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All Journal Jurnal Ilmu Lingkungan Jurnal Ilmu Kedokteran (Journal of Medical Science) Jurnal Online Mahasiswa (JOM) Bidang Kedokteran Jurnal Pengabdian UntukMu NegeRI JURNAL PHOTON Bioscientia Medicina : Journal of Biomedicine and Translational Research Nusantara Science and Technology Proceedings Bioscientia Medicina : Journal of Biomedicine and Translational Research Engagement: Jurnal Pengabdian Kepada Masyarakat Neurona Frontiers on Healthcare Research
Riki Sukiandra
FAKULTAS KEDOKTERAN UNIVERSITAS RIAU
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Journal : Neurona

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Hubungan Disfagia Dengan Kejadian Gangguan Elektrolit Pada Pasien Stroke Iskemik Yang Dirawat Di Bangsal Saraf RSUD Arifin Achmad Provinsi Riau Tahun 2023 Sukiandra, Riki
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 3 (2024): Volume 40, No 3 - Juni 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i3.518

Abstract

Introduction: Ischemic stroke is the most common type of stroke according to the South East Asian Medical Information Center (SEAMIC). The prevalence of stroke in Riau is 8.3%, which has increased from 2013. One of the symptoms of ischemic stroke is dysphagia which is defined as difficulty swallowing, which means difficulty passing food from the mouth to the stomach. This symptom is of concern because it is a common cause of dehydration resulting in electrolyte imbalance, stroke associated pneumonia (SAP) which can increase mortality rates. The need for early detection of dysphagia can reduce the incidence of electrolyte disorders. Aim: To determine the relationship between dysphagia and the incidence of electrolyte imbalance in ischemic stroke patients treated in the neurology ward of Arifin Achmad Regional Hospital, Riau Province. Methods: This research is an analytical research with a cross sectional method. The research will be carried out in the neurological ward of Arifin Achmad Regional Hospital, Riau Province from August – November 2023. Results: In this study, it was found that 42.5% of ischemic stroke patients experienced dysphagia with the characteristics of the majority being 51-60 years old (41.2%) male (58.8%) with a frequency of first stroke attacks (52.9%) and the majority had multiple risk factors (70.6%). The majority of electrolyte levels in dysphagia patients have low electrolyte levels. The most common lesion locations in dysphagia patients were subcortical and combined (35.3%). There was a significant relationship between dysphagia and the incidence of electrolyte disturbances (p=0.000). Discussion: Lack of fluid intake that does not reach optimal needs can be a risk of dehydration which can lead to electrolyte disorders. Dysphagia directly interferes with the ability to eat and drink so that intake is not strong. This can affect water and electrolyte balance Keywords: dysphagia, electrolyte imbalance, ischemic stroke
PROFIL KLINIS DAN LUARAN PASIEN STROKE-ASSOCIATED PNEUMONIA (SAP) DI RSUD ARIFIN ACHMAD PROVINSI RIAU Juananda, Desby; Sukiandra, Riki; Maryanti, Yossi; Sucipto, Sucipto; Rahmata Illahi, Annisa; Luo Putra Fau, Joyada; Muslimah Syahrianti, Ukhty
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 3 (2025): Vol 41 No 3 (2024): Volume 41, No 3 - Juni 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Stroke-associated pneumonia (SAP) is a post-stroke complication that increases morbidity and mortality. Aim: This study aims to examine the clinical characteristics and outcomes to facilitate appropriate clinical decision-making for the treatment and prevention of post-stroke complications. Methods: This cohort retrospective study utilizes medical records of SAP patients at RSUD Arifin Achmad from July 2019 to June 2024. The populations were patients who have developed pneumonia within 48 hours to 7 days after stroke onset. Results: Out of 1,040 stroke patients, 108 (10.4%) developed SAP, with 66.7% classified as definite cases and 33.3% as probable cases. Patients in the ≥60 age group accounted for the highest number of cases (54.6%), with a male-to-female predominance of 64.8%. SAP occurred more frequently in ischemic stroke (68.5%) compared to hemorrhagic stroke (31.5%). Most SAP patients required mechanical ventilation (52.8%). SAP patients required hospitalization, with 45.4% staying for ≤14 days and 53.7% for >14 days. Regarding comorbidities, SAP patients also suffered from hypertension (54.1%), followed by other comorbidities such as diabetes mellitus, chronic obstructive pulmonary disease (COPD), and atrial fibrillation (AF). The blood glucose levels upon hospital admission indicated that SAP patients had a glucose distribution range of 80-144 mg/dl (53.7%), 145-179 mg/dl (14.8%), and ≥180 mg/dl (31.5%). The mortality rate was 57.4%, resulting in 62 deaths. Discussion: This study reveals a significant incidence of SAP in older male stroke patients, especially those with ischemic strokes. The strong association to ventilator use and mortality rates emphasizes the need for early identification and management strategies.
Co-Authors - Zulkarnain - Zulkarnain . Zulfan Ahza Chairum Mulia Amru Sofian Ashiddiqi, Hafil Awanda Herman Bayu Fajar Pratama Chatarina Umbul Wahyuni Danang Nugroho Desby Juananda, Desby Enny Lestari Fajri Marindra Firdaus Hidayat, Nopian Ibnu Affan Jaro Shafi’i Johannas Luo Putra Fau, Joyada M. Irvan Noorrahman Maryanti, Yossi Mukhyarjon Muslimah Syahrianti, Ukhty Nadia Salvira Nopian Hidayat Pratama Ananda Putri, Azzahra Nur Aulya Qadriyyah, Lu’lu’ul Rahma Dani Rahmat Azhari Kemal Rahmata Illahi, Annisa Risda Selvia Saragih Risman, Salsa Wiratama Saragih, Risda Selvia Siregar, Fajri Marindra Sucipto Trihardi, Rizfan Winarto Winarto Yossi Maryanti Zulharman