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All Journal Media Penelitian dan Pengembangan Kesehatan Journal of the Medical Sciences (Berkala Ilmu Kedokteran) JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) Jurnal Kedokteran: Media Informasi Ilmu Kedokteran dan Kesehatan AKSONA Proceeding ISETH (International Summit on Science, Technology, and Humanity) Academic Hospital Journal Neurona Indonesian Journal of Biomedicine and Clinical Sciences Sanus Medical Journal Indonesian Journal of Pharmacology and Therapy
Abdul Gofir
Department Of Neurology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital, Yogyakarta,
Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Academic Hospital Journal

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Hypertension as Risk Factor of Poor Functional Outcome in Primary Ischemic Stroke Patients Siti Aisyah Affiati; Astuti Prodjohardjono; Abdul Gofir; Probosuseno Probosuseno; Noor Alia Susanti; Sri Sutarni; Ismail Setyopranoto
Academic Hospital Journal Vol 4, No 1 (2022)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v4i1.62783

Abstract

Survival rate of ischemic stroke has been improving which increases long-term disability in consequences.  GBD 2017 shows stroke as the third most common cause of morbidity. Hypertension is the most common risk factor for ischemic stroke incidence and affecting long-term functional outcome. Therefore, hypertension control in ischemic stroke is expected to improve functional outcome and quality of life. Therefore, this study was conducted to know the role of hypertension as risk factor of poor functional outcome in primary ischemic stroke patients. Study was conducted by observational retrospective cohort from May 2018 until April 2019 in 7 hospitals in D.I. Yogyakarta. Functional outcome of primary ischemic stroke patients was assessed by physician at day 30 by using Barthel Index. Bivariate analysis was analyzed by using Chi-Square with 95% CI and p-value <0.05 indicated statistical significance. Based on the study, there were increased risk for having dependent functional outcome in hypertension (RR=1.12, 95% CI=0.74-1.69), diabetes mellitus (RR=1.041, 95% CI=0.71-1.53) but these results were not statistically significant (p>0.05). From the study it can be concluded that hypertension is one of the most common risk factors of stroke but hypertension has no role in predicting functional outcome.  However, hypertension increases risk for having poor functional outcome in ischemic stroke patients.
The Successfulness of A Multidisciplinary Approach For Obstructive Sleep Apnea Susianti, Noor Alia; Nathania, Caroline Evanthe; Prodjohardjono, Astuti; Vidyanti, Amelia Nur; Gofir, Abdul; Setyaningsih, Indarwati; Setyaningrum, Cempaka Thursina Srie; Sutarni, Sri
Academic Hospital Journal Vol 7, No 1 (2025)
Publisher : Rumah Sakit Akademik Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ahj.v7i1.103305

Abstract

Background: Obstructive Sleep Apnea (OSA) is a global problem that has an impact on health and quality of life (QOL). There are a lot of risk factors for OSA, i.e. anatomical abnormality and comorbidity. A multidisciplinary approach can improve the symptoms and the impact of OSA and QOL too.Materials and methods: This case report is structured according to The CARE (Case Report) guideline.Case: A male, 37 years old, came with the chief complaint of snoring for 6 years. The patient felt unfit and dissatisfied with his sleep (Sleep Condition Indicator: 2.5). This impacted the daily activities and caused excessive daytime sleepiness. He could fall asleep while doing activities (Epsworth Sleepiness Scale: 24). The condition was worsening and he was often found apnea during sleep. The patient’s body mass index was 38.3kg/m2 (type I obesity) and the neck diameter was 43 cm. The polysomnography showed sleep architectural abnormality and the patients suffered from moderate OSA (Apnea-Hipopnea Index: 23.7). The patient was hospitalized for 7 days and got a Continuous Positive Airway Pressure Device (CPAP). Anatomical abnormality was investigated but none needed surgical intervention. Metabolic syndrome intervention includes therapy for hypertension, dyslipidemia, and diabetes. Collaboration with a clinical nutritionist for nutritional intervention. After 7 days, the sleep quality, the symptoms, and the SCI score were improved (7.1). Conclusion: OSA risk factors are varied and needed to be identified. In addition to definitive therapy, management of comorbidities, such as metabolic syndrome, should be addressed. A multidisciplinary approach can thereby improve OSA, patient’s health, and QOL.
Co-Authors Amelia Nur Vidyanti Anton Darmawan Astuti Prodjohardjono Dini Khairunnisa Fatoni, Rismi Gea Pandhita S Hanif, Faishal Haq, Arinal Hemi Sinorita Hidayah Karuniawati Hiztien Fahrurriza Ika Puspitasari Ika Puspitasari Indera Indera Ismail Setyopranoto Ismail Setyopranoto Khairunnisa, Dini Mara Ditta, Adist Azizy Mawaddah Ar-Rochmah Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mustofa Mustofa Mustofa Nadhilla, Nyimas Farisa Nathania, Caroline Evanthe Noor Alia Susanti Pandhita S, Gea Paryono Probosuseno Probosuseno Prodjohardjono, Astuti Putri, Vega Pratiwi Rismi Fatoni Rohma, Novita Nur Rohmania Setiarini Samekto Wibowo Samekto Wibowo Samekto Wibowo Satiti, Sekar Sedjatiningsih, Wahyu Setyaningrum, Cempaka Thursina Srie Setyaningsih, Indarwati Setyawan, Tommy Rachmat Silalahi, Lothar Matheus Manson Vanende Siti Aisyah Affiati Siti Farida Sri Sutarni Sri Sutarni Subagya Sugiyanto - Sugiyanto Sugiyanto Susianti, Noor Alia Wahyu Sedjatiningsih Yogik Onky Silvana Wijaya Yudhanto Utomo Zullies Ikawati