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Gambaran Faktor Risiko Kejadian Stroke di RSHS Bandung Periode Januari 2015 Desember 2016 ; Amalia, Lisda; Suwarman, S
Jurnal Neuroanestesi Indonesia Vol 7, No 3 (2018)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.553 KB) | DOI: 10.24244/jni.vol7i3.18

Abstract

Latar Belakang dan Tujuan: Stroke merupakan masalah kesehatan di dunia yang menjadi penyebab kematian kedua tertinggi. Epidemiologi pasien stroke berdasarkan faktor risikonya masih sangat bervariasi dan belum ada data yang melaporkan di Jawa Barat. Tujuan penelitian ini adalah untuk mengetahui gambaran faktor risiko kejadian stroke. Subjek dan Metode: Penelitian ini menggunakan studi desain deskriptif dengan rancangan potong lintang. Data diambil secara retrospektif dengan metode total sampling dari rekam medis pasien stroke di bangsal neurologi RSUP Dr. Hasan Sadikin periode Januari 2015Desember 2016 yang memenuhi kriteri inklusi dan eksklusi.Hasil: Didapatkan 1044 subjek terdiri dari 486 laki-laki dan 558 perempuan. Kelompok usia 55-64 tahun (33,3%), pendidikan tamat SD (45,3%), dan tidak bekerja (56,4%) merupakan prevalensi tertinggi dari subjek yang diteliti. Stroke iskemik memiliki prevalensi lebih tinggi dibandingkan stroke perdarahan dengan lokasi sistem karotis lebih tinggi (89,6%) dibandingkan sistem vertebrobasilar (10,4%). Faktor risiko tertinggi yaitu hipertensi. Simpulan: Insidensi pasien stroke lebih tinggi terjadi pada wanita, kelompok usia tua, pendidikan rendah, dan tidak bekerja. Kasus pasien stroke iskemik lebih sering terjadi dibandingkan dengan stroke perdarahan dengan lokasi sistem karotis lebih banyak dibandingkan sistem vertebrobasilar. Hipertensi merupakan faktor risiko paling sering mengakibatkan stroke.Profile of Stroke Risk Factors in Hasan Sadikin General Hospital Bandung During January 2015December 2016Background and Objective: Stroke is an important health issue causing the second most death worldwide. Epidemiology of stroke patients based on risk factors is highly variable without data to report regarding risk factors of stroke in West Java. Aim of this study is to find out profile of stroke risk factor.Subject and Method: This study is a descriptive study with cross section design. Data acquired retrospectively with total sampling method from medical records of stroke patients in Hasan Sadikin General Hospital from January 2015December 2016 that fulfills inclusion criteria and exclusion criteria.Result: Obtained 1044 subjects consisted of 486 males and 558 females. Subjects with age 5564 years old (33.3%), elementary school graduate (45.3%), and no occupation (56.4%) were the highest prevalence of studied subject. Ischaemic stroke had higher prevalence than haemorrhagic stroke with carotid system (89.6%) higher than vertebrobasilar (10.4%). Highest risk factor were hypertension. Conclusion: Incidence of stroke patients are higher in women, older age group, low education, and no occupation. Ischaemic stroke case patients were found more often than haemorrhagic stroke with carotid system more than vertebrobasilar system. Hypertension is the most common risk factor causing stroke.
Pola Pengobatan Stroke Iskemik Pada Pasien Lansia di Rumah Sakit Hasan Sadikin Bandung Togu, Glenn Mark; Amalia, Lisda; Sitorus, Trully Deti Rose
Majalah Kedokteran Indonesia Vol 71 No 2 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.2-2021-387

Abstract

Background: Ischemic stroke in Indonesia is one of the main causes of disability and mortality in elderly. Aging is related with the increase of comorbidities. The comorbidities in elderly increase the potential for polypharmacy prescribing which increases the incidence of drug side effects. This study’s purpose is to know the demographic characteristic, treatment pattern, and side effect of the treatment in elderly patients with ischemic stroke. Methods: This study is a descriptive study with a cross-sectional design which was conducted throughout September–October 2020. This study used secondary data from ischemic stroke patients’ medical records admitted in Dr. Hasan Sadikin Central General Hospital’s in 2015–2019, with simple random sampling.Result: Result of this study shows that most elderly patients with ischemic stroke were young elderly aged 60-69 years, male, with hypertension as the major risk factor. Polytherapy (2-4 drugs) was found in 79 patients and polypharmacy (greater than 5 drugs) was found in 21 patients. Six patients with polytherapy and four patients with polypharmacy experienced drug side effects. Drug side effects of treatment observed were stress ulcer, upper gastrointestinal bleeding, and anemia.Conclusions: The treatment patterns were dominated by polytherapy (2-4 drugs). The percentage of elderly patients with polypharmacy (greater than 5 drugs) experiencing side effects was more than those with polytherapy. Drug side effects were dominated by stress ulcer.
Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients Nurmin, Rahmawati; Lismayanti, Leni; Rostini, Tiene; Indrati, Agnes Rengga; Amalia, Lisda
Majalah Kedokteran Bandung Vol 55, No 3 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v55n3.2777

Abstract

One of the causes of cerebral venous sinus thrombosis (CVST) is platelet hyperactivity. Adhesion and secretion are the beginning of platelet activation, which is indicated by a change in the Platelet-selectin (P-selectin) level. The end result of platelet activation is platelet aggregation. However, it is unknown whether the beginning of platelet activation ends with platelet aggregation. This study aimed to discover the correlation between P-selectin level and platelet aggregation in CVST. This study used a cross-sectional escriptive observational correlative approach. Subjects were the CVST outpatients visiting the Neurology Department of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, from July to September 2021. A total of 49 subjects met the inclusion and exclusion criteria. This study used citrate plasma samples for platelet aggregation and serum for P-selectin assessment. Platelet aggregation were assessed using the light transmission platelet aggregation method while P-selectin was assessed using Enzyme-linked immunosorbent assay (ELISA). Platelet aggregation median was 10.6% (range 0.2–82.4%), which reflected normoaggregation. Platelet hyperaggregation were seen in 9 samples (8.4%). Median of P-selectin was 2.4 ng/mL (range 0.1–10.1 ng/mL) which were normal. High P-selectin level was observed in 16 (32.7%) with 4/16 (25%) experiencing platelet hyperaggregation. Statistical analysis showed a weak negative correlation between P-selectin and platelet aggregation (r=-0.012; p=0.467). In conclusion, no correlation is seen between P-selectin and platelet aggregation, which may be due to the fact that platelets are influenced by many factors that are not examined in this study.
Co-Authors 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 Al Rasyid Amanda Diannisa Azzahra Amany Khansa Amaylia Oehadian Anam Ong Anam Ong Ananda Pratama Kesumaningtyas Gunawan Andi Basuki Prima Birawa Andi Basuki Prima Birawa Andi Basuki Prima Birawa Andre Tanuwijaya, Andre Anindyta Murfia Khairunnisa Ardiana Aries Saifudin Arviana Adamantina Putri Asep Nugraha Hermawan Asep Nugraha Hermawan Asep Nugraha Hermawan Ayu, Auliya Putri Badriyah, Nur’aini Jamilatul Berliana, Sobaryati Biben, Vitriana Calista, Chandra Cep Juli Chandra Calista Dewi Yulianti Bisri Eppy Buchori Eppy Buchori Aristiady Fadila Arsanti Fauzan Musyaffa Fifi Veronica Fitri Yanti Gaga Irawan Nugraha Galuh Saputri Ginna Megawati Gloria Kartika Gunadharma, Suryani Guntur Darmawan Hanna Goenawan Hanna Goenawan Haqun Baitika Harry Galuh Nugraha Hermawan, Asep Nugraha Hidayat, Faqih Hidayat, Shaffana Hilman Hilman Ida Parwati Islami, Aditya Iwan Fuadi Jonathan Jeremi Siagian 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 Lulu Eva Rakhmilla Marina A. Moeliono Marina A. Moeliono, Marina A. Millata Azma Basmala Muhammad Mustofa Ramadhan Nandina Oktavia Nani Kurniani Nesyia Tara Restikasari Nur Atiik Nurmin, Rahmawati Nurohman Nushrotul Lailiyya Nushrotul Lailiyya Nushrotul Lailiyya Dahlan Ong, Paulus Anam Pandji Irani Fianza Paranita Utama Paulus Anam Ong Paulus Anam Ong Paulus Anam Ong Ramdan Panigoro Reihan Achmad Reza Reza W. Sudjud Ria Bandiara Rico Defryantho,* Lisda Amalia,* Ahmad Rizal,** Suryani Gunadharma,* Siti Aminah,* Nushrotul Lailiyya* Rita Arsika Fauziah Rizkia, Fildza Intan Rizky Gimnastiar Saprudin Saprudin Saputra, Gilang Nispu Sari, Kartika Indah Shenny Dianathasari Santoso Sidabutar, Berliana Siti Aminah Siti Aminah Siti Aminah Siti Aminah Siti Aminah Siti Aminah Sobana Siti Nur Fatimah Sitorus, Trully Deti Rose Siuliyanty, Siuliyanty Sobaryati Sobaryati Sobaryati Sobaryati Sobaryati, Sobaryati Sofiati Dian Sukmawati, Rani Suryani Gunadharma Suryani Gunadharma Suryani Gunadharma Suwarman, S Suwarman, S Syifa, Nadia Syifa, Nadia Tiara Pramaesya Tiene Rostini, Tiene Togu, Glenn Mark Trislawati, Cristina 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 Wirayuga Rizkia Suwahyo Yovita Stevina Yusuf Wibisono Yusuf Wibisono