KESIMPULAN DAN SARAN
6.2 Keterbatasan Penelitian
Sampel penelitian ini lebih kecil dibandingkan dengan penelitian-penelitian yang dilakukan sebelumnya. Selain itu desain penelitian ambispektif menyebabkan ada data dieksklusi karena datanya yang tidak lengkap, terutama data yang berasal dari rekam medis. Penelitian ini juga tidak mencari hubungan level serum asam urat dengan stadium AKI. Walaupun serum asam urat yang diambil adalah dalam kurun waktu 7 hari sebelum operasi jantung masih terdapat kemungkinan bias dalam hal pengambilan nilai serum asam urat praoperasi karena nilai serum asam urat berfluktuasi dari waktu ke waktu. Penelitian ini dilakukan dengan menganalisis faktor-faktor praoperasi dan perlakuan intraoperatif saja tanpa menganalisis kejadian postoperatif.
6.3 Saran
Sebaiknya dilakukan penelitian lebih lanjut dengan sampel penelitian yang lebih besar serta dengan desain penelitian kohort dengan melibatkan faktor-faktor intraoperatif dan postoperatif sehingga data yang didapatkan dapat lebih representatif.
Penambahan terapi untuk menurunkan level asam urat yang tinggi dinilai perlu untuk
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45 mengurangi kejadian AKI pascaoperasi jantung, terutama pada pasien-pasien dengan kadar serum asam urat >6,5 g/dL praoperasi jantung mengingat angka kejadian AKI pascaoperasi jantung yang tinggi yaitu mencapai 59%. Hasil penelitian ini diharapkan dapat membantu para praktisi kesehatan dalam hal manajemen pasien-pasien yang akan menjalani operasi jantung dengan risiko tinggi kejadian AKI pascaoperasi jantung. Penelitian eksperimen dirasakan perlu untuk menilai apakah pemberian allopurinol pada pasien-pasien dengan hiperuresemia praoperasi dapat menurunkan kejadian AKI pascaoperasi jantung.
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Nama Pasien :___ ________________________________ (L / P) Umur :____ thn. Tanggal Lahir : ___/ ___/_____ (DD/MM/YY) Pekerjaan :____ _ _ _ __ No. Tlp/HP : ______ _ _ __