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All Journal International Journal of Public Health Science (IJPHS) International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Jurnal Anestesi Perioperatif Althea Medical Journal Global Medical and Health Communication MNJ (Malang Neurology Journal) Journal of Medicine and Health Journal of Indonesian Dental Association Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Majalah Anestesia dan Critical Care Majalah Kedokteran Neurosains Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran Jurnal Neuroanestesi Indonesia Acta Medical and Health Sciences (AMHS) LOGIC : Jurnal Ilmu Komputer dan Pendidikan Biner : Jurnal Ilmu Komputer, Teknik dan Multimedia OKTAL : Jurnal Ilmu Komputer dan Sains AMMA : Jurnal Pengabdian Masyarakat Buletin Ilmiah Ilmu Komputer dan Multimedia (BIIKMA) Neurona Journal of Medicine and Health

Lisda Amalia

Universitas Padjadjaran

Author-ID : 1090878

Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Transportation Other

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Sistem Pakar Penyakit Lambung Menggunakan Metode Forward Chaining Ardiana; Lisda Amalia; Muhammad Mustofa Ramadhan; Rizky Gimnastiar
Buletin Ilmiah Ilmu Komputer dan Multimedia Vol 1 No 1 (2023): Buletin Ilmiah Ilmu Komputer dan Multimedia (BIIKMA) INPRESS
Publisher : Shofanah Media Berkah

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This research aims to develop a system that can assist in identifying and diagnosing diseases based on symptoms experienced by humans, especially diseases of the stomach. The desiredsystem is an expert system that is able to imitate the thinking of an expert in diagnosing diseases. Expert system is a technology based on knowledge, facts, and reasoning, used to solve problems in various fields of science, including disease diagnosis. The development method used is the SLR (systematic Literature Review) method using the Forward Chaining inference method and the depthfirst search model using the Java programming language. This research uses a knowledge base consisting of seventeen symptoms and seven types of stomach diseases, including: Gastritis,Dyspepsia, Gastric Cancer, GERD, Gastroenteritis, Gastroparesis, and Peptic Ulcer. Dr. Amelia Mayangsari also conducted a feasibility study of this system, and the results showed that this expert system has a diagnostic accuracy rate of 75% and can be categorized as good. However, improvements are still needed in terms of effectiveness and completeness of information.

COMPARISON OF COGNITIVE FUNCTION BETWEEN FIRST ISCHEMIC STROKE AND RECURRENT ISCHEMIC STROKE PATIENTS Rizkia, Fildza Intan; Calista, Chandra; Gunadharma, Suryani; Hermawan, Asep Nugraha; Amalia, Lisda; Ong, Paulus Anam
MNJ (Malang Neurology Journal) Vol. 8 No. 1 (2022): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2022.008.01.7

Background: Cognitive impairment is a common condition that may affect up to 50% of stroke patients. Post stroke cognitive impairment is associated with reduced quality of life, which may increase the number of dependency. Recurrent stroke may happen in approximately 25% patients and they have higher rates of cognitive impairment.Objective: The aim of this study is to examine the comparison of cognitive function between first ischemic stroke and recurrent ischemic stroke patients in Hasan Sadikin Hospital, Bandung.Methods: This study is a retrospective, cross-sectional study using the data recruited between the year 2012 - 2016 at the Department of Neurology at the Hasan Sadikin Hospital Bandung. The data collected in this study were demographic data, including age, level of education, and residence, and the clinical data as well. Cognitive function was assessed using Mini-Mental State Examination (MMSE). The comparison between the cognitive function between both groups were analyzed using the Mann-Whitney U test.Results: There were 428 subjects eligible for this study, with 207 subjects categorized as first ischemic stroke group and 221 subjects categorized as recurrent ischemic stroke group. There was a statistically significant difference in MMSE scores between the first ischemic stroke patients (24.90 Â± 4.64) and recurrent ischemic stroke patients (22.85 Â± 4.64 ) with a p value of 0.002.Conclusion: Recurrent ischemic stroke patients had lower MMSE scores than the first ischemic stroke patients. Clinicians should be more aware in detecting early cognitive impairment in stroke patients and in preventing the incidence of recurrent stroke.

EFFICACY OF NON-PHARMACOLOGICAL APPROACHES TO IMPROVE SLEEP QUALITY INDICES IN POST-STROKE INSOMNIA PATIENTS Hidayat, Shaffana; Veronica, Fifi; Amalia, Lisda; Goenawan, Hanna
MNJ (Malang Neurology Journal) Vol. 10 No. 1 (2024): January
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2024.010.01.14

Background: Post-stroke insomnia (PSI) is a highly prevalent complication of stroke. Clinical manifestations of PSI include non-refreshing, non-restorative sleep quality and short sleep duration, leading to stroke recovery impediment, cognitive, emotional, and daytime dysfunction, and poor quality of life in stroke patients. PSI can be treated with medications, but studies have reported various adverse effects of hypnotic drugs in PSI. Objective: This study explores non-pharmacological treatments for their efficacy to improve sleep quality in PSI patients. Methods: An electronic search in Medline, Google Scholar, Elsevier, Directory of Open Access Journals (DOAJ), and Semantic Scholar was performed to identify studies examining the efficacy of non-pharmacological approaches to PSI. Results: A total of ten studies examining the efficacy of non-pharmacological approaches to PSI were reviewed. The characteristics of PSI patients in these studies comprised the older population typically at several months after suffering commonly from ischemic type stroke. The evaluated treatments are EEG biofeedback, acupuncture, cognitive-behavioral therapy (CBT), light therapy, and repeated transcranial magnetic stimulation (rTMS). All treatments successfully improved sleep quality, insomnia symptoms, and quality of life in stroke patients as assessed by various measurements including PSQI and actigraphy. Only mild adverse events were reported following acupuncture, such as local hematoma and hand numbness. Conclusion: Non-pharmacological approaches can be considered efficacious in improving sleep quality index, insomnia symptoms, and quality of life of PSI patients. Furthermore, they do not cause severe or long-lasting adverse effects, thus deemed safe for stroke patients.

Difference between Nutrition Status in First and Recurrent Ischemic Stroke Patients: a Retrospective Cross-Sectional Study Amalia, Lisda; Khairunnisa, Shafa Ayu
Global Medical & Health Communication (GMHC) Vol 11, No 3 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i3.11051

Malnutrition in stroke patients can be caused by neurological deficits such as decreased consciousness, dysphagia, cranial nerve paresis, and hemiparesis/hemiplegia. The condition of malnutrition seriously impacts healing and can exacerbate the underlying disease, in this case, stroke, so malnutrition in stroke patients extends the length of stay and increases morbidity and mortality. This study compares nutritional status between first and recurrent ischemic stroke patients based on body mass index (BMI) and subjective global assessment (SGA). This study is a comparative analysis of the medical records of ischemic stroke patients in Dr. Hasan Sadikin General Hospital Bandung from January 2018 until December 2020. The chi-square and Fisher's exact tests were used for statistical analysis. The significance criteria are the p-value if p≤0.05 means statistically significant. A total of 236 subjects in both groups of first and recurrent ischemic stroke patients consisting of 130 men and 106 women with an average age of 56.64 and 61.75 years, and the majority had risk factors for hypertension. The first ischemic stroke group has a good nutrition status compared with the recurrent stroke group (p<0.05). Thirteen patients (11.02%) of first ischemic stroke and 11 patients of recurrent ischemic stroke (9.32%) were underweight, 67 patients (56.78%) of first ischemic stroke and 74 patients of recurrent ischemic stroke (62.71%) had average weight, 31 patients (26.27%) first ischemic stroke and 33 patients (27.97%) recurrent ischemic stroke were overweight, five patients (4.24%) first ischemic stroke and seven patients (5.93%) recurrent ischemic stroke were obese (p<0.05). In conclusion, there was a significant difference in the nutritional status of first and repeated ischemic stroke patients. The nutritional status of recurrent ischemic stroke patients is worse than that of first ischemic stroke patients.

Pertimbangan Anestesi pada Pasien dengan Myeloradiculopathy pada Tingkat Vertebra Th2-Th4 Menjalani Anterior Cervicosternotomy Nadya, Siti Fairuz; Fuadi, Iwan
ACTA Medical Health Sciences Vol. 2 No. 2 (2023): ACTA Medical Health Sciences
Publisher : ACTA Medical Health Sciences

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Myeloradiculopathy, a condition that involves the spinal cord and spinal nerve roots, is the major cause of disability patients. Most patients with myeloradiculopathy receive surgical intervention with the aim of removing the underlying compression injury from the nerve, decompressing the cord, and moving it without friction or further damage. Surgery on the spine and spinal cord has broadened its scope in recent years. The anterior approach is a challenging procedure given the various vascular, osseous, nervous, and articular structures that prevent adequate exposure and the potential damage to anesthetists. Our objective was to evaluate the pre-operative analysis, maintenance during intra-operative care, and post-operative care in patients with myeloradiculopathy undergoing posterior stabilization surgery with an anterior approach (cervicosternotomy). A 23-year-old woman was diagnosed with Myeloradiculopathy at Th2 Vertebrae Level due to space-occupying extradural lesion at Th2-Th4 vertebral level with pathological fracture at Thoracal Th2 et Th7 et Th10 due to suspected spondylitis tuberculosis with paravertebral abscess, with ASA I (Physical Status Classification System). The patient was then treated with laminectomy debridement, abscess drainage, and posterior stabilization through a cervicothoracic spine surgery with an anterior approach. The patient received the preoperative assessment, intraoperative maintenance, and postoperative evaluations, which are very important to ensure a good outcome of the cervicosternotomy with an anterior approach. DOI : 10.35990/amhs.v2n2.p88-95 REFERENCE Cook CE, Cook AE. Cervical Myelopathy and Radiculopathy. In: Elsevier Ltd.; 2011. doi:10.1016/B978-0-7020-3528-9.00009-1 Stanley B. An introduction to anaesthesia for neurosurgery. Updat Anaesth. 2007;(23):43–8. Nagpal A. No Title. PM&R Knowledge NOW. Fuentes S, Malikov S, Blondel B, Métellus P, Dufour H, Grisoli F. Cervicosternotomy as an anterior approach to the upper thoracic and cervicothoracic spinal junction: Technical note. J Neurosurg Spine. 2010;12(2):160–4. doi:10.3171/2009.9.SPINE09471 Khanna P, Sarkar S, Garg B. Anesthetic considerations in spine surgery: What orthopaedic surgeon should know! J Clin Orthop Trauma. 2020;11(5):742–8. doi:10.1016/j.jcot.2020.05.005 Raw DA, Beattie JK, Hunter JM. Anaesthesia for spinal surgery in adults. Br J Anaesth. 2003;91(6):886–904. doi:10.1093/bja/aeg253 Prough DS, Svensén CH. Perioperative fluid management. Anesth Analg. 2006;4(Suppl):84–91. doi:10.5492/wjccm.v4.i3.192 Bao FP, Zhang HG, Zhu SM. Anesthetic considerations for patients with acute cervical spinal cord injury. Neural Regen Res. 2017;12(3):499–504. doi:10.4103/1673-5374.202916 Lall RR, Hauptman JS, Munoz C, et al. Intraoperative neurophysiological monitoring in spine surgery: Indications, efficacy, and role of the preoperative checklist. Neurosurg Focus. 2012;33(5):1–10. doi:10.3171/2012.9.FOCUS12235 Kursumovic E, Arrowsmith JE. Reviews of Educational Material. Anesthesiology. 2017;127(4):731. doi:10.1097/aln.0000000000001745 Li ZJ, Fu X, Xing D, Zhang HF, Zang JC, Ma XL. Is tranexamic acid effective and safe in spinal surgery? A meta-analysis of randomized controlled trials. Eur Spine J. 2013;22(9):1950–7. doi:10.1007/s00586-013-2774-9 Cottrell J, Patel P. Cottrell and Patel’s Neuroanesthesia. 6th ed. 2016. Available from: https://shop.elsevier.com/books/cottrell-and-patels-neuroanesthesia/cottrell/978-0-323-35944-3 Cunha PD, Barbosa TP, Correia G, et al. The ideal patient positioning in spine surgery: a preventive strategy. EFORT Open Rev. 2023;8(2):63–72. doi:10.1530/EOR-22-0135 Luo J, Min S. Postoperative pain management in the postanesthesia care unit: An update. J Pain Res. 2017;10:2687–98. doi:10.2147/JPR.S142889 Prabhakar NK, Chadwick AL, Nwaneshiudu C, et al. Management of postoperative pain in patients following spine surgery: A narrative review. Int J Gen Med. 2022;15(May):4535–49. doi:10.2147/IJGM.S292698

Glial Fibrillary Acidic Protein sebagai Penanda Prognostik pada Stroke Iskemik Akut Amalia, Lisda
Jurnal Neuroanestesi Indonesia Vol 12, No 3 (2023)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v12i3.446

Stroke merupakan kegawatdaruratan neurologi yang timbul mendadak dan merupakan penyebab kematian nomor tiga terbanyak di negara dunia setelah penyakit jantung dan kanker. Stroke iskemik merupakan penyebab paling banyak yaitu 87% dari keseluruhan kasus stroke. Penanda biologik dibutuhkan untuk dapat menggambarkan kerusakan sel saraf otak sehingga dapat membantu klinisi untuk menegakkan diagnosis stroke iskemik. Salah satu penanda tersebut yaitu Glial Fibrillary Acidic Protein (GFAP) serum yang diekspresikan oleh sel glia otak yaitu astrosit. Astrosit merupakan sel glia yang terbanyak dalam sistem saraf pusat (SSP) yang berperan penting untuk menjaga fungsi fisiologis dan menjaga homeostasis otak. Astrosit adalah sel yang paling awal dan paling responsif bereaksi bila terjadi iskemia otak. Pada saat terjadi iskemia otak akan terjadi hipertrofi sel astrosit yang disebut sebagai proses astrogliosis sehingga GFAP diproduksi dan diekskresikan ke dalam aliran darah. Peningkatan kadar GFAP serum dengan sensitifitas 91% dan spesifisitas 97% menandakan reaktivitas sel astrosit dengan threshold cut off 0,29 ng/mL dan ditandai dengan memberatnya derajat defisit neurologis serta memperburuk luaran klinis pada pasien stroke iskemik akut.Glial Fibrillary Acidic Protein As Prognotic Marker In Acute Ischemic StrokeAbstractStroke is a neurological emergency that occurs suddenly and is the third leading cause of death in the world after heart disease and cancer. Ischemic stroke is the most common cause, namely 87% of all stroke cases. Biological markers are needed to describe the damage to brain nerve cells so that they can help clinicians to make a diagnosis of ischemic stroke. One of these markers is serum Glial Fibrillary Acidic Protein (GFAP) which is expressed by brain glial cells, namely astrocytes. Astrocytes are the most abundant glial cells in the Central Nervous System (CNS) which play an important role in maintaining physiological functions and maintaining brain homeostasis. Astrocytes are the earliest and most responsive cells to react when brain ischemia occurs. At the time of brain ischemia there will be hypertrophy of astrocyte cells which is referred to as astrogliosis process so that GFAP is produced and excreted into the bloodstream. Increasing GFAP levels with a sensitivity of 91% and a specificity of 97% indicates astrocyte cell reactivity with a threshold cut off of 0.29 ng/mL and is characterized by a worsening of the degree of neurological deficit and worsening of clinical outcomes in acute ischemic stroke patients.

Malnutrition in Acute Stroke: An Article Review Amalia, Lisda
Jurnal Neuroanestesi Indonesia Vol 13, No 2 (2024)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v13i2.536

The prevalence of malnutrition after stroke varies widely. It is estimated about one-fifth of patients with acute stroke are malnourished on initial hospital admission, while the prevalence of malnutrition ranges from 6.1 to 62%. Energy requirements increase due to stress caused by stroke, while food intake decreases due to impaired ability to eat, so the body will use its fat and protein stores as fuel to produce glucose. Muscle and fat tissue undergo degradation due to the breakdown of amino acids to form energy. Systemic consequences occur after stroke, peripheral immunodepression in association with overstimulation of the autonomic and neuroendocrine systems. Damage to cerebral tissue can activates the hypothalamus-pituitary-adrenal axis, resulting in increased levels of glucocorticoid hormones, catecholamines, and glucagon, leading to hypermetabolism (increased energy use), hypercatabolism (increased protein breakdown), and persistent hyperglycemia. The prevalence of malnutrition increases with the length of stay and decreased functional improvement during rehabilitation. Malnourished patients with stroke experience a higher stress reaction, which increases the occurrence of peptic ulcers, and infections of the respiratory and urinary tracts, thus extending the length of stay and increasing mortality.

Manajemen Anestesi untuk Evakuasi Perdarahan Subdural Pasien Cedera Otak Traumatik dengan Gagal Ginjal Kronis Maharani, Nurmala Dewi; Prihatno, MM Rudi; Fuadi, Iwan; Hamzah, Hamzah
Jurnal Neuroanestesi Indonesia Vol 11, No 3 (2022)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v11i3.507

Pengelolaan anestesi pada kasus subdural hematom disertai penyakit ginjal kronis dengan riwayat hemodialisis memberikan permasalahan bagi ahli anestesi Perubahan hemodinamik perioperatif serta perubahan farmakodinamik dan farmakokinetik obat membuat manajemen perioperatif dan pemilihan regimen anestesi serta cairan harus dipertimbangkan intraoperatif terhadap efek penurunan fungsi ekskresi ginjal pada pasien penyakit gagal ginjal kronik dengan riwayat hemodialisa. Pasien laki-laki, 56 tahun dibawa ke instalasi gawat darurat mengalami penurunan kesadaran setelah kecelakaan lalu lintas sejak 1 hari yang lalu. Pasien dengan riwayat penyakit gagal ginjal kronis serta rutin hemodialisis tiap seminggu sekali. Pada pemeriksaan CT Scan kepala didapatkan hematom subdural di regio temporoparietal sinistra. Pasien preoperatif dilakukan hemodialisa tanpa menggunakan heparin. Diputuskan untuk dilakukan kraniotomi evakuasi dengan induksi anestesi dengan propofol 1 mg/kgbb, fentanyl 2 gr /kgbb, lidokain 1 mg/kgbb dan rocuronium 0.5 mg/kgbb. Pasien diintubasi dengan ETT 7,5 dilanjutkan rumatan anestesi dengan propofol 50 gr /kgbb/menit, fentanyl 2 gr/kg/jam dan rocuronium 5 gr/kg/menit. Monitoring standar elektrokardiografi, SpO2, dan arteri line. Setelah operasi pasien dirawat diruang intensif selama 3 hari. Pasien post operatif diberikan sedasi analgetik dengan dexmedetomidine 0,2- 0,7 gr /kg/jam

Perbandingan Luaran Klinis pada Pasien Stroke Iskemik Fase Akut dengan Satu atau Lebih Faktor Risiko Hidayat, Faqih; Gamayani, Uni; Wibisono, Yusuf; Berliana, Sobaryati; Amalia, Lisda
Jurnal Neuroanestesi Indonesia Vol 11, No 1 (2022)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Latar Belakang dan Tujuan: Stroke menurut WHO adalah terjadinya gejala penurunan fungsi neurologis secara tiba-tiba, fokal maupun global, berlangsung lebih dari 24 jam karena gangguan pasokan darah menuju ke otak. Stroke merupakan penyakit multifaktorial penyebab kematian dan disabilitas. Sebagian besar pasien stroke memiliki ? 2 faktor risiko. Tujuan penelitian ini adalah untuk membandingkan gambaran luaran klinis pada pasien stroke iskemik fase akut dengan satu atau lebih faktor risiko.Subjek dan Metode: Penelitian ini merupakan penelitian deskriptif retrospektif pada pasien stroke iskemik fase akut serangan pertama di Departemen Neurologi Rumah Sakit Hasan Sadikin Bandung periode 20152019.Hasil: Terdapat 176 subjek pada penelitian ini, 160 pasien (90,9%) dengan lebih dari satu faktor risiko dan 16 pasien (9,1%) dengan satu jenis faktor risiko. Faktor risiko paling banyak adalah hipertensi sebanyak 147 pasien (83,5%), dislipidemia 91 pasien (51,7%) dan penyakit kardiovaskular 56 orang (31,8%). Penelitian menunjukan luaran klinis yang diukur dengan skor National Institute of Health Stroke Scale (NIHSS) keluar RS pada kelompok lebih dari satu faktor risiko lebih bervariatif dari derajat ringan hingga sangat berat. Sedangkan, pada kelompok dengan satu faktor risiko skor NIHSS cenderung ringan hingga sedang.Simpulan: Pasien dengan lebih dari satu faktor risiko memiliki luaran klinis lebih buruk dibandingan pasien dengan satu faktor risiko.Comparison of The Clinical Outcomes between Single and Multiple Risk Factors in Acute Phase Ischemic Stroke PatientsAbstractBackground and Objective: Stroke according to WHO is a sudden symptom of neurological deficit, focal or global, lasting 24 hours due to disruption of blood supply to the brain. Stroke is a multifactorial disease that causes death and disbility. Most of stroke patients have ?2 risk factors. The aim of this study was to determine the comparison of clinical outcomes between single and multiple risk factor in acute phase ischemic stroke patients.Subjects and Methods: This study was retrospective descriptive study in patient with acute phase ischemic stroke in the Neurology Department Hasan Sadikin Hospital Bandung from 2015-2019.Results: There were 176 subjects in this study, 160 patients (90.9%) with multiple risk factor and 16 patients (9.1%) with single risk factor. The most common risk factors were hypertension in 147 patients (83.5%), dyslipidemia in 91 patients (51.7%) and cardiovascular disease in 56 pasien (31.8%). The study showed that the clinical outcomes as measured by National Institute of Health Stroke Scale (NIHSS) score for hospital discharge in multiple risk factors group varied from mild to very severe. Meanwhile, single risk factor groups the score tends to be mild to moderate.Conclusion: Multiple risk factor patients had a worse clinical outcome than single risk factor patients.

The Trial of Org 10172 of Acute Stroke Treatment pada Era Pandemi COVID-19 Ayu, Auliya Putri; Amalia, Lisda
Jurnal Neuroanestesi Indonesia Vol 12, No 2 (2023)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v12i2.530

Latar Belakang dan Tujuan: Klasifikasi The Trial of Org 10172 of Acute Stroke Treatment (TOAST) diperkenalkan untuk mengklasifikasikan stroke iskemik berdasarkan mekanisme etiologi potensial. Tujuan dari penelitian ini adalah untuk menilai karakteristik pasien stroke iskemik akut berdasarkan klasifikasi TOAST pada era pandemi COVID-19.Subjek dan Metode: Penelitian ini adalah studi deskriptif dengan metode potong lintang, yang menggunakan data catatan medis pasien stroke iskemik akut yang dirawat di Departemen Neurologi Rumah Sakit Hasan Sadikin pada tahun 2021.Hasil: Sebanyak 136 pasien stroke iskemik akut terlibat pada studi ini. Large-artery atherosclerosis (LAA) adalah subtipe stroke yang paling umum (30,1%) dan hipertensi merupakan faktor risiko terbanyak (97%). Faktor risiko hiperkoagulasi ditemukan sebanyak 79% pada klasifikasi Undetermined etiology dan 100% pada klasifikasi Other etiology.Simpulan: Pada era pandemi COVID-19 ditemukan hiperkoagulasi sebagai faktor risiko dominan pada klasifikasi Undetermined etiology dan Other etiology. Mekanisme koagulopati pada COVID-19 dapat meningkatkan risiko stroke pada orang yang terinfeksi, yang memiliki faktor risiko stroke yang konvensional.The Trial of Org 10172 of Acute Stroke Treatment during Pandemic EraAbstractBackground and Objective: The Trial of Org 10172 of Acute Stroke Treatment (TOAST) classification was introduced to classify ischemic stroke based on potential etiological mechanisms. The purpose of this study was to assess the characteristics of acute ischemic stroke patients based on the TOAST classification during the COVID-19 pandemic era.Subject and Methods: This research was a descriptive cross-sectional study from the medical records of acute ischemic stroke patients who were treated in Neurology ward of Hasan Sadikin Hospital in 2021.Results: A total of 136 acute ischemic stroke patients were involved in this study. Large-artery atherosclerosis (LAA) was the most common stroke subtype (30.1%) and hypertension is the most common risk factor (97%). The risk factors for hypercoagulation were found to be 79% in the Undetermined etiology classification and 100% in the Other etiology classification.Conclusion: In the COVID-19 pandemic era, hypercoagulation was found as the dominant risk factor in the Undetermined etiology and Other etiology classifications. The coagulopathy mechanism in COVID-19 could increase the risk of stroke in affected person who have conventional stroke risk factors.

Co-Authors - Elvidiansyah - Elvidiansyah A Himendra Wargahadibrata A Himendra Wargahadibrata A. Muthalib Nawawi A.A. Ketut Agung Cahyawan W Abdul Muthalib Nawawi Abdul Muthalib Nawawi Abdul rachman, Iwan Abdul Rahman Adnin Nugroho Adriana Damayanti Afdi Arahim Putra Agnes Rengga Indrati Agus Susanto Agusti Setiabudi Pramata Ahmad Doni ahmad doni Ahmad Rizal Ahmad Rizal Ahmad Rizal ahmad rizal Ahmad Rizal Ganiem Ahmad Rizal Ganiem, Ahmad Rizal Aih Cahyani Aisyah Ummu Fahma Al Rasyid Amanda Diannisa Azzahra Amany Khansa Amaylia Oehadian Aminuyati Anam Ong Anam Ong Ananda Pratama Kesumaningtyas Gunawan Andi Basuki Prima Birawa Andi Basuki Prima Birawa Andi Basuki Prima Birawa Andre Aditya Andre Tanuwijaya, Andre Andy Hutariyus Anindyta Murfia Khairunnisa Ardhana Risworo Anom Yuswono Ardhana Risworo Anom Yuswono Ardi Zulfariansyah Ardi Zulfariansyah Ardi Zulfariansyah Ardiana Ari Saptadi Ari Saptadi Aries Saifudin Ariestian, Erick Army Zaka Anwary, Army Zaka Arna Fransisca Arsy Felisita Dausawati Arsy Felisita Dausawati Arviana Adamantina Putri Asep Nugraha Hermawan Asep Nugraha Hermawan Asep Nugraha Hermawan Asyer Asyer Ayu, Auliya Putri Badriyah, Nur’aini Jamilatul Berliana, Sobaryati Biben, Vitriana Bisri, Tatang https://scholar.google.co.id/citations?u Bramantyo Pamugar Calista, Chandra Cep Juli Chandra Calista Citra Windani Mambang Sari Dedi Fitri Yadi Defri Aryu Dinata Defri Aryu Dinata, Defri Aryu Dessy Sutoyo Dewi Ramadani Dewi Ramadani Dewi Yulianti Bisri Dian Novitasari Doddy Tavianto Dzulfikar D. L. Hakim Eka Damayanti Eko Nofiyanto Eppy Buchori Eppy Buchori Aristiady Eri Surahman Eri Surahman Erick Ariestian Erwin Pradian Eva Srigita Tari Ezra Oktaliansah Fadila Arsanti Fahma, Aisyah Ummu Fauzan Musyaffa Fifi Veronica Firdaus, Riyadh Fithrah, Bona Akhmad Fithrah, Bona Akhmad Fitri Sepviyanti Sumardi Fitri Yanti Gaga Irawan Nugraha Galuh Saputri Ginna Megawati Glenn Mark Togu Gloria Kartika Gunadharma, Suryani Guntur Darmawan Hamzah Hamzah Hanna Goenawan Hanna Goenawan Hansen Wangsa Herman Haqun Baitika Harahap, M Sofyan Harry Galuh Nugraha Hartiah Haroen Hermawan, Asep Nugraha Hidayat, Dede A Hidayat, Faqih Hidayat, Shaffana Hilman Hilman Hunter D. Nainggolan Hunter D. Nainggolan Ida Parwati Ike Sri Redjeki Ike Sri Redjeki Indra Wijaya Indriasari Indriasari Islami, Aditya Iwan Abdul Rachman Jerico Franciscus Pardosi Jimmy Setiadinata Jimmy Setiadinata, Jimmy Jonathan Jeremi Siagian Kartapraja, Roni D. Kartika, Gloria Khairunnisa, Shafa Ayu Khofifah Nurfaisah Lailiyya, Nushrotul Laniyati Hamijoyo, Laniyati Lee Shok Chen Lee Shok Chen, Lee Shok Leni Lismayanti Liunardo Bintang Pratama Lukman Hidayat Lulu Eva Rakhmilla, Lulu Eva M Andy Prihartono M. Erias Erlangga M. Erias Erlangga, M. Erias Maharani, Nurmala Dewi Mariko Gunadi Mariko Gunadi Marina A. Moeliono Marina A. Moeliono, Marina A. Martaria, Nency Martinus, Fardian Martinus, Fardian Maulana Muhammad Maulana Muhammad, Maulana Mayasari, Ferra Mayasari, Ferra Millata Azma Basmala Muhammad Adjie Pratama Muhammad Mustofa Ramadhan Nadya, Siti Fairuz Nandina Oktavia Nani Kurniani Nesyia Tara Restikasari Neti Juniarti Nur Atiik Nurmin, Rahmawati Nurohman Nushrotul Lailiyya Nushrotul Lailiyya Nushrotul Lailiyya Dahlan Oktivia, Wenny Ong, Paulus Anam Pamugar, Bramantyo Pandji Irani Fianza Paranita Utama Paulus Anam Ong Paulus Anam Ong Paulus Anam Ong Pison, Osmond Muvtilof Pramodana, Bintang Prihatno, M. Mukhlis Rudi Putri, Dini Handayani R, Tubagus Yuli R, Tubagus Yuli Radian Ahmad Halimi Rahmadsyah, Teuku Rahmatisa, Dimas Rahordjo, Sri Ramdan Panigoro Reihan Achmad Reza Reza W. Sudjud Ria Bandiara Richard Pahala Sitorus Rico Defryantho,* Lisda Amalia,* Ahmad Rizal,** Suryani Gunadharma,* Siti Aminah,* Nushrotul Lailiyya* Rini Rustini Rita Arsika Fauziah Riyadh Firdaus Rizkia, Fildza Intan Rizky Gimnastiar Roni D. Kartapraja Rudi Kurniadi Kadarsah Ruli Herman Sitanggang S, Achmad Afif Saleh, Siti Chasnak Saleh, Siti Chasnak Saprudin Saprudin Saputra, Gilang Nispu Sari, Kartika Indah Setiawan Setiawan Shenny Dianathasari Santoso Sidabutar, Berliana Sitanggang, Ruli H. Siti Aminah Siti Aminah Siti Aminah Siti Aminah Siti Aminah Siti Aminah Sobana Siti Nur Fatimah Sitorus, Richard Pahala Siuliyanty, Siuliyanty Sobaryati Sobaryati Sobaryati Sobaryati Sobaryati, Sobaryati Sofiati Dian Sri Rahardjo Sri Rahardjo Sudadi Sudadi Sukmawati, Rani Suryadi Suryadi Suryani Gunadharma Suryani Gunadharma Suryani Gunadharma Sutoyo, Dessy Suwarman, S Suwarman, S Syifa, Nadia Syifa, Nadia Tantarto, Tamara Tatang Bisri Tatang Bisri Theresia C. Sipahutar Theresia C. Sipahutar Theresia Monica Rahardjo Thomas Thomas Tiara Pramaesya Tiene Rostini, Tiene Tinni T. Maskoen Tinni T. Maskoen Tinni T. Maskoen Trislawati, Cristina Trully Deti Rose Sitorus Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani Uni Gamayani, Uni Vania Angeline Bachtiar Verolia Yunita Putri Wandira, Rega Dwi Wardhani, Ildzamar Haifa Wardoyo, Chandra Calista Wargahadibrata, A. Hmendra Wargahadibrata, A. Hmendra Widiastuti, Monika - Wildan Firdaus Wirayuga Rizkia Suwahyo Yovita Stevina Yunita Susanto Putri Yunita Susanto Putri Yusuf Wibisono Yusuf Wibisono Zamzami, Nyiemas Moya Zamzami, Nyiemas Moya

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