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All Journal Cermin Dunia Kedokteran Jurnal Kesehatan Qamarul Huda
Dyah Irawati, Dyah
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Health Professions Nursing Public Health

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Karakteristik Pasien Stroke Usia Dewasa Muda Di RS Islam Orpeha Tulungagung Vidyarni, Kurnia Elka; Irawati, Dyah
Jurnal Kesehatan Qamarul Huda Vol. 13 No. 1 (2025): Juni 2025
Publisher : Universitas Qamarul Huda Badaruddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37824/jkqh.v13i1.2025.733

Abstract

Stroke merupakan penyebab kematian nomor dua secara global, dan sebagai penyebab utama kecacatan fisik dan kognitif jangka panjang pada orang dewasa. Prevalensi stroke pada dewasa muda berusia 18-50 tahun meningkat seiring waktu yaitu 10-14% dari seluruh kasus stroke. Penelitian ini untuk mengetahui angka kejadian dan karakteristik pasien stroke usia dewasa muda (18-50 tahun) di RS Islam Orpeha Tulungagung. Penelitian deskriptif observasional dilakukan pada pasien stroke usia dewasa muda (18-50 tahun) yang dirawat di RS Islam Orpeha Tulungagung pada periode Januari 2023-April 2024. Data diambil dari rekam medis berupa usia, jenis kelamin, jenis stroke, hasil CT scan kepala atau skor Siriraj, serta faktor risiko. Dari 319 pasien stroke pada rentang waktu Januari 2023-April 2024, didapatkan 47 pasien stroke usia dewasa muda, rerata usia 46 tahun dengan rentang usia 33-49 tahun, dengan 51,1% laki-laki, dan 93,6% menderita stroke infark. Didapatkan riwayat hipertensi sebanyak 85,1%, hiperlipidemia 55,3%, diabetes melitus 12,8%, aritmia 6,4 %, gagal jantung 4,3%, dan penyakit jantung koroner 2,1%. Kasus stroke usia dewasa muda di RS Islam Orpeha Tulungagung pada periode Januari 2023-April 2024 tercatat sebanyak 14,9% dari keseluruhan kasus stroke. Jenis stroke terbanyak adalah stroke infark dengan rerata usia pasien 46 tahun. Hipertensi dan dislipidemia merupakan faktor risiko utama stroke pada usia dewasa muda.
Skor TriAge+ sebagai Alat Diagnostik Klinis Awal Vertigo Sentral pada Stroke Serebelum – Laporan Kasus: Laporan Kasus Vidyarni, Kurnia Elka; Irawati, Dyah
Cermin Dunia Kedokteran Vol 53 No 07 (2026): Juli 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i07.1706

Abstract

Introduction: Vertigo is a common complaint in the emergency department (ED); however, differentiating central from peripheral vertigo remains challenging. More than 4.4 million patients present to the emergency department annually with dizziness or vertigo, and approximately 5% are diagnosed with stroke. Early identification of central vertigo is crucial to prevent adverse neurological outcomes. Case: A 63-year-old male presented with severe swaying dizziness accompanied by nausea, rendering him unable to walk. The TriAge+ score was 9, indicating high risk for stroke. On the fourth day of hospitalization, the patient developed weakness in the right extremities and impaired sensory function in the bilateral cranial nerve V distribution. Non-contrast head CT revealed a subacute ischemic cerebral infarction affecting the pons, right corona radiata, and bilateral basal ganglia, with signs of brain atrophy. The patient was diagnosed with central vertigo due to cerebellar infarct stroke. Discussion: The TriAge+ score demonstrates high sensitivity for detecting central vertigo in the ED. In resource-limited settings where neuroimaging is not immediately available, this bedside clinical tool can facilitate early risk stratification and timely referral for definitive diagnostic workup and stroke-specific care. Conclusion: The TriAge+ score, as an early clinical diagnostic tool in the ED, is essential for detecting central vertigo in order to reduce morbidity and mortality associated with cerebellar stroke.
Co-Authors Vidyarni, Kurnia Elka