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All Journal Althea Medical Journal MNJ (Malang Neurology Journal) Health Notions JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Jurnal Pengabdian Masyarakat dalam Kesehatan AKSONA Eduvest - Journal of Universal Studies Magna Neurologica Journal of Neurointervention and Stroke (JNeViS)
Sita Setyowatie
Department Of Neurology, Faculty Of Medicine, Universitas Airlangga; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Journal : AKSONA

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Stroke Risk Factor Profile in an Urban Population: A Community-Based Descriptive Study in Mojo Sub-District, Surabaya, Indonesia Ilham Ikhtiar; Muhammad Wijdan Rosyich; Muhammad Arief Ardhanu; Dewi Setyaning Bastiana; Dedy Kurniawan; Sita Setyowatie
AKSONA Vol. 3 No. 1 (2023): JANUARY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v3i1.40764

Abstract

Highlight: The stroke risk of the urban population in Mojo sub-district, Surabaya, was high (more than 10% risk for 36.3% of the population) . The risk factor for stroke is highly prevalent in Indonesia's urban communities, such as Surabaya. The Indonesian version of the Cardiovascular Disease Risk Index chart aids in determining stroke risk factors. The development of a stroke-spesific index chart has been done before but requires validation for the Indonesian population   ABSTRACT Introduction: Stroke is still a major cardiovascular disease in Indonesia. Locally published data regarding stroke risk factors is still rarely reported. This condition complicates the regulation, policy-making, and community empowerment efforts to reduce modifiable stroke risk factors. Thus, a study is necessary to provide an overview of stroke risk factors and risks in cities in Indonesia, such as Surabaya. Objective: This study aimed to describe stroke risk factors in an urban Indonesian community, such as the Mojo sub-district in Surabaya. Methods: This was a descriptive study to describe stroke risk factors like age, gender, history of comorbidities, and history of cardiovascular disease, as well as patient clinical data like neurological symptoms, cardiovascular symptoms, anthropometry, vital signs, simple laboratory values, and cardiovascular risk categorization in the next ten years based on the Cardiovascular Disease Risk Index chart, Indonesian version. Results: In this study, 33 participants were included. Risk factors showed that many participants had histories of active smoking (18.2%), hypertension (45.5%), and diabetes (24.2%). One-third of the participants had a history of dyslipidemia. Based on the risk chart for cardiovascular disease, 36.3% of participants were at >10% risk of developing cardiovascular disease in the next ten years. Conclusion: The risk index of cardiovascular disease in the Mojo sub-district, Surabaya, was still high. A combination of government policies, public awareness improvement, and community empowerment are urgently required to manage these risk factors epidemiologically.
Hypertensive and Non-hypertensive Hospital Admission Blood Pressure Association with Cognitive Function in Stroke Patients Rifqi, Muhammad Andika; Setyowatie, Sita; Putranto, Johanes Nugroho Eko
AKSONA Vol. 4 No. 1 (2024): JANUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v4i1.51720

Abstract

Highlight: A comparative study of hypertension and non-hypertension on cognitive function. Hospital admission blood pressure and cognitive function in acute-phase stroke patients. Blood pressure is not associated with cognitive function.   ABSTRACT Introduction: Cognitive impairment is one of the many stroke effects. White matter damage, microinfarcts, microbleeding, atrophy, and amyloid buildup in the brain due to stroke are all potential causes of this condition. Cognitive impairment studies have yet to provide a definitive explanation for how this condition develops following a stroke. Blood pressure is one of several risk factors for stroke. Meanwhile, few studies have been conducted on the association between blood pressure and cognitive function in stroke patients, and no definitive results have been established. Objective: This research was designed to examine and evaluate the difference in the measured cognitive function category between hypertensive and non-hypertensive hospital admission blood pressure stroke patients. Methods: This research used a cross-sectional design with a consecutive sampling method on acute stroke patients at Dr. Soetomo General Academic Hospital. The MMSE (Mini Mental State Examination) was carried out to assess the degree of cognitive function. The blood pressure measured is the hospital admission blood pressure. Results: There were 40 patients included in this study. A total of 36 patients (90%) were in the hypertension group (blood pressure ≥ 130/80 mmHg), and 4 patients (10%) were in the non-hypertension group (blood pressure < 130/80 mmHg). The MMSE results showed that 10 patients performed with no cognitive impairment, 12 patients performed with mild cognitive impairment, and 18 patients performed with severe cognitive impairment. Statistical analysis of the Mann-Whitney U test showed that p = 0.561. Conclusion: There was no difference in the measured cognitive function category between hypertensive and non-hypertensive hospital admission blood pressure stroke patients.  
Profile Patients based on Risk Factors for Ischemic Stroke in the Neurology Inpatient Ward of Dr. Soetomo General Academic Hospital Surabaya during the Period of January to June 2022 Kusuma, Nabila Divandra; Ardhi, Mohammad Saiful; Widodo, Widodo; Setyowatie, Sita
AKSONA Vol. 4 No. 2 (2024): JULY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v4i2.52354

Abstract

Highlight: Some risk factors exhibited incongruent outcomes and went against existing theories. The age group under 65 years old was the most prevalent modifiable risk factor. Stage 2 hypertension was the most dominant non-modifiable risk factor.   ABSTRACT Introduction: Stroke is a major cause of disability and death worldwide. Among the three types of strokes, the ischemic stroke is the most prevalent. Controlling risk factors is a key approach to preventing ischemic stroke. Due to the limited data availability in Indonesia, it is important to research patient profiles focusing on risk factors for ischemic stroke. Objective: To record the patient profiles based on the risk factors for ischemic stroke in the neurology inpatient ward of Dr. Soetomo General Academic Hospital Surabaya for the period of January–June 2022. Methods: This was a descriptive observational study with a retrospective design. This study examined secondary data from ischemic stroke patients’ medical records at the Dr. Soetomo General Academic Hospital’s neurology inpatient ward in Surabaya between January and June 2022. Results: Out of 176 patients, 108 were under the age of 65. Of these, 97 were male. There were 63 patients with a history of ischemic stroke, 58 with diabetes mellitus, 84 with stage 2 hypertension, 77 with dyslipidemia, 59 with impaired kidney function, 52 with diabetes mellitus by lab tests, and 23 who smoked. Conclusion: In this study, some risk factors exhibited discrepancies and contradicted existing theories. The two dominant variables in the patient population were a combination of risk factors that occur more frequently at a certain age and a combination of risk factors in patients with recurrent strokes.
Epidemiologic Profile of Ischemic Stroke Patients with Dyslipidemia in Dr. Soetomo General Academic Hospital Patient Prakoso, Raditya Ardra Putra; Ardhi, Mohammad Saiful; Thamrin, Husin; Setyowatie, Sita
AKSONA Vol. 5 No. 1 (2025): JANUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v5i1.64275

Abstract

Highlight: This study provides insights into the epidemiologic profile of ischemic stroke patients with dyslipidemia in Dr. Soetomo General Academic Hospital. The majority of patients had hypertension, the most common comorbidity with low HDL-C levels Most patients showed moderate stroke severity and high levels of consciousness, with a majority proportion demonstrating recovery.   ABSTRACT Introduction: Ischemic stroke is a major medical issue, especially in individuals with dyslipidemia, as it can elevate both the likelihood and severity of stroke incidents. This study is essential due to the rising prevalence of stroke and limited data regarding ischemic stroke patients with dyslipidemia in Indonesia. Understanding these traits is important for enhancing preventative and treatment strategies. Objective: This study intended to assess the epidemiologic profile of ischemic stroke patients with dyslipidemia in a tertiary hospital in Indonesia. Methods: This descriptive study assessed 116 medical records of ischemic stroke patients with dyslipidemia admitted to Dr. Soetomo General Academic Hospital in Surabaya, Indonesia, from January to June 2023. The collected data encompassed demographics, comorbidities, lipid profiles, and clinical outcomes. Dyslipidemia was defined based on the PERKENI guidelines, and stroke severity was assessed using the GCS and NIHSS scales. Results: The majority of ischemic stroke patients with dyslipidemia (77.6%) had low HDL-C levels. There were 64 males and 52 females; most of them were between the ages of 56 and 65. Hypertension was the most common comorbidity (64.7%), followed by diabetes (39.7%), heart disease (12.9%), and obesity (11.2%). Of 40 NIHSS-assessed patients, 26 had moderate, 8 mild, 2 moderate-to-severe, and 4 severe strokes. The majority of patients (70.7%) recovered. Conclusion:The majority of dyslipidemia-related ischemic stroke patients, aged 56 to 65, had low HDL-C levels. Hypertension was the main comorbidity, with many experiencing their first stroke. Most patients had high consciousness, moderate stroke severity, and showed improvements.  
An Analysis of Chronotype and Cognitive Function in Pre-Clinical Medical Students at Universitas Airlangga Prayogo, Hana Evangelin; Islamiyah, Wardah Rahmatul; Irwadi, Irfiansyah; Setyowatie, Sita
AKSONA Vol. 6 No. 1 (2026): JANUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v6i1.70271

Abstract

Highlight: The intermediate chronotype was most common among 2020-2021 medical students at Universitas Airlangga, followed by the morning type and the evening type No significant differences in TMT A, TMT B, or PVT scores were observed among the morning, intermediate, and evening chronotypes. Chronotype showed no significant relationship with cognitive outcomes, likely because medical students adapt to rigorous demands requiring sustained focus throughout the day.   ABSTRACT Introduction: Chronotype refers to an individual’s predisposition to engage in activities at specific times of the day. Numerous studies have explored the relationship between chronotype and cognitive function, yet the findings vary across different populations. Objective: This study aimed to identify chronotypes among medical students at Universitas Airlangga and to assess differences in cognitive function and attentional performance between these chronotypes. Methods: We selected participants using a stratified random sampling technique, focusing on cognitive function, attention, and chronotype. Those who met the inclusion criteria provided informed consent and completed the Morningness-Eveningness Questionnaire to determine their chronotype. A total of 65 participants completed the questionnaire and then underwent Trail Making Tests (TMT) A and B at times tailored to their chronotypes: 08:00-10:00 for morning types, 16:00-18:00 for evening types, and 12:00-13:00 for intermediate types. The Psychomotor Vigilance Test (PVT) was uniformly administered between 08:00-10:00. Data were collected and analyzed using Kruskal-Wallis and one-way ANOVA. Results: Of the 65 participants, 18 were identified as morning types, 42 as intermediate types, and 5 as evening types. No significant differences were observed in TMT A or B performance (p > 0.05). Similarly, the PVT results, which assessed lapses, false starts, and average reaction time, showed no significant differences among the three chronotypes (p > 0.05). Conclusion: The intermediate chronotype was the most prevalent among medical students at Universitas Airlangga, followed by morning and evening types. No significant differences were observes in TMT and PVT outcomes across the chronotypes.
Co-Authors Abdurachman Abdurachman Achmad Firdaus Sani, Achmad Firdaus Adrianto, Yudhi Andika Darmawan Wahono Ardhi, M. Saiful Ardhi, Mohammad Saiful Dedy Kurniawan Dewi Setyaning Bastiana Divastuti, Kedyatasya Rae Fahirah Fikriyah, Lathifatul Hamdani, Faishol Ilham Ikhtiar Irwadi, Irfiansyah Islamiyah, Wardah Rahmatul Khairina Khairina Kusuma, Nabila Divandra Laisari, Taurus Muhammad Arief Ardhanu Muhammad Wijdan Rosyich Parenrengi, Muhammad Arifin Prakoso, Raditya Ardra Putra Prayogo, Hana Evangelin Putranto, J.Nugroho Eko Rahmawati, Vita Kusuma Rifqi, Muhammad Andika Sensusiati, Anggraini Dwi Siswahyudianto Surdji, Almuta'Aaliyati Nur Suryantoro, Satriyo Dwi Thamrin, Husin Valentine, Putri Permata Widodo Widodo Yahya, Muh. Wildan