?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=HUBUNGAN+ANTARA+FRAKSI+EJEKSI+VENTRIKEL+KIRI+TERHADAP%0D%0AMORTALITAS+PASIEN+IMA-EST+DI+RUMAH+SAKIT+UMUM+DAERAH%0D%0AABDUL+MOELOEK+PROVINSI+LAMPUNG+PERIODE+2021-2023&rft.creator=Rifqi+%2C+Ihza+Ramadhan&rft.subject=610+Ilmu+kedokteran%2C+ilmu+pengobatan+dan+ilmu+kesehatan&rft.description=Latar+Belakang+%3A+Fraksi+ejeksi+(FE)+yang+rendah+yaitu+%E2%89%A440%25+dihubungkan+dengan%0D%0Arisiko+lebih+tinggi+untuk+mengalami+kejadian+yang+buruk%2C+dibanding+dengan+FE%0D%0A%3E40%25.+Laju+mortalitas+pasien+IMA-EST+di+Bandar+Lampung+belum+terdokumentasi%0D%0Adi+literatur.+Namun%2C+beberapa+studi+yang+berhubungan+melaporkan+laju+mortalitas%0D%0Aakan+meningkat+setiap+tahunnya%2C+proyeksi+Institute+of+Health+Metrics+and%0D%0AEvaluation+memperkirakan+angka+ini+akan+terus+meningkat+hingga+tahun+2030.%0D%0AStudi+ini+menginvestigasi+hubungan+antara+fraksi+ejeksi+ventrikel+kiri+terhadap%0D%0Amortalitas+pasien+IMA-EST+di+Rumah+Sakit+Umum+Daerah+Abdul+Moeloek%0D%0AProvinsi+Bandar+Lampung%2C+2021-2023%0D%0AMetode+%3A+Studi+observasional+kuantitatif+dengan+pendekatan+retrospektif+kohort%0D%0Amenggunakan+data+sekunder+dari+rekam+medis+pasien+terkonfirmasi+IMA-EST+yang%0D%0Adirawat+di+rumah+sakit+pada+periode+2021-2023%2C+sebanyak+98+sampel+diperoleh+akan%0D%0Adianalisis+hubungannya+melalui+uji+chi-square.%0D%0AHasil+%3A+P-value+bernilai+0.001+diperoleh+dari+uji+chi-square+dengan+relative+risk%0D%0Abernilai+5.71.+Berdasarkan+nilai+yang+didapat%2C+sebuah+hubungan+dapat+ditegakkan%0D%0Adengan+risiko+kematian+yang+tingginya+signifikan+sekitar+5.71+kali+lebih+tinggi+di%0D%0Akelompok+%E2%80%9Cdengan+FE+rendah%E2%80%9D.+Laju+mortalitas+dari+kedua+kelompok+adalah+36.8%25%0D%0Adengan+laju+mortalitas+lebih+tinggi+yaitu+60%2C7%25+pada+kelompok+%E2%80%9Cdengan+FE+rendah%E2%80%9D%0D%0Adan+10%2C6%25+pada+kelompok+%E2%80%9Ctanpa+FE+rendah%E2%80%9D.%0D%0AKesimpulan+%3A+Pasien+dengan+IMA-EST+dan+FE+yang+berkurang+memiliki+risiko%0D%0Akematian+yang+tinggi+dan+meningkat+dibanding+kelompok+%E2%80%9Ctanpa+FE+rendah%E2%80%9D.+Hal%0D%0Aini+mengindikasikan+bahwa+fraksi+ejeksi+merupakan+prediktor+prognosis+yang+kuat%0D%0Abagi+pasien+dengan+IMA-EST.%0D%0A%0D%0ABackground+%3A+Reduced+LVEF+(%3C40%25)+is+associated+with+higher+adverse+outcomes%0D%0Acompared+to+LVEF+%3E40%25.+While+specific+STEMI+mortality+rates+in+Bandar%0D%0ALampung+are+undocumented%2C+studies+indicate+an+annual+increase%2C+with+projections%0D%0Aby+the+Institute+of+Health+Metrics+and+Evaluation+suggesting+continued+growth+until%0D%0A2030.+Understanding+this+relationship+is+critical+for+improving+clinical+outcomes%0D%0Aand+addressing+the+rising+mortality+trend+in+STEMI+patients.+This+study+examines%0D%0Athe+relationship+between+left+ventricular+ejection+fraction+(LVEF)+and+mortality%0D%0Arates+in+ST-segment+elevation+myocardial+infarction+(STEMI)+patients+at+Abdul%0D%0AMoeloek+Regional+General+Hospital%2C+Bandar+Lampung%2C+from+2021+to+2023.%0D%0AMethods+%3A+Observational+quantitative+studies+with+retrospective+cohort+approach%0D%0Autilizing+secondary+data+through+medical+records+of+STEMI+confirmed+in-%0D%0Ahospitalized+patient+in+2021-2023%2C+a+total+of+98+sample+were+acquired+then+analyzed%0D%0Ausing+chi-sqaure+statistical+analysis.%0D%0AResults%3A+P-value+of+0.001+is+procured+through+chi-square+analysis+with+relative+risk%0D%0Aof+5.71%2C+based+on+the+value+found%2C+a+relationship+was+established+with+significantly%0D%0Ahigher+risk+of+death+approximately+5.71+times+higher+in+the+reduced+EF+group.%0D%0AMortality+rates+of+both+group+combined+is+36.8%25+with+reduced+EF+group%0D%0Asignificantly+higher+mortality+rates+of+60.7%25+and+10%2C6%25+in+the+preserved+EF+group.%0D%0A(%2Bunivariat+lalu+bivariat)%0D%0AConclusion%3A+Patient+presenting+with+STEMI+and+Reduced+EF+exhibit+a+significantly%0D%0Ahigher+and+elevated+risk+of+death+compared+to+those+with+preserved+EF.+This%0D%0Aindicates+that+EF+is+powerful+predictor+of+clinical+outcomes+in+patient+presenting%0D%0Awith+STEMI.&rft.publisher=FAKULTAS+KEDOKTERAN&rft.date=2025-01-13&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F83813%2F1%2FSKRIPSI%2520FULLR_removed-4.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F83813%2F2%2FSKRIPSI%2520FULLR_removed-2.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F83813%2F3%2FSKRIPSI%2520FULLR_removed.pdf&rft.identifier=++Rifqi+%2C+Ihza+Ramadhan++(2025)+HUBUNGAN+ANTARA+FRAKSI+EJEKSI+VENTRIKEL+KIRI+TERHADAP+MORTALITAS+PASIEN+IMA-EST+DI+RUMAH+SAKIT+UMUM+DAERAH+ABDUL+MOELOEK+PROVINSI+LAMPUNG+PERIODE+2021-2023.++FAKULTAS+KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F83813%2F