Skripsi
HUBUNGAN KELEBIHAN ZAT BESI DENGAN FUNGSI HATI PADA PASIEN ANAK THALASSEMIA BERGANTUNG TRANSFUSI DI RSUP DR. MOHAMMAD HOESIN PALEMBANG
Pediatric transfusion-dependent thalassemia patients require lifelong transfusion to compensate for inadequate erythrocyte and to support patient’s growth and development. However, regular transfusion can cause iron overload leading to oxidative stress-induced liver injury. The purpose of this study is to analyze the relationship between iron overload and liver function in pediatric transfusion-dependent thalassemia patients at RSUP Dr. Mohammad Hoesin Palembang. This study is an analytical observational study with a cross-sectional study design. This study included 139 pediatric transfusion-dependent thalassemia patients at RSUP Dr. Mohammad Hoesin Palembang aged between 1-18 years old. This study used secondary data consisting of sociodemographic characteristics, iron status, and liver function obtained from patient’s medical record. The Chi-Square and Fisher test is used to analyze the relationship between each indicator of iron status and liver function in the patients. Majority of patients have ≥ 1000 µg/L serum ferritin (88,5%), ≥ 70% transferrin saturation (68,3%), and high total bilirubin (69,8%). Most patients have normal SGOT (59,0%), SGPT (59,7%), PT (97,8%), APTT (87,8%), and albumin (97,1%). All patients have normal total protein. Iron overload has significant relationships with SGOT (p=0,003 and p=0,001) and SGOT (p=0,003 and p=0,001), but not with PT (p=0,309 and p=0,235), APTT (p=0,693 and 0,442), total bilirubin (p=0,776 dan p=0,607), and albumin (p=0,390 and p=1,000). Iron overload has significant relationships with SGOT and SGPT in pediatric transfusion-dependent thalassemia patients at RSUP Dr. Mohammad Hoesin Palembang. Kata Kunci: Thalassemia Bergantung Transfusi, Kelebihan Zat Besi, Fungsi Hati.
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