ANALISIS FAKTOR RISIKO KEMATIAN JAMAAH HAJI LANSIA EMBARKASI SOLO TAHUN 2017-2019

HANA NURHIDAYATI U, Dr. dr. Probosuseno, Sp.PD-KGer, FINASIM, S.E; dr. Mohammad Robikhul Ikhsan, Sp.PD, K-EMD, M.Kes

2019 | Skripsi | S1 KEDOKTERAN

Latar Belakang: Banyak jemaah haji lansia meninggal dunia saat ibadah haji. Oleh karena itu penting untuk mengetahui faktor risiko yang berhubungan dengan kematian jemaah haji lansia, utamanya faktor riwayat kesehatan, BMI, dan jenis kelamin. Dikhususkan pada embarkasi Solo (SOC) karena sebagian besar jemaah dan jemaahnya yang wafat merupakan lansia Tujuan: Mengetahui gambaran profil kesehatan jemaah haji lansia SOC yang meninggal saat ibadah haji tahun 2017-2019 dan faktor risiko yang berhubungan dengan kematian jemaah haji lansia SOC tahun 2017-2019. Metode: Observasional analitik dengan desain case control. Kasus adalah jemaah yang wafat sedangkan kontrol merupakan jemaah yang hidup. Dianalisis secara univariat, bivariat dengan chi square, dan multivariat dengan regresi logistik ganda. Hasil: Jemaah SOC lansia yang wafat tahun 2017-2019 berjumlah 222 orang. Rata-rata berumur 71,87 tahun dan 62% merupakan pria. Terbanyak dari Kabupaten Banyumas. 26,58%nya merupakan underweight, 32,88% BMI normal, 14,86% overweight, dan 23,42% obese. Terdapat 796 diagnosis pada jemaah lansia wafat, rata-rata membawa 3 - 4 diagnosis sebelum berangkat. Faktor risiko yang berhubungan adalah underweight (p=<0,001, OR=5,117), diabetes mellitus (p=0,001, OR=2,070), kardiomegali (p=0,023, OR=1,632), penyakit jantung iskemik (p=<0,001, OR=3,166), PPOK (p=0,001, OR=3,339), gagal jantung (p=<0,001, OR=6,122), dan tuberkulosis (p=0,026, OR=3,199). Ada interaksi antara variabel diabetes mellitus dengan tuberkulosis (p=0,002). Kesimpulan: Jemaah lansia SOC tahun 2017-2019 yang wafat kebanyakan laki-laki, BMI normal, dan rata-rata membawa 3 sampai 4 penyakit sebelum berangkat ke tanah suci. Faktor risiko yang berhubungan dengan kematian jemaah adalah underweight, diabetes mellitus, kardiomegali, penyakit jantung iskemik, PPOK, gagal jantung, dan tuberkulosis.

Background: Many elderly pilgrims died during the Hajj. It is important to know the risk factors associated with the death of elderly pilgrims, especially history of disease, BMI, and gender. This study chose Solo embarkation pilgrims (SOC) because most of the pilgrims and the pilgrims who died are elderly, year 2017-2019 because it is the most recent period of Hajj this time. Objective: This study aims to determine the health profile of elderly SOC pilgrims who died during the 2017-2019 pilgrimage and find out the risk factors associated. Method: Analytic observational study with case control design. Case is the group of pilgrims who died while control is the group who still alive. Analyzed with univariate analysis, bivariate analysis with chi square, and multivariate analysis with multiple logistic regression. Results: There were 222 elderly SOC pilgrims who died in 2017-2019. Average age was 71.87 years and 62% were male. Most from Banyumas Regency. 26.58% were underweight, 32.88% normal BMI, 14.86% overweight, and 23.42% obese. Pilgrims had a total of 796 diagnoses at health checks, with an average of carrying 3 to 4 diagnoses before leaving for the Hajj. Risk factors associated with elderly pilgrims death were underweight (p = <0,001, OR = 5,117), diabetes mellitus (p = 0.001, OR = 2,070), cardiomegaly (p = 0.023, OR = 1,632), ischemic heart disease (p = <0,001, OR = 3,166), COPD (p = 0,001, OR = 3,339), heart failure (p = <0,001, OR = 6,122), and tuberculosis (p = 0.026, OR = 3.199). There was an interaction between diabetes mellitus and tuberculosis (p = 0.002). Obese was only found to have a significant result on bivariate analysis. Conclusion: Elderly SOC pilgrims in 2017-2019 who died mostly male, had a normal BMI, and on average carried 3 to 4 diseases before leaving for the Hajj. Risk factors associated with elderly SOC pilgrims death are underweight, diabetes mellitus, cardiomegaly, ischemic heart disease, COPD, heart failure, and tuberculosis.

Kata Kunci : embarkasi Solo, faktor risiko, haji, kematian, lansia