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Characteristics of Elderly Patients with Sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital Period 2012–2014 Sania Putri Darwita; Yuni S. Pratiwi; Lazuardhi Dwipa
Althea Medical Journal Vol 5, No 4 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Background: Sarcopenia can lead to difficulty in physical activities, therefore, elderly cannot live independently. However, data on sarcopenia are not yet available in Dr. Hasan Sadikin General Hospital. This study was conducted to identify the frequency of occurrence and characteristics of elderly patients with sarcopenia.Methods: This study used descriptive method and was conducted from May to October 2014. Total sampling method was performed to medical records of elderly patients with sarcopenia at Geriatric Outpatient Clinic Dr. Hasan Sadikin General Hospital during the period 2012–2014. Variables observed were age, gender, body mass index (BMI), activities of daily living (ADL), timed up and go test (TUG), mini nutritional assessment (MNA), disease record, and medication record. Patients with sarcopenia were then grouped based on characteristics of age, gender, BMI, ADL, TUG, MNA, disease record, and medication record.Results: Out of 255 registered elderly patients, 22(8.63%) were with sarcopenia and one was excluded due to incomplete data. Sarcopenia was most prevalent in patients aged 80 years and older (15.38%), and commonly in men (57.1%). Most patients had hypertension history (66.6%), multiple comorbidities (61.9%), normal BMI (33.3%), normal ADL (85.7%), normal MNA (76.1%), and normal TUG scores (80.9%), and polypharmacy (52.3%) history.Conclusions: Sarcopenia is prevalent in men aged 80 years and older. Although sarcopenia patients have hypertension history, multiple comorbidities and history of polypharmacy, most patients live with normal daily activities and have good body mass index, however, quality of life of elderlies needs to be improved further.

Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014 Ku Shi Yun; Irma Ruslina Defi; Lazuardhi Dwipa
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal. DOI: 10.15850/amj.v3n1.718

Hypertension Treatment and Control in Older Adult at Tanjung Sari Primary Health Care Rahmi Fauziah; Enny Rohmawaty; Lazuardhi Dwipa
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Hypertension is considered as a major health problem in Indonesia, especially in older adult population because of its prevalence increases by age. Treatment strategy and control management of hypertension in Public Health Center (Pusat Kesehatan Masyarakat, Puskesmas) as primary health care should be enhanced to overcome this issue. This study aimed to describe the pattern of antihypertensive agent in older adults.Methods: This was a descriptive study with total sampling method for data collection. Data were collected from medical record of older adult patients with diagnosis of hypertension at Puskesmas Tanjung Sari from January to December 2013. The variables observed were gender, number of visits, the degree of hypertension, types of antihypertensive drug, combinations of antihypertensive drugs, and blood pressure control.Results: The number of older adults with hypertension was 180 people. Some of which, 120 women (66.7%) participated, 152 (84.4%) had hypertension stage 2, 100 (55.6%) had just one visit, and 80 (44.4%) had more than one visit. Among 80 participants with more than one visit, 8 had achieved target blood pressure. There were 166 participants (92.2%) who received single antihypertensive agent (captopril was given the most), and 14 participants (7.8%) who received the combination of two antihypertensive agent (combination of captopril and HCT (hydrochlorothiazide)) were given the most).Conclusions: More than 75% of older adult with hypertension have stage 2 hypertension and are treated by single antihypertensive agent. Ninety percent of the patient have uncontrolled blood pressure. [AMJ.2016;3(1):17–21] DOI: 10.15850/amj.v3n1.699

Analgesic Usage in Elderly at Public Health Center: A study in West Java, Indonesias Gembong Soeyono Putro; Herri S. Sastramihardja; Lazuardhi Dwipa
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Various analgesics prescriptions for elderly are not appropriate according to the guideline and can cause the increase of side effects such as gastric problems. Puskesmas as a public health center in Indonesia has an important role in anticipating this problem. The objectives of this study was to identify the analgesic usage in elderly patients at the public health center. Methods: This retrospective descriptive study was conducted for 3 months at Tanjungsari public health center, Sumedang, West Java, Indonesia, using total sampling. The data was taken from 417 medical records from 2013. The data taken from medical records were: sex, analgesic drug, diagnosis, and drug for gastric problem.Results: From the collected data, the most analgesics prescribed for the elderly patients was paracetamol, followed by Piroxicam, Mefenamic acid, and Ibuprofen. Not all of the elderly patients who received NSAIDs, were given gastric drug. Conclusions: The most prescribed analgesic drug given to elderly patients at the public health center is paracetamol. [AMJ.2017;4(1):16–9]DOI: 10.15850/amj.v4n1.1014

Intrinsic Risk Factors of Falls in Elderly Yasmin Amatullah; Sunaryo B. Sastradimaja; Lazuardhi Dwipa
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Background: Falls are common geriatric problems. The risk factors of falls are the intrinsic and extrinsic risk factors. Studies on falls are scarcely conducted in Indonesia, especially in Bandung. Therefore, this study was conducted to identify the intrinsic risk factors of falls among elderly.Methods: A descriptive study was carried out from August to October 2013 at the Geriatric Clinic of Dr. Hasan Sadikin General Hospital Bandung. Fifty three participants were selected according to the inclusion and exclusion criteria using consecutive sampling. The determined variables in this study were classification of the risk of falls, demographic profile, history of falls, disease, and medications. After the selection, the participants were tested by Timed up-and-go test (TUGT). Moreover, an interview and analysis of medical records were carried out to discover the risk factors of falls. The collected data were analyzed and presented in the form of percentages shown in tables.Results: From 53 patients, women (35.66%) were considered to have higher risk of fall than men (18.34%). The majority of patients (66%) with the risk of fall were from the age group 60–74 years. The major diseases suffered by patients were hypertension, osteoarthritis and diabetes mellitus. Drugs that were widely used were antihypertensive drugs; analgesic and antipyretic drugs and antidiabetic drugs.Conclusions: There are various intrinsic risk factors of falls in elderly and each of the elderly has more than one intrinsic risk factor of falls. [AMJ.2016;3(3):334–9] DOI: 10.15850/amj.v3n3.875

Elderly Characteristics with Frailty Syndrome by Frailty Index Questionnaire â€“ 40 (FI - 40) at Bandung Nursing Home Ivany R Rahmadani; Lazuardhi Dwipa; Yuni S Pratiwi
Journal of Medicine and Health Vol. 2 No. 2 (2018)
Publisher : Universitas Kristen Maranatha

Frailty syndrome is a state of decreased body function, thereby increasing susceptibility to poor clinical outcomes. The risks of developing frailty syndrome increase in the elderly at Nursing Home. This study is expected to provide characteristic data of frailty syndrome as the basis for the prevention and management for the elderly. This study is conducted by using a descriptive quantitative design. The data is taken by using FI-40 questionnaire consisting of 40 questions in the elderly at Bandung done by using total sampling. There are 42(58.3%) of pre-frail and 7(9.7%) of frail elderly out of 72 data. Pre-frail prevails mostly in women (29 subjects; 69.1%) and at age of 60-69 years in 18 subjects (42.8%). Frail elderly is found mostly in women (3 subjects; 42.8%) and aged 70-79 years (3 subjects ; (42.8). The most common cause of frailty is eye and foot problems in 7(100%). The most common cause of pre-frail is the assumption of health level in 35(83.3%). This study concludes that frailty syndrome is common among the elderly and special attention must be paid to eye and foot problems.Keywords: elderly, frailty syndrome, FI-40 questionnaire, nursing home

Assessment of Plasma Selenium-Binding Protein-1 Level in Geriatric Population Annisa F. Dewi; Lazuardhi Dwipa; Ronny Lesmana
Pharmacology and Clinical Pharmacy Research Vol 2, No 2
Publisher : Universitas Padjadjaran, Indonesia

Geriatric physiologically undergoes aging process that can cause decreasing cell functionand increasing risk of degenerative diseases caused by the accumulation of reactive oxygenspecies (ROS) in the body. Selenium (Se) is an antioxidant, which is needed for maintainingthe balance of ROS. The aim of this study was to observe the selenium-binding protein(SELENBP1) level in relation with the geriatric patients charcateristics including sex, age,body mass index (BMI), activity of daily living (ADL), instrumental activity of daily living(IADL), cognitive function, nutrition, depression, and insomnia status. The study usedcross-sectional quantitative descriptive study design on 14 geriatric patients in Geriatric OutpatientsClinics, at a hospital in Bandung. The data was obtained by interviewing the patientsand then blood samples were taken. The analysis of SELENBP1 was done using ELISA kit.The average level (SD) of SELENBP1 from all of the characteristics group was 2.68 (0.69)ng/ml. The highest SELENBP1 level was identified in female geriatric patients and followedby male and pre-obese groups. The lowest SELENBP1 level was identified in geriatric patientsaged 70-79 years.Keywords: elderly, SELENBP1, selenium.

The difference in Nutrition Intake Adequacy AmongInstitutionalized Elderly Residents with and without Sarcopeniaat Nursing Homes in Bandung, West Java Tirtadjaja, Delia Anastasia; Apandi, Muhamad; Dwipa, Lazuardhi
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 4
Publisher : UI Scholars Hub

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Introduction. The changes in the elderly’s daily routine including dietary intake and nutritional pattern may cause them to be more susceptible to malnutrition. The changes also increase the risk of sarcopenia that may lead to poor health outcomes such as fall injury, fracture, hospitalization, disability, or even death. Sarcopenia is more likely to occur in a nursing home compared to community settings. This study aimed to determine the difference in nutrition intake adequacy between institutionalized elderly subjects with and without sarcopenia in Bandung, West Java. Methods. A cross-sectional study was held in Ciparay and Budi Istri Nursing Home, Bandung, West Java, Indonesia. Sarcopenia was determined based on the Asian Working Group of Sarcopenia (AWGS) criteria. Nutritional intake was assessed with two non-consecutive 24-hour food recalls and nutritional adequacy was defined based on the American Geriatric Society (AGS) recommendation, which included a total energy intake of ≥ 25kcal/kg BW/day and protein intake of ≥1g/kg BW/day. Results. The present study included 65 older adults, who were categorized into 2 groups, i.e. sarcopenic (31 subjects) and non-sarcopenic groups (34 subjects). Despite the food served having already met daily dietary reference intakes, the sarcopenic elderly subjects showed inadequate nutritional intake (p=0.001) compared to non-sarcopenic elderly subjects. Conclusion. There are differences in nutrition intake adequacy between sarcopenic and non-sarcopenic institutionalized elderly subjects in Bandung. Elderly subjects with sarcopenia had more inadequate nutrition intake than non-sarcopenic elderly subjects.

Elderly Characteristics with Frailty Syndrome by Frailty Index Questionnaire â€“ 40 (FI - 40) at Bandung Nursing Home Ivany R Rahmadani; Lazuardhi Dwipa; Yuni S Pratiwi
Journal of Medicine and Health Vol 2 No 2 (2018)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v2i2.1026

Frailty syndrome is a state of decreased body function, thereby increasing susceptibility to poor clinical outcomes. The risks of developing frailty syndrome increase in the elderly at Nursing Home. This study is expected to provide characteristic data of frailty syndrome as the basis for the prevention and management for the elderly. This study is conducted by using a descriptive quantitative design. The data is taken by using FI-40 questionnaire consisting of 40 questions in the elderly at Bandung done by using total sampling. There are 42(58.3%) of pre-frail and 7(9.7%) of frail elderly out of 72 data. Pre-frail prevails mostly in women (29 subjects; 69.1%) and at age of 60-69 years in 18 subjects (42.8%). Frail elderly is found mostly in women (3 subjects; 42.8%) and aged 70-79 years (3 subjects ; (42.8). The most common cause of frailty is eye and foot problems in 7(100%). The most common cause of pre-frail is the assumption of health level in 35(83.3%). This study concludes that frailty syndrome is common among the elderly and special attention must be paid to eye and foot problems.Keywords: elderly, frailty syndrome, FI-40 questionnaire, nursing home

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