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Original Article

. 2018; 9(1): 24-27


Probability of Dying and Survival Analysis of Diabetic and/Hypertensive Patients who Undergone Hemodialysis with Heart Disease Complication: A Comparison between a Hemodialysis Center Jakarta, Indonesia and Penang, Malaysia

Diana Laila Ramatillah, Syed Azhar Syed Sulaiman, Amer Hayat Khan, Dato Ong Loke Meng, Markum.

Abstract
Background: Probability of dying of hemodialysis patients can also be caused by heart disease complication. Indonesia
and Malaysia are neighbouring countries which might have different pattern in probability of dying and survival analysis
of diabetic and / hypertensive patients who undergone hemodialysis with heart disease complication. Objective: To
compare probability of dying and survival analysis hypertensive and / diabetic patients who undergone hemodialysis with
heart disease complication in Hemodialysis (HD) center Jakarta, Indonesia and Penang, Malaysia. Methods: A cohort
prospective study was done among inclusion criteria patients who had been followed up for 9 months. Universal
sampling was used to select those hemodialysis patients. Results: There was significant relationship between probability
of dying and heart disease comorbidity among hemodialysis patients in HD center Jakarta, Indonesia (hazard: -0.98,
hazard ratio: 0.38, 95%Cl for hazard ratio: 0.15-0.98, P < 0.05), while no significant relationship was found between
probability of dying and heart disease comorbidity among hemodialysis patients in HD center Penang, Malaysia (hazard:
-1.19, hazard ratio: 0.31, 95%Cl for hazard ratio: 0.03-2.74, P > 0.05). Conclusion: Heart disease was one of the risk
factors which caused mortality in HD center Jakarta, Indonesia and the percentage to survive for hemodialysis patients
who had heart disease in HD center Jakarta was lesser than the patients who did hemodialysis in HD center Penang,
Malaysia.

Key words: Probability of Dying, Survival Analysis, Hemodialysis, Indonesia, Malaysia.



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