PENGARUH PENERAPAN PROGRAM JAMINAN KESEHATAN NASIONAL (JKN) TERHADAP BIAYA PENGOBATAN DAN CLINICAL OUTCOMES PADA PASIEN ASURANSI KESEHATAN (ASKES) DIABETES MELLITUS TIPE II RAWAT JALAN DI RSPAD GATOT SOEBROTO

O envelhecimento populacional é um processo natural, complexo e com diversas variáveis que atingem diretamente a qualidade de vida do idoso e da sociedade. Letramento em saúde é um conceito relativamente novo, que busca caracterizar a capacidade do indivíduo de compreender e ser agente ativo de seu processo saúde-doença. Dessa forma, objetivou-se verificar a relação entre o letramento em saúde e os desfechos clínicos apresentados pela população idosa. Utilizou-se o método de Revisão de Escopo segundo preconizado pelo Instituto Joanna Briggs. A coleta de dados foi realizada nas bases de dados Biblioteca Virtual de Saúde (BVS) e Pub Med. Utilizou-se os descritores “literacy”, “letramento”, “alfabetización en salud”, “elderly”, “aged”, “idoso”, “anciano”, “clinical outcomes” e “health outcomes”. A busca resultou na seleção de 19 artigos para a revisão, sendo verificado a relação do letramento em saúde com diversos desfechos clínicos, principalmente, hipertensão arterial sistêmica, diabetes mellitus, insuficiência cardíaca, risco cardiovascular, doença pulmonar obstrutiva crônica, admissões e hospitalizações, declínio cognitivo leve, doença de Alzheimer e depressão. Desfechos relacionados à dor e incapacidade não apresentaram relação com o letramento em saúde. A literatura demonstrou importante relação do letramento em saúde com diversos desfechos clínicos relevantes no contexto clínico do paciente, sendo fator valioso na avaliação clínica do idoso.

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Clinical outcomes with reservoir‐based polymer‐free amphilimus‐eluting stents in real‐world patients according to diabetes mellitus and complexity: The INVESTIG8 registry

Catheterization and Cardiovascular Interventions ◽

10.1002/ccd.27187 ◽

2017 ◽

Vol 91 (5) ◽

pp. 884-891 ◽

Cited By ~ 8

Author(s):

Gennaro Sardella ◽

Pieter Stella ◽

Mauro Chiarito ◽

Antonio M. Leone ◽

Vruyr Balian ◽

...

Keyword(s):

Diabetes Mellitus ◽

Clinical Outcomes ◽

Real World

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Management of Type 2 Diabetes Mellitus Among Patients Attending a Primary Health Care Setting in Qatar: A Study on Medication Use Pattern and Clinical Outcomes

Value in Health ◽

10.1016/j.jval.2014.08.642 ◽

2014 ◽

Vol 17 (7) ◽

pp. A335

Author(s):

M.I. Mohamed Ibrahim ◽

A. Awaisu ◽

S. Berzou ◽

R. Abu Samaha ◽

S. Elshami ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Health Care ◽

Type 2 Diabetes Mellitus ◽

Primary Health Care ◽

Clinical Outcomes ◽

Care Setting ◽

Medication Use ◽

Primary Health

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Abstract P135: Covid-19 And Hypertension: Pooled Analysis Of Observational Studies

Hypertension ◽

10.1161/hyp.76.suppl_1.p135 ◽

2020 ◽

Vol 76 (Suppl_1) ◽

Author(s):

Vikramaditya Reddy Samala Venkata ◽

Rahul Gupta ◽

Surya Kiran Aedma

Keyword(s):

Diabetes Mellitus ◽

Cardiovascular Disease ◽

Severe Acute Respiratory Syndrome ◽

Clinical Outcomes ◽

Random Effects ◽

Observational Studies ◽

Retrospective Studies ◽

Pooled Analysis ◽

Random Effects Model ◽

Electronic Search

Introduction: The pandemic of COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 infection. Although clinical data is limited, studies published so far raise concerns about an association between hypertension and worse clinical outcomes in COVID-19. Our aim was to assess the association between hypertension and mortality in COVID-19 patients. Methods: A systematic electronic search was performed in PubMed, Embase, and Google Scholar. Retrospective studies with original COVID-19 hospitalized patient data and reporting prevalence of hypertension was included in our study. Pooled analysis using a random-effects model was performed to look at the association between hypertension and mortality. Results: 22 studies from 8 countries with over 11,000 patients were included in our analysis. Hypertension was the most prevalent comorbidity in hospitalized COVID-19 patients (42%), followed by diabetes mellitus (23%)(Figure 1). Hypertension by itself was associated with higher rates of mortality (Figure 2). Other less prevalent comorbidities include non-hypertensive cardiovascular disease (11%), CKD (6%), CVA (5%), COPD (4.3%). Conclusion: Hypertension is the most prevalent comorbidity in hospitalized COVID-19 patients, followed by diabetes mellitus and was found to be significantly associated with higher rates of mortality. Surprisingly, hypertension is significantly more common than COPD in this population. The reason for this is unclear, there is no evidence currently that hypertension is directly related to mortality in this population. More randomized studies are needed to assess the effect of hypertension on mortality in COVID-19 patients.

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