@article{repository11468, doi = {http://dx.doi.org/10.21776/ub.jkb.2021.031.04.X}, number = {4}, publisher = {Fakultas Kedokteran Universitas Brawijaya}, volume = {31}, title = {Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia Skor Prediktif pada Penyakit Jantung Iskemik pada Pekerja di Jakarta, Indonesia}, journal = {Jurnal Kedokteran Brawijaya}, issn = {0216-9347}, url = {http://jkb.ub.ac.id/index.php/jkb/article/view/2970}, 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 {\ensuremath{>}}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{\ensuremath{<}}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 {\ensuremath{>}}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}, author = {Pandhita, Gea and Leli Hesti Indriyati, Leli} }