Claim Missing Document
Check
Articles

Found 3 Documents
Search

The Association between Duration of Type 2 Diabetes Mellitus with Severity Degrees of Ischemic Stroke Patient in Ward of Neurogical Disease at RSUD Dr. Moewardi Sakti, Triono Agung; Suroto, .; Utari, Cr Siti .
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Stroke is a most common cerebrovascular disease which is  more common and become the second leading cause of death after ischemic heart disease in the world. In Indonesia, approximately 15.4% of deaths caused by stroke. One of risk factor from stroke is Diabetes Mellitus (DM)  and Diabetes Mellitus type 2 is a major part of the diabetes that exist in society, especially in adulthood, which is about 85-90% of all  diabetes types in the world. Therefore, it needs systematic examination of the use of the National Institutes of Health Stroke Scale (NIHSS) to determine the severity degrees of stroke in stroke patients who also suffer from diabetes. This study aimed to determine the association between duration of type 2 diabetes mellitus  with severity degrees of ischemic stroke patient in Ward Neurological Diseases at RSUD Dr. Moewardi. Methods: This is an observational analytic study using cross sectional approach. A total of 32 subjects were selected by using purposive sampling, and subjects were ischemic stroke patients in Angrek II Ward of Neurological Disease at Hospital Dr. Moewardi.  Data were collected by direct interview and examined subject using the NIHSS score. Data were analyzed using multiple logistic regression model and processed with the Statistical Product and Service Solutions (SPSS) for Windows 17:00. Results: Multiple logistic regression analysis showed the results OR = 1.558; 95% CI 0.317 to 7.656, and p = 0.585. These results already control all of confounding variables such as  the levels of total cholesterol, smoking history, blood pressure, and history of alcohol consumption. Ischemic stroke patients who also suffer type 2 diabetes mellitus  ≥ 5 years increases the risk of ischemic stroke with severe severity 1,558 times more than patients who have type 2 Diabetes Mellitus  <5 years. Conclusions: There is a medium relationship between duration of type 2 Diabetes Mellitus with severity degrees ischemic stroke patient in Ward of Neurological Deisease at RSUD Dr. Moewardi, but the result is not significant in statistic. Keywords: Length Duration of DM, Tipe 2 Diabetes mellitus, Ischemic Stroke, Severity Degrees of Stroke  
The Association between Duration of Type 2 Diabetes Mellitus with Severity Degrees of Ischemic Stroke Patient in Ward of Neurogical Disease at RSUD Dr. Moewardi Triono Agung Sakti; . Suroto; Cr Siti . Utari
Nexus Kedokteran Klinik Vol 3, No 1 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Background: Stroke is a most common cerebrovascular disease which is more common and become the second leading cause of death after ischemic heart disease in the world. In Indonesia, approximately 15.4% of deaths caused by stroke. One of risk factor from stroke is Diabetes Mellitus (DM) and Diabetes Mellitus type 2 is a major part of the diabetes that exist in society, especially in adulthood, which is about 85-90% of all diabetes types in the world. Therefore, it needs systematic examination of the use of the National Institutes of Health Stroke Scale (NIHSS) to determine the severity degrees of stroke in stroke patients who also suffer from diabetes. This study aimed to determine the association between duration of type 2 diabetes mellitus with severity degrees of ischemic stroke patient in Ward Neurological Diseases at RSUD Dr. Moewardi. Methods: This is an observational analytic study using cross sectional approach. A total of 32 subjects were selected by using purposive sampling, and subjects were ischemic stroke patients in Angrek II Ward of Neurological Disease at Hospital Dr. Moewardi. Data were collected by direct interview and examined subject using the NIHSS score. Data were analyzed using multiple logistic regression model and processed with the Statistical Product and Service Solutions (SPSS) for Windows 17:00. Results: Multiple logistic regression analysis showed the results OR = 1.558; 95% CI 0.317 to 7.656, and p = 0.585. These results already control all of confounding variables such as the levels of total cholesterol, smoking history, blood pressure, and history of alcohol consumption. Ischemic stroke patients who also suffer type 2 diabetes mellitus ? 5 years increases the risk of ischemic stroke with severe severity 1,558 times more than patients who have type 2 Diabetes Mellitus <5 years. Conclusions: There is a medium relationship between duration of type 2 Diabetes Mellitus with severity degrees ischemic stroke patient in Ward of Neurological Deisease at RSUD Dr. Moewardi, but the result is not significant in statistic. Keywords: Length Duration of DM, Tipe 2 Diabetes mellitus, Ischemic Stroke, Severity Degrees of Stroke
Morse Fall Scale As Clinical Predictor Of 3-Month Neurologic Function Recovery On Ischemic Stroke Patients: A Prospective Cohort Study Sakti, Triono Agung; Hamidi, Baarid Luqman; Prabaningtyas, Hanindia Riani
Magna Neurologica Vol. 1 No. 1 (2023): January
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v1i1.431

Abstract

Background: Stroke is a leading cause of death in developing countries. The Morse Fall Scale (MFS)'s use in predicting stroke clinical outcomes has not been extensively studied. This study aims to assess MFS's ability to predict neurological recovery in acute ischemic stroke patients within 3 months using the National Institutes of Health Stroke Scale (NIHSS). Methods: This prospective cohort study enrolled all individuals with acute ischemic stroke between September and November 2021. Patients' baseline data included their MFS and NIHSS scores, as well as their age, gender, weight, stroke location, and comorbidities. The NIHSS score was reassessed three months later. To identify NIHSS predictors, all baseline data will be analyzed. SPSS 22 was used to analyze the data. The local ethics committee approved the study. Results: Of the 164 patients who met the criteria, only 105 (mean age 59.09 [±11.65], male [58.1%], anterior location [88.6%]) reached the study end point. The average NIHSS score decreased from 9.14 (±1.70) to 6.27 (±1.92). Multiple linear regression showed only the MFS score (p = 0.000) accurately predicted the NIHSS by 0.059 (95% CI: 0.032–0.085, p = 0.000) at the study's conclusion. Discussion: Our investigation revealed that the baseline MFS score accurately predicted neurological improvement in patients who had suffered an ischemic stroke over a three-month period. It is considered that the greater risk of falling results in a delay in the patient's rehabilitation. Investigation with larger sample sizes and longer monitoring intervals are required to corroborate our findings.