomoAbstrak
Latar Belakang: Kriteria ACR-EULAR 2010 ditetapkan bertujuan untuk mendiagnosis Reumatoid Artritis (RA) lebih awal. Diharapkan hasil penelitian ini dapat memberikan bukti data profil pasien RA yang bisa dipakai secara nasional untuk menggambarkan perkembangan medis terkait RA. Profil yang dipilih adalah profil klinis dan laboratorium untuk merepresentasikan morbiditas, prognosis, dan perjalanan penyakit. Pasien dewasa dipilih untuk merepresentasikan dampak sosial ekonomi dan RSUD Dr. Soetomo dipilih sebagai sumber data untuk dapat merepresentasikan kasus RA di Indonesia Timur.
Tujuan: Untuk mengetahui profil klinis dan laboratorium pasien RA berdasarkan kriteria ACR-EULAR 20210 di poliklinik Reumatologi IRJ RSUD Dr. Soetomo tahun 2018.
Metode: Penelitian deskriptif-retrospektif menggunakan data rekam medis pasien RA di RSUD Dr. Soetomo.
Hasil: 100% pasien dalam penelitian ini adalah wanita. Distribusi usia paling tinggi adalah 45-64 tahun 47,83%, 35-44 tahun 30.43%, 15-24 tahun 13,04%, 25-34 tahun 8,70% dengan median 43 tahun. Sebanyak 82,61% berpendidikan SMA dan 4,35% berpendidikan SMP dan 8,70% berpendidikan lebih rendah. 56,52% pasien berdomisili di luar Surabaya dan 43,44% pasien berdomisili di dalam kota Surabaya. 52,17% pasien terkena gejala RA pada 4–10 sendi keci, 13,04% pasien terkena pada lebih dari 10 sendi (minimal 1 sendi kecil) dan sebesar 17,39% pasien terkena pada 2–10 sendi besar dan 1–3 sendi kecil. 95,65% pasien menderita sakit 6 minggu atau lebih dan hanya 4,35% pasien yang sakitnya kurang dari 6 minggu. 65,22% pasien menunjukkan serologis RF positif. 91,30% pasien dengan anti-MCV positif. 95,65% pasien dengan LED di atas batas normal dengan median 55 mm/jam. 30,34% pasien menunjukkan CRP di atas batas normal, 26,09% pasien dengan CRP dalam batas normal sedangkan 43,48% pasien tidak ada data hasil pemeriksaan CRP. Evaluasi berdasarkan kriteria ACR-EULAR 2010 menunjukkan 43,48% pasien dengan skor 8; 26,09% pasien dengan skor 6; 4,35% pasien dengan skor 7; dan, 13.04% pasien dengan skor 9 dan dengan skor 10.
Kesimpulan: Pasien Reumatoid Artritis di poliklinik Reumatologi IRJ RSUD Dr. Soetomo Surabaya tahun 2018 memiliki profil demografis lebih banyak berusia di atas 45 tahun, dengan tingkat pendidikan SMA, berasal dari luar kota Surabaya dan semuanya berjenis kelamin wanita; dengan profil klinis memiliki keterlibatan 4–10 sendi dengan lama sakit lebih dari 6 minggu; memiliki profil laboratorium dimana sebagian besar menunjukkan hasil serologis RF dan Anti-MCV yang positif, dengan angka LED di atas normal pada sebagian besar sampel; serta memiliki profil ACR-EULAR 2010 pada skor 8 dengan jumlah sampel terbesar dan pada skor 7 dengan jumlah sampel terkecil.
Kata kunci: Reumatoid Artritis, ACR-EULAR 2010, RSUD Dr. Soetomo
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