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"Penyakit jantung koroner hingga saat ini masih menjadi penyebab utama kematian di Indonesia. Untuk itu diperlukan diperlukan suatu metode pengobatan untuk menangani pasien dengan penyakit jantung koroner, salah satunya adalah metode Percutaneous coronary intervention (PCI). Penelitian ini bertujuan untuk membuat suatu panduan mengenai Bahan medis habis pakai (BMHP) yang digunakan dalam tindakan pada Percutaneous coronary intervention (PCI). Panduan ini khususnya diharapkan dapat menjadi panduan terutama bagi Apoteker dan Tenaga Teknis Kefarmasian (TTK) yang ada di Rumah Sakit Universitas Indonesia (RS UI). Penyusunan laporan panduan BMHP untuk tindakan PCI ini dilakukan melalui hasil pencarian studi literatur. Selain itu, dilakukan diskusi dan tanya jawab dengan ners cath lab dan apoteker yang bertugas di unit Farmasi OK RS UI terkait PCI dan bahan medis habis pakai (BMHP) apa saja yang digunakan ketika melakukan prosedur PCI. Hasil penyusunan laporan ini didapatkan berbagai jenis BMHP yang dibutuhkan demi kelancaran proses tindakan PCI, diantaranya: sheath, guidewire, stent, guide catheter, dan ballon catheter, yang masing-masing diantaranya terdiri dari jenis dan fungsinya yang berbeda-beda. Hasil penyusunan laporan ini dapat dijadikan sebagai panduan BMHP untuk tindakan PCI.

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Coronary heart disease is still the leading cause of death in Indonesia. For this reason, a treatment method is needed to deal with patients with coronary heart disease, one of which is the Percutaneous coronary intervention (PCI) method. This study aims to create a guide on medical consumables items used in the action of Percutaneous coronary intervention (PCI). This guide is especially expected to be a guide, especially for Pharmacists and Pharmaceutical Technical Personnel at the University of Indonesia Hospital. The preparation of the BMHP guidance report for PCI actions is carried out through the results of a literature study search. In addition, discussions and questions and answers were held with the CATH lab ners and pharmacists on duty at the OK of University of Indonesia Hospital Pharmacy unit regarding PCI and what medical consumables items are used when performing PCI procedures. The results of the preparation of this report obtained various types of medical consumables items needed for the process of PCI, including: sheath, guidewire, stent, guide catheter, and balloon catheter, each of which consists of different types and functions. The results of the preparation of this report can be used as a medical consumables items guide for PCI actions."

"Pelayanan Kefarmasian di Rumah Sakit adalah salah satu bagian penting dalam sistem pelayanan kesehatan Rumah Sakit yang berfokus pada pengelolaan Sediaan Farmasi, Alat Kesehatan, dan Bahan Medis Habis Pakai serta pelayanan farmasi klinik. Rumah Sakit Universitas Indonesia (RS UI) menyediakan berbagai fasilitas dan pelayanan kesehatan, salah satunya yaitu Unit Central Operation Theater (COT) yang berfokus pada penyediaan layanan prosedur tindakan operasi atau pembedahan, salah satunya yaitu tindakan CAG/PCI. Tindakan CAG/PCI adalah rangkaian tindakan terhadap jantung. Depo Instalasi Farmasi OK (Operatio Kamer) berperan dalam mendukung kegiatan unit COT dengan menyediakan berbagai paket kebutuhan tindakan operasi. Penelitian ini bertujuan untuk mengevaluasi penggunaan standar paket tindakan CAG/PCI yang telah disiapkan untuk mengoptimalkan efisiensi dan efektivitas pelayanan dan pengelolaan sediaan farmasi di unit farmasi OK RS UI. Pengambilan data dilakukan secara retrospektif menggunakan data periode Juni – Agustus 2023. Data kemudian diolah menggunakan Microsoft Excel dan dinilai kesesuaiannya per pasien, per item, dan per bulan. Hasil analisis menunjukkan bahwa penggunaan item tindakan CAG/PCI pada 77 tindakan pasien tidak sesuai dengan paket standar. Penggunaan 14% item paket standar telah sesuai dengan jumlah pada paket standar, sedangkan 51% item melebihi paket standar dan 35% lainnya di bawah paket standar. Selama bulan Juni – Agustus 2023, penggunaan item untuk tindakan CAG/PCI melebihi dari paket standar.

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Pharmaceutical services in hospitals are an important part of the hospital health service system which focuses on the management of pharmaceutical supplies, medical devices and consumable medical materials as well as clinical pharmacy services. The University of Indonesia Hospital (Rumah Sakit Universitas Indonesia) provides various health facilities and services, one of which is the Central Operation Theater (COT) Unit which focuses on providing surgical procedures or surgical procedures, one of which is CAG/PCI procedures. The OK (Operatio Kamer) Pharmacy Unit plays a role in supporting the activities of the COT unit by providing various packages of operational needs. This study aims to evaluate the use of the standard CAG/PCI action package that has been prepared to optimize the efficiency and effectiveness of service and management of pharmaceutical preparations in the OK UI Hospital pharmacy unit. Data collection was carried out retrospectively using data for the period June – August 2023. The data was then processed using Microsoft Excel and assessed for suitability per patient, per item and per month. The results of the analysis showed that the use of CAG/PCI action items in 77 patient procedures was not in accordance with the standard package. The use of 14% of standard package items is in accordance with the amount in the standard package, while 51% of items exceed the standard package and the other 35% are below the standard package. During June – August 2023, item usage for CAG/PCI actions exceeds that of the standard package."

"In-stent restenosis adalah komplikasi yang dapat terjadi setelah pemasangan stent. Penelitian ini bertujuan untuk mengidentifikasi faktor ? faktor yang berhubungan dengan tindakan PCI berulang. Desain penelitian menggunakan desain non eksperimental jenis cross sectional. Responden sebanyak 70 orang, diperoleh melalui teknik consecutive sampling. Analisis data dilakukan secara univariat, bivariat (chi square) serta multivariat (regresi logistik berganda). Hasil penelitian menunjukkan bahwa riwayat merokok memiliki hubungan yang signifikan dan merupakan faktor dominan dengan tindakan PCI berulang. Implikasi dalam keperawatan adalah peningkatan peran perawat sebagai pendidik dalam memberikan pendidikan kesehatan tentang pengendalian faktor risiko yakni kebiasaan merokok pada pasien yang terpasang stent dalam mencegah in-stent restenosis.

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In-stent restenosis is a complication that can occur after stenting. This study aimed to identify factors related to re-PCI. A non-experimental design with cross sectional approach was used in this research, while 70 respondents were obtained through a consecutive sampling technique. Data analyzed was performed using univariate, bivariate (chi square) and multivariate (multiple logistic regression) tests.

The results showed that a history of smoking has a significant relationship with the re-PCI and history of smoking is the dominant factor associated with re-PCI. Implications of the research to nursing is to improve of the role of nurses as educators in providing health education to control risk factors, especially smoking habits in patients who mounted stents in order to prevent in-stent restenosis."

"Penyakit kardiovaskuler yang dikenal sebagai penyakit jantung merupakan penyebab utama kematian di seluruh dunia. Sebanyak sepertiga hingga setengah dari penyakit jantung merupakan Penyakit Jantung Koroner (PJK). Katerisasi jantung dengan tujuan diagnosis yang dikenal sebagai angiografi koroner adalah salah satu prosedur yang paling umum dilakukan pada porang dewasa. Pemeriksaan ini merupakan baku emas untuk diagnosis PJK dengan meminimalkan sayatan bedah (minimum invasive) sehingga dapat menurunkan risiko komplikasi dan tingkat mortalitas daripada prosedur invasive lain. Pengelolaan sediaan farmasi, alat kesehatan, dan BMHP merupakan standar pelayanan kefarmasian di rumah sakit. Staf di unit farmasi seperti apoteker maupun tenaga teknis kefarmasian diharapkan tidak hanya memiliki pengetahuan tentang obat-obat saja naum juga jenis-jenis BMHP agar dapat memaksimalkan pelayanan secara efektif dan efisien, khususnya dalam tindakan CAG. BMHP yang digunakan dalam tindakan CAG terdiri dari sheath, guiding wire, dan kateter. Berdasarkan akese ke pembuluh darah, jenis sheath dibagi menjadi sheath transradial dan transfemoral. Jenis-jenis guiding wire dibagi berdasarkan bentuk tipnya menjadi straight tip (ujung lurus), J tip, dan angled tip. Berdasarkan bentuknya yang menyesuaikan anatomi dan fungsi, kateter diagnostik dibagi menjadi Judkins, Amplatz, Multipurpose, Tiger, dan Pigtail.

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Cardiovascular disease, known as heart disease, is a leading cause of death worldwide. Approximately one-third to half of heart diseases are coronary heart disease (CHD). Coronary angiography, a diagnostic procedure commonly performed in adult patients, is a gold standard for CHD diagnosis, minimizing surgical incisions (minimally invasive) and reducing the risk of complications and mortality compared to other invasive procedures. The management of pharmaceutical preparations, medical devices, and Single-Use Medical Materials (BMHP) is a standard pharmaceutical service in hospitals. Pharmacy unit staff, including pharmacists and pharmaceutical technicians, are expected to possess knowledge not only about medications but also about various single-use medical material to maximize service effectiveness and efficiency, especially in coronary angiography (CAG) procedures. BMHP used in CAG procedures consist of sheaths, guiding wires, and catheters. Based on vascular access, sheaths are categorized as transradial and transfemoral sheaths. Guiding wires are classified based on the shape of their tips, which include straight tip, J-tip, and angled tip. Diagnostic catheters are divided into various types, such as Judkins, Amplatz, Multipurpose, Tiger, and Pigtail, designed to conform to anatomy and function."

"Menurut Institute of Health Metrics and Evaluation (IHMEI) pada tahun 2017, gangguan depresi dan cemas berada di posisi paling atas dalam menyebabkan terjadinya disabilitas. Sementara itu, penyakit kardiovaskular adalah penyebab kematian nomor satu secara global dan di Asia Tenggara sampai saat ini. Salah satu penyakit kardiovaskular yang umum ditemukan pada layanan kesehatan adalah Sindroma Koroner Akut. Terdapat banyak faktor risiko yang dapat memperburuk Sindroma Koroner Akut, salah satunya adalah faktor psikologis yang mencakup cemas dan depresi. Oleh sebab itu, perlu dilakukan penelitian yang menelaah hubungan cemas dan depresi terhadap Sindroma Koroner Akut pasca intervensi koroner perkutan untuk mewujudkan tatalaksana Sindroma Koroner Akut yang komprehensif. Penelitian dilakukan menggunakan desain penelitian analitik observasional dengan rancangan studi kohort prospektif. Penelitian menggunakan sampel sebanyak 50 subjek dengan Sindrom Koroner Akut atau Kronik yang menjalani intervensi koroner perkutan di RSUP Nasional dr. Cipto Mangunkusumo serta RS Jantung Jakarta. Kondisi subjek penelitian dinilai menggunakan beberapa instrumen: HAM-D untuk pengukuran gejala depresi, HAM-A untuk pengukuran gejala cemas, skoring Canadian Cardiovascular Society untuk pengukuran derajat gejala Sindrom Koroner Akut dan Kronik, dan pengukuran TIMI Flow untuk pengukuran sumbatan pada pembuluh darah jantung. Analisis multivariat regresi logistik dilakukan untuk mengetahui kekuatan hubungan faktor demografi, psikologis, dan medik serta derajat depresi dan cemas pada kasus Sindrom Koroner Akut dan Kronik terhadap perbaikan pasca intervensi koroner perkutan. Dari 50 subjek, sebanyak 92,0% mengalami gejala cemas dan sebanyak 50,0% mengalami gejala depresi sebelum menjalani intervensi koroner perkutan. Setelah tindakan turun menjadi 18% mengalami gejala cemas dan 10% ada gejala depresi. Pada penelitian ini, tidak ditemukan hubungan bermakna antara gejala cemas dan depresi pra intervensi koroner perkutan dengan perbaikan yang dirasakan pasca intervensi koroner perkutan. Analisis multivariat menemukan tidak menikah/bercerai berperan (p = 0,012; OR = 13,449; IK = 1,753 – 103,184) sebagai faktor risiko terhadap tidak mengalami perbaikan setelah intervensi koroner perkutan pada kasus Sindrom Koroner Akut dan Kronik.

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According to the Institute of Health Metrics and Evaluation (IHMEI) in 2017, anxiety and depressive disorders were the most prominent cause of disability. On the other hand, cardiovascular diseases are the highest cause of death in global and Southeast Asia until now. One of the most common cardiovascular diseases found in healthcare services is Acute Coronary Syndrome. Numerous factors play a role in the worsening of Acute Coronary Syndrome, one of such factors is psychological factors, including anxiety and depression. Therefore, study targeting the relationship of anxiety and depressive symptoms towards Acute Coronary Syndrome post PCI is needed to establish a comprehensive treatment of Acute Coronary Syndrome. Research is done in observational analytical design with prospective cohort study design. Research data is gathered from 50 patients with Acute or Chronic Coronary Syndrome who underwent percutaneous coronary intervention in Cipto Mangunkusumo National Referral Hospital and Jakarta Heart Hospital. Subjects have their conditions assessed by using several instruments: HAM-D to measure depression severity, HAM-A to measure anxiety severity, Canadian Cardiovascular Society scoring to measure severity of Acute or Chronic Coronary Syndrome and TIMI Flow measurement to examine the occlusion in coronary arteries. Logistic regression multivariate analysis was utilized to examine the implication of demographic, psychological, medical factors and depression and anxiety severity in Acute and Chronic Coronary Syndrome cases towards improvement felt post percutaneous coronary intervention. Out of 50 subjects, 92,0% had anxiety symptoms and 50,0% had depression symptoms before they had percutaneous coronary intervention. After intervention this number decreased to 18% had anxiety and 10% still had depression symptoms. No significant relationship was found between anxiety and depression symptoms pre-PCI with improvement felt post-PCI. Multivariate analysis found that being not married/divorced (p = 0,012; OR = 13,449; CI = 1,753 – 103,184) as a risk factor towards not feeling any improvement post-PCI."

"Penelitian ini membahas tentang analisis risiko pada proses Percutaneous Coronary Intervention (PCI) di Rumah Sakit Jantung Binawaluya Tahun 2014. Tujuan penelitian ini adalah untuk mengetahui risiko dan tingkat risiko pada proses kegiatan tersebut. Metode identifikasi risiko menggunakan Task Risk Assesment, sedangkan untuk analisis risiko dilakukan dengan menggunakan metode analisis risiko semikuantitatif dengan kriteria penilaian risiko (consequence, likelihood, dan exposure). Penelitian ini adalah penelitian deskriptif analitik dengan menggunakan metode semi kuantitatif AS/NZS 4360:2004. Hasil analisis tingkat risiko yang didapatkan, yaitu risiko dengan tingkat risiko very high sebanyak 37, substantial sebanyak 2, priority 3 sebanyak 6. Saran yang dapat diberikan yaitu diperlukannya manajemen keselamatan dan kesehatan kerja di Rumah Sakit Jantung Binawaluya khususnya ruang Cathlab untuk membuat program keselamatan dan kesehatan kerja.

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This study discusses about risk analysis in Percutaneous Coronary Intervention (PCI) Process at Rumah Sakit Jantung Binawaluya in 2014. The purpose of this study was to determine the risk and level of risk in the PCI process. Risk identification method using the Task Risk Assesment, while for risk analysis is undertaken by semi-quantitative method that uses risk assessment criteria (consequence, likelihood, exposure). This study was a descriptive analytical study using semi-quantitative method AS/NZS 4360:2004. The results of the analysis of the obtained level of risk, is 37 risks to very high risk levels, 2 substantially risks, and 6 risks priority 3. Recommendation above this studi is to build safety and health management in Rumah Sakit Jantung Binawaluya, especially at Cathlab, by creating health and safety program."

"Percutaneous Coronary Intervention (PCI) adalah suatu tindakan intervensi non bedah dengan menggunakan kateter untuk melebarkan atau membuka pembuluh koroner yang menyempit dengan balon dan dilanjutkan dengan pemasangan stent agar pembuluh darah tetap terbuka. Proses penyempitan pembuluh darah koroner ini dapat disebabkan proses aterosklerosis atau thrombosis. PCI merupakan suatu tindakan yang biayanya relatif mahal. Hal ini terkait dengan sumber daya manusia yang terlibat, bahan habis pakai yang digunakan dan penggunaan alat-alat medik. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang terkait dengan biaya perawatan pasien dengan tindakan PCI di RSUP Fatmawati. Penelitian ini merupakan penelitian cross sectional dengan pendekatan kuantitatif melalui telaah data Sistem Informasi Rumah Sakit (SIRS), billing dan unit cost dan pendekatan kualitatif melalui wawancara mendalam. Hasil penelitian menunjukkan bahwa rata-rata biaya perawatan untuk tindakan PCI di RSUP Fatmawati pada tahun 2017 adalah sebesar Rp 53.629.532, dan komponen biaya terbesar dari total biaya perawatan tindakan PCI adalah biaya tindakan intervensi PCI, yaitu 82,8%. Hasil uji statistik menunjukkan bahwa variabel yang berpengaruh terhadap biaya perawatan adalah tingkat keparahan penyakit, lama hari rawat, penggunaan ICCU dan jumlah stent, sedangkan kelas perawatan, jumlah oklusi pembuluh darah dan kasus elektif tidak berpengaruh terhadap total biaya perawatan.

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Percutaneous Coronary Intervention is a nonsurgical intervention procedure by using a catheter to dilate or open coronary vessels that are narrow with balloons and followed by stent replacement to keep blood vessels open. The process of narrowing of these coronary arteries can be due to the process of atherosclerosis or thrombosis. PCI is an procedure that is relatively expensive. It is related to the human resources involved, the consumabled used and the used of medical devices.

This study aims to analyse the factors associated with patient care costs with PCI procedure at Fatmawati General Hospital. This cross sectional study was conducted quantitatively through hospital information system, billing and unit cost, and qualitatively through in-depth interview.

The results show that the average cost for PCI procedure at Fatmawati General Hospital in 2017 was Rp 53,629,532 and the largest cost component of total PCI cost was the cost of PCI intervention measure of 82,8%. The statistic results showed that the variables severity level, length of stay, use of ICCU and number of stents are correlated with total costs of procedure PCI, but variable room class, blood vessel occlusion and elective cases is not correlated to total cost of PCI."

"[ABSTRAKLatar Belakang : Kejadian mortalitas dan MACE merupakan komplikasi pasca PCI yang seringkali terjadi. Kemampuan ahli dalam memprediksi komplikasi dengan cara melakukan stratifikasi risiko menggunakan skor risiko. New Mayo Clinic Risk Score (NMCRS) menggunakan tujuh variabel yang mudah didapatkan pada data awal pasien dan memiliki performa yang baik. Belum ada studi untuk karakteristik mortalitas dan MACE pada NMCRS di ICCU RSCM.Tujuan : mengetahui insidens mortalitas dan MACE serta karakteristik NMCRS pada pasien pasca PCI selama perawatan di ICCU RSCM.Metode : Penelitian dengan desain kohort retrospektif terhadap 313 pasien SKA pasca PCI di ICCU RSCM, dalam kurun waktu 1 Agustus 2013? 31 Agustus 2014. Data pasien dari rekam medis dimasukkan ke dalam tujuh variabel skor NMCRS kemudian ditentukan hasil setiap kategori risiko.Hasil : Insidens mortalitas pasien pasca PCI selama perawatan 3,8% (IK 95% 2,6;5) dan MACE pasca PCI selama perawatan 8,3% (IK 95% 6,6;10). Pasien-pasien dengan usia yang semakin tua, fraksi ejeksi ventrikel kiri yang rendah, infark miokard, kreatinin serum yang meningkat, adanya syok kardiogenik pra prosedur, dan adanya penyakit arteri perifer memiliki kejadian mortalitas dan MACE yang lebih tinggi pasca PCI. Skor NMCRS untuk mortalitas menunjukkan kategori risiko sangat rendah 167 pasien (53%), risiko rendah 60 pasien (19%), sedang 47 pasien (15%), tinggi 10 pasien (3%) dan risiko sangat tinggi 29 pasien (9%). Kejadian mortalitas pada kategori risiko sangat rendah 2 kasus (1,2%), rendah 0 pasien, sedang 2 pasien (4,25%), tinggi 1 pasien (10%) dan sangat tinggi 7 kasus (24,13%). Skor NMCRS untuk MACE memberikan hasil kategori sangat rendah 101 pasien (32%), risiko rendah 128 pasien (41%), sedang 52 pasien (17%), tinggi 16 pasien (5%) dan sangat tinggi 16 kasus (5%). Kejadian MACE untuk risiko sangat rendah sebanyak 4 kasus (3,96%), rendah 7 pasien (5,46%), sedang 4 pasien (7,69%), tinggi 5 pasien (31,25%) dan risiko sangat tinggi 6 kasus (37,5%).Kesimpulan : insidens mortalitas pasien pasca PCI selama perawatan 3,8% (IK 95% 2,6;5) dan MACE pasca PCI selama perawatan 8,3% (IK 95% 6,6;10). Kenaikan skor NMCRS maka akan diiringi peningkatan kejadian mortalitas dan MACE pasca PCI.

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ABSTRACTBackground : Mortality and MACE was an often complication post PCI. Capability from an expert in predict complication by doing risk stratification using risk score. New Mayo Clinic Risk Score (NMCRS) using seven variables easy to collect from medical record and had a good performance. No report about mortality and MACE studies NMCRS characteristic for post PCI patients in ICCU RSCM.Objective : To obtain mortality and MACE incidence and also NMCRS characteristic on post PCI patients in ICCU RSCM.Methods : A retrospective cohort study was conducted to evaluate 313 post PCI patients in ICCU RSCM between August 1st 2013 and August 31 2014. Patients data from medical records collect for seven variables and determined category results for each risk category.Results : In-hospital mortality post PCI incidence 3,8% (CI 95% 2,6;5) and inhospital MACE post PCI 8,3% (CI 95% 6,6-10). Patients that getting older, lower left ventricular ejection fraction, increase serum creatinine, pre-procedure cardiogenic shock, myocardial infarct and peripheral arterial disease had higher mortality and MACE post PCI. NMCRS in predict risk of mortalitas shown for very low risk 167 patient (53%), low risk 60 patient (19%), moderate risk 47 patient (15%), high risk 10 patient (3%) and very high risk 29 patient (9%). Mortality in very low risk 2 patient (1,2%), low risk no patient, moderate 2 patient (4,25%), high 1 patient (10%) and very high risk 7 patient (24,13%). NMCRS in predict MACE shown for very low risk 101 patient (32%), low risk 128 patient (41%), moderate 52 patient (17%), high 16 patient (5%) very high risk 16 patient (5%). MACE in very low risk 4 patient (3,96%), low risk 7 patient (5,46%), moderate risk 4 patient (7,69%), high risk 5 patient (31,25%) and very high risk 6 patient (37,5%).Conclusion : In-hospital mortality post PCI incidence 3,8% (CI 95% 2,6;5) and in-hospital MACE post PCI incidence 8,3% (CI 95% 6,6;10). The increase of NMCRS score was also followed with the increase of mortality and MACE post PCI.;Background : Mortality and MACE was an often complication post PCI. Capability from an expert in predict complication by doing risk stratification using risk score. New Mayo Clinic Risk Score (NMCRS) using seven variables easy to collect from medical record and had a good performance. No report about mortality and MACE studies NMCRS characteristic for post PCI patients in ICCU RSCM.Objective : To obtain mortality and MACE incidence and also NMCRS characteristic on post PCI patients in ICCU RSCM.Methods : A retrospective cohort study was conducted to evaluate 313 post PCI patients in ICCU RSCM between August 1st 2013 and August 31 2014. Patients data from medical records collect for seven variables and determined category results for each risk category.Results : In-hospital mortality post PCI incidence 3,8% (CI 95% 2,6;5) and inhospital MACE post PCI 8,3% (CI 95% 6,6-10). Patients that getting older, lower left ventricular ejection fraction, increase serum creatinine, pre-procedure cardiogenic shock, myocardial infarct and peripheral arterial disease had higher mortality and MACE post PCI. NMCRS in predict risk of mortalitas shown for very low risk 167 patient (53%), low risk 60 patient (19%), moderate risk 47 patient (15%), high risk 10 patient (3%) and very high risk 29 patient (9%). Mortality in very low risk 2 patient (1,2%), low risk no patient, moderate 2 patient (4,25%), high 1 patient (10%) and very high risk 7 patient (24,13%). NMCRS in predict MACE shown for very low risk 101 patient (32%), low risk 128 patient (41%), moderate 52 patient (17%), high 16 patient (5%) very high risk 16 patient (5%). MACE in very low risk 4 patient (3,96%), low risk 7 patient (5,46%), moderate risk 4 patient (7,69%), high risk 5 patient (31,25%) and very high risk 6 patient (37,5%).Conclusion : In-hospital mortality post PCI incidence 3,8% (CI 95% 2,6;5) and in-hospital MACE post PCI incidence 8,3% (CI 95% 6,6;10). The increase of NMCRS score was also followed with the increase of mortality and MACE post PCI., Background : Mortality and MACE was an often complication post PCI. Capability from an expert in predict complication by doing risk stratification using risk score. New Mayo Clinic Risk Score (NMCRS) using seven variables easy to collect from medical record and had a good performance. No report about mortality and MACE studies NMCRS characteristic for post PCI patients in ICCU RSCM.Objective : To obtain mortality and MACE incidence and also NMCRS characteristic on post PCI patients in ICCU RSCM.Methods : A retrospective cohort study was conducted to evaluate 313 post PCI patients in ICCU RSCM between August 1st 2013 and August 31 2014. Patients data from medical records collect for seven variables and determined category results for each risk category.Results : In-hospital mortality post PCI incidence 3,8% (CI 95% 2,6;5) and inhospital MACE post PCI 8,3% (CI 95% 6,6-10). Patients that getting older, lower left ventricular ejection fraction, increase serum creatinine, pre-procedure cardiogenic shock, myocardial infarct and peripheral arterial disease had higher mortality and MACE post PCI. NMCRS in predict risk of mortalitas shown for very low risk 167 patient (53%), low risk 60 patient (19%), moderate risk 47 patient (15%), high risk 10 patient (3%) and very high risk 29 patient (9%). Mortality in very low risk 2 patient (1,2%), low risk no patient, moderate 2 patient (4,25%), high 1 patient (10%) and very high risk 7 patient (24,13%). NMCRS in predict MACE shown for very low risk 101 patient (32%), low risk 128 patient (41%), moderate 52 patient (17%), high 16 patient (5%) very high risk 16 patient (5%). MACE in very low risk 4 patient (3,96%), low risk 7 patient (5,46%), moderate risk 4 patient (7,69%), high risk 5 patient (31,25%) and very high risk 6 patient (37,5%).Conclusion : In-hospital mortality post PCI incidence 3,8% (CI 95% 2,6;5) and in-hospital MACE post PCI incidence 8,3% (CI 95% 6,6;10). The increase of NMCRS score was also followed with the increase of mortality and MACE post PCI.]"

"Latar BelakangIntervensi koroner perkuten primer (IKPP) merupakan sebuah skema tatalaksana yang bertujuan untuk mengembalikan suplai darah ke jantung pada pasien infark miokard dengan onset gejala di bawah 12 jam dan syok kardiogenik berat serta pasien dengan kontraindikasi terapi fibrinolitik.1 Saat ini, drug-eluting stent (DES) merupakan jenis stent yang direkomendasikan karena memiliki benefit lebih besar dalam menurunkan risiko infark miokard berulang dibandingkan pendahulunya yaitu bare-metal stent (BMS) dan salah satu aspek yang dikembangkan adalah material rangka. Penelitian menunjukkan bahwa antara logam stainless steel dan non-stainless steel memiliki pengaruh yang berbeda terhadap luaran klinis pasien yaitu kejadian KKM (kejadian kardiovaskular mayor) dan trombosis stent. Akan tetapi, sebagian besar penelitian dilakukan dengan follow up 1-3 tahun sementara kejadian very late stent thrombosis (VLST) yang terjadi pada DES dapat timbul sampai lima tahun. Oleh karena itu, penelitian ini dilakukan untuk mengetahui perbedaan luaran klinis dalam kurun waktu lima tahun pada pasien yang menjalani IKPP dengan platform DES stainless steel dan non stainless steel.MetodePenelitian ini merupakan penelitian analitik dengan pendekatan kuantitatif yang bertujuan untuk mengetahui pengaruh jenis logam yang digunakan pada stent, yaitu stainless steel dan ¬non-stainless steel, dengan angka kejadian KKM dan trombosis stent pada pasien yang menjalani IKPP dengan follow-up lima tahun setelah prosedur dilaksanakan. Hasil dari data tersebut akan dilakukan analisis bivariat antara variabel bebas dan variabel terikat serta akan dilakukan analisis multivariat dengan faktor-faktor determinan lain. HasilPada pengamatan 5 tahun, Angka kejadian luaran klinis primer dan sekunder menunjukkan tren lebih tinggi pada kelompok stainless steel dibandingkan non-stainless steel walaupun nilai p menunjukkan tidak terdapat perbedaan yang bermakna pada kedua kelompok (KKM: 47,1% vs 41,2%, p 0,511; Trombosis Stent: 11,8% vs 11,1%, p 0,780). KesimpulanPada pengamatan 5 tahun, tidak terdapat perbedaan bermakna pada luaran klinis primer dan sekunder pasien yang menjalani IKPP menggunakan stainless steel dibandingkan non-stainless steel.

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Introduction

Primary coronary percutaneous intervention (CCI) is a management scheme that aims to restore blood supply to the heart in myocardial infarction patients with symptom onset under 12 hours and severe cardiogenic shock and patients with contraindications to fibrinolytic therapy.1 Currently, drug-eluting stents (DES) are the recommended stent type because they have greater benefits in reducing the risk of recurrent myocardial infarction compared to their predecessor, bare-metal stents (BMS) and one aspect that has been developed is the frame material. Studies have shown that stainless steel and non- stainless steel have different effects on patient clinical outcomes such as MACE (major adverse cardiovascular event) and stent thrombosis. However, most studies were conducted with a follow-up of 1-3 years while the incidence of very late stent thrombosis (VLST) that occurs in DES can occur up to five years. Therefore, this study was conducted to determine the difference in clinical outcomes within five years in patients undergoing IKPP with stainless steel and non-stainless steel DES platforms.

Method

This study is an analytic study with a quantitative approach that aims to determine the effect of the type of metal used in stents, namely stainless steel and non-stainless steel, with the incidence of MACE and stent thrombosis in patients undergoing IKPP with a five-year follow-up after the procedure. The results of the data will be subjected to bivariate analysis between the independent variable and the dependent variable and multivariate analysis will be conducted with other determinant factors.

Results

At 5-year follow-up, the incidence of primary and secondary clinical outcomes showed a higher trend in the stainless steel group compared to the non-stainless steel group although the p value showed no significant difference between the two groups (MACE: 47.1% vs 41.2%, p 0.511; Stent Thrombosis: 11.8% vs 11.1%, p 0.780).

Conclusion

At 5-year follow-up, there was no significant difference in the primary and secondary clinical outcomes of patients who underwent IKPP using stainless steel versus non- stainless steel."