?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=STUDI+COST+EFFECTIVENESS+ANALYSIS+ANTIHIPERTENSI+PADA%0D%0APASIEN+HIPERTENSI+DENGAN+PENYAKIT+PENYERTA+CONGESTIVE%0D%0AHEART+FAILURE+DI+RUMAH+SAKIT+UMUM+DAERAH+Dr.+H.+ABDUL%0D%0A%0D%0AMOELOEK+PROVINSI+LAMPUNG&rft.creator=%09Gracylia+%2C+Kylalona%09&rft.subject=610+Ilmu+kedokteran%2C+ilmu+pengobatan+dan+ilmu+kesehatan&rft.description=Background%3A+Hypertension+is+a+disease+associated+with+social+and+economic%0D%0Aconsequences%2C+especially+in+low-+and+middle-income+countries+(LMICs).+The+aim%0D%0Aof+this+study+was+to+determine+the+cost+effectiveness+of+the+2+most+widely+used%0D%0Aantihypertensive+options+for+hypertensive+patients+with+congestive+heart+failure%0D%0A(CHF).%0D%0AMethods%3A+This+type+of+research+is+descriptive+analytic+retrospectively.+The+sample%0D%0Ain+this+study+were+hypertensive+patients+with+CHF+comorbidities+who+were%0D%0Ahospitalized+in+2020-2022+with+the+sampling+method%2C+total+sampling.+The+cost%0D%0Aeffectiveness+analysis+study+uses+a+hospital+perspective%2C+the+calculated+costs+are%0D%0Adirect+medical+costs%2C+clinical+outcomes+include+a+decrease+in+systolic+and+diastolic%0D%0Ablood+pressure.+Analysis+was+carried+out+univariate+and+bivariate+using+SPSS.%0D%0AResults%3A+The+ACER+value+of+furosemide%2C+ramipril%2C+and+spironolactone+(therapy+A)%0D%0Awas+lower+than+bisoprolol%2C+furosemide%2C+ramipril%2C+and+spironolactone+(therapy+B).%0D%0AThe+ACER+value+of+therapy+A+based+on+systolic+and+diastolic+blood+pressure+is+Rp%0D%0A212%2C395%2FmmHg+and+Rp+346%2C948%2FmmHg+with+p-value+0.46+and+p-value+0.424.+The%0D%0AICER+value+of+therapy+A+against+therapy+B+based+on+systolic+and+diastolic+blood%0D%0Apressure+is+Rp+425%2C476%2FmmHg+and+Rp+402%2C478%2FmmHg.%0D%0AConclusion%3A+Therapy+A+is+more+cost+effective+than+therapy+B+but+there+is+no%0D%0Asignificant+difference+in+ACER+value+between+the+two+therapy+options.+The+results%0D%0A%0D%0Aof+this+research+can+be+used+as+consideration+and+further+pharmacoeconomic+analy-%0D%0Asis+is+needed.%0D%0ALatar+Belakang%3A+Hipertensi+merupakan+penyakit+yang+dikaitkan+dengan%0D%0Akonsekuensi+sosial+dan+ekonomi+khususnya+di+negara-negara+berpendapatan%0D%0Arendah+dan+menengah+(LMICs).+Tujuan+penelitian+ini+untuk+mengetahui+cost%0D%0Aeffectiveness+dari+2+pilihan+antihipertensi+yang+paling+dibanyak+digunakan+pasien%0D%0Ahipertensi+dengan+penyakit+penyerta+congestive+heart+failure+(CHF).%0D%0AMetode%3A+Jenis+penelitian+ini+adalah+deskriptif+analitik+secara+retrospektif.%0D%0ASampel+pada+penelitian+ini+adalah+pasien+hipertensi+dengan+penyakit+penyerta%0D%0ACHF+yang+dirawat+inap+tahun+2020-2022+dengan+metode+pengambilan+sampel%0D%0Ayakni+total+sampling.+Studi+cost+effectiveness+analysis+menggunakan+perspektif%0D%0Arumah+sakit%2C+biaya+yang+dihitung+adalah+biaya+medis+langsung%2C+outcome+klinis%0D%0Ameliputi+penurunan+tekanan+darah+sistolik+dan+diastolik.+Analisis+dilakukan%0D%0Asecara+univariat+dan+bivariat+dengan+menggunakan+SPSS.%0D%0AHasil%3A+Nilai+ACER+kombinasi+furosemide%2C+ramipril%2C+dan+spironolakton+(terapi%0D%0AA)+lebih+rendah+dibandingkan+kombinasi+bisoprolol%2C+furosemide%2C+ramipril%2C+dan%0D%0A%0D%0Aspironolakton+(terapi+B).+Nilai+ACER+terapi+A+berdasarkan+tekanan+darah+sis-%0D%0Atolik+dan+diastolik+yakni+sebesar+Rp+212.395%2FmmHg+dan+Rp+346.948%2FmmHg%0D%0A%0D%0Adengan+p-value+0%2C46+dan+p-value+0%2C424.+Nilai+ICER+terapi+A+terhadap+terapi+B%0D%0Aberdasarkan+tekanan+darah+sistolik+dan+diastolik+adalah+sebesar+Rp%0D%0A425.476%2FmmHg+dan+Rp+402.478%2FmmHg.%0D%0AKesimpulan%3A+Terapi+A+lebih+cost+effective+dibandingkan+terapi+B+tetapi+tidak%0D%0Aada+perbedaan+signifikan+nilai+ACER+antara+kedua+pilihan+terapi.+Hasil%0D%0Apenelitian+ini+dapat+dijadikan+bahan+pertimbangan+dan+dibutuhkan+analisis%0D%0Afarmakoenomi+lebih+lanjut.%0D%0A%0D%0AKata+Kunci%3A+Antihipertensi%2C+Hipertensi+dengan+Congestive+Heart+Failure%2C+Cost%0D%0AEffectiveness+Analysis&rft.publisher=KEDOKTERAN&rft.date=2024-03-28&rft.type=Skripsi&rft.type=NonPeerReviewed&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F84071%2F1%2FAbstrak%2520skripsi%2520-%2520gracylia%2520kylalona.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F84071%2F2%2FSkripsi%2520Full%2520-%2520gracylia%2520kylalona.pdf&rft.format=text&rft.identifier=http%3A%2F%2Fdigilib.unila.ac.id%2F84071%2F3%2FSkripsi%2520Tanpa%2520Pembahasan%2520-%2520gracylia%2520kylalona.pdf&rft.identifier=+++Gracylia+%2C+Kylalona+++(2024)+STUDI+COST+EFFECTIVENESS+ANALYSIS+ANTIHIPERTENSI+PADA+PASIEN+HIPERTENSI+DENGAN+PENYAKIT+PENYERTA+CONGESTIVE+HEART+FAILURE+DI+RUMAH+SAKIT+UMUM+DAERAH+Dr.+H.+ABDUL+MOELOEK+PROVINSI+LAMPUNG.++KEDOKTERAN%2C+UNIVERSITAS+LAMPUNG+.+++++&rft.relation=http%3A%2F%2Fdigilib.unila.ac.id%2F84071%2F