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PEMBIMBING : PROF. DR. ISKANDAR ZULKASP. PD
DISUSUN OLEH : AYU INDAH LESTARI
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INTRODUCTION
Artritis gout i!s"#! $r%uu"g!" &$"g!" r$!'si i"(!)!si &!"'rist!+ )o"oso&iu) ur!t &i &!+!) s$"&i &!" !ri"g!" !rti'u+!r.
• K$!&i!" gout &i A)$ri'! +$i% &!ri -, ut! s$+!)! /0012/033,/ ut! *ri! &!" 0,-4 ut! 5!"it! &$"g!" )o&$r!t !t!u i)*!
• 6!'tor26!'tor risi'o s$*$rti usi! tu!, o$sit!s, $"is '$+!
*$r$)*u!" )$"o*!us$,%i*$ruri7$)i!, %i*$rt$"si, *$"#!'it89KD, &i$t '!#! *uri" &!" !+'o%o+.
D!t! &!ri multiple risk faktrol intervention trial (MRFIT), #!"g!%5! &i!"t!r! +!'i2+!'i #!"g $rusi! *!ru% !#! , )$"u"u''+!u ;+tr!si #!"g )$ru*!'!" s!+!% s!tu 6!'tor risi'o u"tu' t$!rtritis.
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METODE
Stu&i 'o%ort &$"g!" stu&i $r!sis Framingham Heart'o%ort,D!t! &i*$ro+$% &!ri National Heart, ung, and !lood Institu
FHS !&!+!% stu&i +o"gitu&i"!+ #!"g )$"i+iti /01 *ri! &!'ot! Fr!)i"g%!), M!ss!7%us$tts, #!"g $rusi! /12
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PENETAPAN GOUT, CKD, DAN KOVA
Gout )$"urut 'rit$ri! FHS : or!"g #!"g *$r"!% )$"g+utut s$+!)! $$r!*! %!ri s!)*!i / )i"ggu &$"r$)isi, ri5!#!t *$"go!t!" gout,!t!u #!"g *$r"!% &$"g!" 6oto ro"tg$".
P$)$ri's!!" 'r$!ti"i" t$r'!%!* 9KD &i!g"osti' &!+!)
'$&u!"#!, )$)i+i'i &!t! 8'u"u"g!" ,/=,/
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PENETAPAN GOUT, CKD, DAN KOVA
Hi*$rt$"si &i&$;"isi'!" &$"g!" TD ?3=0 ))H&i!sto+i' ?10))HG.
@$"is '$+!)i" *!si$", usi!, BMI, !s!) ur!t, &!" +i&i*$ro+$% &!ri &!t! Fr!)i"g%!).
Di!$t$s &i&$6$"isi'!" )$"urut u+!s!" r$s)i G+u'os! &i !t!s /00 )g>&L !t!u s$&!"g )$"g'o"&i!$t$s
GFR
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ANALISIS TAMBAHAN
S$!"#!' =- *$s$rt! &i'$+u!r'!" &!ri *$rt!)!
D!+!) !"!+is! i"i !&! 11 '!sus i"si&$" 8/=1&!" 30 *$r$)*u!" gout &!" ti"g'!t '$s$+uru%!" gout !&!+!% /,
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HASIL
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DISKUSI
A"!+isis &i'u)*u+'!" &!ri *$s$rt! FHS !s+i )$"u!%5! 9KD )$ru*!'!" 6!'tor risi'o i"&$*$"&$gout. A"!+isis )$"u"u''!" !%5! HR 9KD !&!+!% s$'it!r /,0 8"o"2u)u) 9KD '$ s$'it!r 3*!&! u)u)"#!.
H!si+ i"i )iri* &$"g!" *$"$+iti!" +!i" )$"ggu"!'MRFIT, &i)!"! HR #!"g &is$su!i'!" u"tu' gou)$r$'! &$"g!" 9KD !&!+!% 3,
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D!+!) *$"$+iti!" *ros*$'ti6 i"i s$+!)! = t!%u" ti"&!' +!"*$s$rt! FHS, risi'o gout $r'!it!" &$"g!" 9KD &u! '!+i /,01C 1 9I 3,=32,04 *$s$rt! $!s &!ri 9KD &!" gout *!
Asosi!si $r&!s!r'!" *!&! '$&u! $"is '$+!)i", s$rt! +!i""#! t$r)!su' usi!, BMI, *$"ggu"!!" !+'o%o+, )$ro'o'&!" &i!$t$s.
S$7!r! '$s$+uru%!", )$)$ri'!" u'ti !%5! i"&ii&u &)$)i+i'i risi'o t$r!&i"#! gout.
U"tu' )$"gui *$"g!ru% SUA &$"g!" %uu"g!" !"t!r! 9Kur!t, '!)i )$+!'u'!" stu&i 7ross2s$7tio"!+. H!si+ )$"u"u''!" !%5! )$s'i*u" s$u!% SUA )$"i"g&i'!it'!" &$"g!" risi'o gout, 9KD )!si% t$r'!it &$"g!" i"si
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P$rt!)!, P$"$+iti!" )$+i*uti +i)! &$'!&$, &!" *$
&!t! &!" *$"gu'ur!" ti&!' )u"g'i" s$r!g!), u))$"uru" s$+!)! 6o++o5 u*. S$+!i" itu, Ti"g'!t SUA &&!+!) +i)! 'u"u"g!"C O+$% '!r$"! itu, '!)i )$"i+!&i t!)!%!" !"!+isis.
F!'tor '$&u! 9KD &!" !s!) ur!t, "!)u", i"6or)
t$rs$&i! &i FHS &!" *$"#$+i&i'!" +$i% +!"ut )!si% &D!t! !5!+ &!ri FHS )$)$ri'!" &!s!r $)*iris !&!+!% 6!'tor risi'o u"tu' gout
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TERIMA KASIH