Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia Skor Prediktif pada Penyakit Jantung Iskemik pada Pekerja di Jakarta, Indonesia

Pandhita, Gea dan Leli Hesti Indriyati, Leli Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia Skor Prediktif pada Penyakit Jantung Iskemik pada Pekerja di Jakarta, Indonesia. Jurnal Kedokteran Brawijaya, 31 (4). ISSN 0216-9347

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Abstract

Ischemic Heart Disease (IHD) is one of the leading causes of morbidity and mortality in many countries, including
Indonesia. Therefore, cardiovascular risk-prediction models are required in clinical practice for early detection in highrisk populations, including the worker population. This study intends to develop a predictive risk measure for early
detection of IHD incidences among employees in Jakarta, Indonesia. Source of data wasthe database of 4,100 medical
check-up (MCU) results of employees and entrepreneurs in Jakarta and surrounding areas in January to October 2019.
Multivariate analysis showed that being aged >40 years (p=0.000; OR=5.329 (95% CI 2.621-10.833)), having a history
of dyspnea (p=0.000; OR=5.699 (95% CI 2.524-12.871)), smoking (p=0.048; OR=2.007 (95% CI 1.924-4.359)) and
HDL<50 mg/dL (p=0.049; OR=1.811 (95% CI 1.099-3.281)) were all good predictors to detect IHD in the worker
population. The combination of these predictors results with a cut-off point of 2.5, showed accuracy (79.2% sensitivity
and 66.3% specificity). Workers who have a score >2.5 are at high risk of developing IHD in the future. This scoring
system can be used by workers or companies to take early preventive measures.
Keywords: Ischemic heart disease, predictive risk score, smoking, workers

Item Type:	Article
Subjects:	R Medicine > R Medicine (General) R Medicine > RZ Other systems of medicine
Divisions:	Fakultas Kedokteran > Kedokteran
Depositing User:	kedokteran kedokteran
Date Deposited:	19 Sep 2021 06:28
Last Modified:	19 Sep 2021 06:28
URI:	http://repository.uhamka.ac.id/id/eprint/11468

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