Application of the Cox Proportional Hazard Model with the Breslow Method in Inpatients with Type 2 Diabetes Mellitus at XYZ Hospital

Puteri Nuraisyah, Zahra Zakiyah

Abstract


Type 2 Diabetes Mellitus (DMT2) is a chronic disease that is often accompanied by complications such as hypertension, anemia, and infection, which can affect the length of hospitalization and the time of clinical occurrence. The purpose of this study is to analyze the clinical factors that affect the time of occurrence in DMT2 inpatients at XYZ Hospital using the Cox Proportional Hazard regression model using the Breslow method. Secondary data from 33 patients were analyzed by including variables of age, sex, comorbidities, blood pressure, blood sugar levels, diabetes mellitus diet program, diabetic feet, and pain. Results showed that age (p = 0.076), comorbidities (p = 0.058), and pain complaints (p = 0.101) had a significant effect on the time of occurrence, while other variables were insignificant. Thus, the Cox model of the Breslow method has been shown to be effective in identifying risk factors in the clinical data of survival of DMT2 patients

Keywords


Survival Analysis; Cox Proportional Hazard Model; Type 2 Diabetes Mellitus

References


I. D. A. E. C. Astutisari, A. Y. D. AAA Yuliati Darmini, and I. A. P. W. Ida Ayu Putri Wulandari, "The Relationship between Diet and Physical Activity and Blood Sugar Levels in Type 2 Diabetes Mellitus Patients at the Manggis I Health Center," J. Ris. Health. Nas., vol. 6, no. 2, pp. 79–87, 2022.

Lestari, Zulkarnain, Sijid, and S. Aisyah, "Diabetes Mellitus: Review of Etiology, Pathophysiology, Symptoms, Causes, Methods of Examination, Treatment and Prevention," UIN Alauddin Makassar, vol. 1, no. 2, pp. 237–241, 2021.

A. A. Muhammad, "Insulin Resistance and Insulin Secretion Dysfunction as Causative Factors of Type 2 Diabetes Mellitus," J. Health. Mass., vol. 8, no. 2, pp. 174–178, 2018.

P. L. Sari, A. Abbas, and K. D. Jayanti, "Factors Associated with the Incidence of Diabetes Mellitus in Women in Jajar Village, Kediri Regency," vol. 3, no. 2, 2024.

C. A. A. Purwandari, B. Wirjatmadi, and T. Mahmudiono, "Risk Factors for Chronic Complications of Type 2 Diabetes Mellitus in the Pre-Elderly," Amerta Nutr., vol. 6, no. 3, pp. 262–271, 2022.

K. Komariah and S. Rahayu, "The Relationship between Age, Sex and Body Mass Index and Fasting Blood Sugar Levels in Type 2 Diabetes Mellitus Patients at the Proclamation Outpatient Primary Clinic, Depok, West Java," J. Health. Kusuma Husada, no. Dm, pp. 41–50, 2020.

S. Dewi Gusti Ningsih, E. Mutiara Br Saragi, G. July Arta Simamora, Y. Laia, T. Nababan, and F. Nursing and Midwifery, "The Relationship between Blood Sugar Levels and Blood Pressure in Type 2 Diabetics at RSU. Royal Prima Medan," vol. 4, pp. 4195–4208, 2024.

D. Pratiwi, M. D. Izhar, and M. Syukri, "Study of Prevalence and Factors Related to Diabetes Mellitus in Jambi Province: Riskesdas Data Analysis 2018," J. Health. Community, vol. 8, no. 1, pp. 79–85, 2022.

Nova Rita, "The Relationship of Gender, Sport and Obesity with the Incidence of Diabetes Mellitus in the Elderly," J. Health Sciences., vol. 2, no. 1, pp. 93–100, 2018.

Alfianti Djamil, Andi Mappanganro, and Wa Ode Sri Asnaniar, "Risk Factors Related to Blood Pressure in People with Type II Diabetes Mellitus," Wind. Nurs. J., vol. 02, no. 01, pp. 1–12, 2021.

M. S. Ummah, "Risk Factors for the Occurrence of Diabetes Mellitus," Sustain., vol. 11, no. 1, pp. 1–14, 2019.

E. Setiani, S. Sudarno, and R. Santoso, "Comparison of Cox Proportional Hazard Regression Model Using the Method Breslow And Efron (Case Study: Stroke Patient at Tugurejo Hospital, Semarang City)," J. Gaussian, vol. 8, no. 1, pp. 93–105, 2019.

T. Wuryandari, S. H. Kartiko, and D. Danardono, "Analysis Survival For the duration of the birth process using the additive hazard regression model," J. Gaussian, vol. 9, no. 4, pp. 402–410, 2020.

N. Soraya, Y. Novia, and S. Wahyuningsih, "Cox Proportional Hazard Model in Joint Events (Ties) with Method Breslow (Case Study: Inpatient Patients with Dengue Hemorrhagic Fever (DHF) at Dirgahayu Samarinda Hospital for the Period of July 2016 to June 2017)," J. Exponential, vol. 9, no. 1, pp. 95–103, 2018.

N. N. S. Zega, M. Mustafid, and T. Wuryandari, "Application of Cox Proportional Hazard Regression to Joint Events (Ties) with the Method Breslow, Efron, Dan Exact,” J. Gaussian, vol. 12, no. 4, pp. 520–530, 2024.

E. Riyani, S. Martha, and N. Imro'ah, "Analysis of Cox Proportional Hazard Regression Model Using Method Breslow,” Bimaster Bul. Ilm. Mat. …, vol. 11, no. 4, pp. 659–666, 2022.

D. Penerapan and M. Fifo, “Cox Proportional Hazard Regression Model in Analysis of Factors Affecting Survival Time," vol. 3, no. 1, pp. 17–23, 2024.

A. S. Khinanti, S. Sudarno, and T. Wuryandari, "Cox Hazard Regression Model in Hemodialysis Patient Survival Data," J. Gaussian, vol. 10, no. 2, pp. 303–314, 2021.

U. L. Mangkurat, "Cox regression analysis to determine factors that affect the length of study of students of s1 fmipa Lambung Mangkurat University 1,2,3," vol. 13, pp. 1–12, 2024.




DOI: http://dx.doi.org/10.24014/icopss.v4i2.37878

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Journal ICoPSS : Indonesian Council of Premier Statistical Science

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