Arwen Nashira Kadly, . (2026) FAKTOR-FAKTOR YANG MEMENGARUHI LAMA RAWAT INAP PASIEN PENYAKIT JANTUNG KORONER (PJK) PASCA CORONARY ARTERY BYPASS GRAFTING (CABG) DI RS BHAYANGKARA TK.I PUSDOKKES POLRI. Skripsi thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Background : Coronary artery disease (CAD) is a cardiovascular condition characterized by the accumulation of atherosclerotic plaques in the coronary arteries and remains a significant health problem with high prevalence in Indonesia. Coronary artery bypass grafting (CABG), as the primary treatment for CAD, is an invasive procedure that often requires a prolonged postoperative length of stay. This duration is infuenced by various factors, including patient characteristics, the CABG technique used, the duration of mechanical ventilation, and the occurrence of postoperative complications. This research focuses on identifying the specific clinical and demographic factors that contribute to extended postoperative hospital stays for patients with CAD who have undergone CABG surgery. Methods : This retrospective cohort study involved 95 CAD patients who underwent CABG at RS Bhayangkara Tk.I Pusdokkes Polri between January 2024 and October 2025. Secondary data were obtained from electronic medical records and analyzed using univariate, bivariate, and multivariate analyses with backward logistic regression. Results : A total of 31,6% of patients required a length of stay of >7 days. Bivariate analysis showed a significant relationship between postoperative length of stay >7 days and mechanical ventilation duration ≥12 hours (p=0,010), shock (p=0,20), pneumonia (p=0,045), pleural effusion (p=0,028), and acute kidney injury (p=0,018). Multivariate analysis identified three dominant factors affecting postoperative length of stay >7 days; mechanical ventilation duration ≥12 hours (OR 3,662; 95% CI 1,272-10,542), postoperative shock (OR 3,158; 95% CI 1,148-8,686), and pleural effusion (OR 5,169; 95% CI 1,088-24,559). Conclusion : Mechanical ventilation duration of ≥12 hours, along with occurrence of postoperative complications such as shock and pleural effusion, are the predominant factors significantly increasing the postoperative length of stay in CAD patients following CABG.
| Item Type: | Thesis (Skripsi) |
|---|---|
| Additional Information: | [No.Panggil: 2210211022] [Pembimbing 1: Yanto Sandy Tjang] [Pembimbing 2: Yanti Harjono Hadiwiardjo] [Penguji : Niniek Hardini |
| Uncontrolled Keywords: | CAD, CABG, Postoperative Length of Stay, Mechanical Ventilation, Pleural Effusion, Shock |
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Fakultas Kedokteran > Program Studi Kedokteran (S1) |
| Depositing User: | ARWEN NASHIRA KADLY |
| Date Deposited: | 08 May 2026 02:40 |
| Last Modified: | 08 May 2026 02:40 |
| URI: | http://repository.upnvj.ac.id/id/eprint/41845 |
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