Correlation Between Predictor Factors (Hemoglobin, Leukocytes, Platelets, LDL, HbA1c, D-dimer, Albumin) and Length of Stay in Patients with Diabetic Ulcers at Dr. Pirngadi General Hospital Medan, 2022–2023

Abstrak

Background : Uncontrolled diabetes causes chronic complications, both
microangiopathies and angiopathies. Diabetic ulcers are one of the
chronic complications of diabetes, caused by macroangiopathy resulting in
vascular insufficiency and neuropathy. Ulcers are a concern which will
lead to a level of disability that will prolong the patient's treatment period.
Factors that affect the length of care in diabetic ulcer patients are
metabolic control (poor blood sugar, hba1c, albumin, hemoglobin, LDL,
LDL), infection control (elevated leukocytes), vascular control (increased
d-dimer coagulation). The length of treatment of diabetic ulcer patients
will burden both the patient and the state. Research: To analyze the
relationship of predictor factors (hemoglobin, leukocytes, platelets, LDL,
HbA1c, D-dimer, Albumin) to the length of treatment of diabetic ulcer
patients at Dr. Pirngadi Hospital Medan City. Methods: This study is an
analytic observational study with a research design using a cross-sectional
study. Results: Based on the results of the proportion test with the Chi-
square correlation test there is a relationship between hemoglobin (p-
value of 0.008), the relationship between leukocytes (p-value of 0.010), the
relationship between platelets (p-value of 0.010), the relationship between
LDL (p-value of 0.047), the relationship between HbA1C (p-value of
0.046), the relationship between D-dimer (p-value of 0.025), the
relationship between albumin (p-value of 0.041) with the length of
treatment of diabetic ulcer patients. In multivariate results, the factor that
most influences the length of treatment is leukocytes. Conclusion:
Hemoglobin, leukocyte, platelet, LDL, HbA1c, D-dimer, Albumin levels
are factors associated with the length of treatment of diabetic ulcer
patients at Rsud Dr. Pirngadi Medan City in 2022-2023 and leukocytes
are the most influential factor.
Keywords: diabetes, diabetic ulcer, length of stay