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All Journal Jurnal Sehat Indonesia (JUSINDO) The Journal of Society Medicine (JSOCMED)
Pujiastuti, R.A. Dwi
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke Purba, Siti Hasnita Oktavia; Nasution, Iskandar; Pujiastuti, R.A. Dwi
Journal of Society Medicine Vol. 3 No. 1 (2024): January
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47353/jsocmed.v3i1.118

Abstract

Introduction: Early Neurological Deterioration (END) is a worsening of symptoms within a few hours or days after an acute stroke which occurs in around 25,5% of patients with intracerebral hemorrhage. Dehydration is one of the conditions that is widely observed as a non-neurological cause of END in acute ischemic stroke, but in hemorrhagic stroke the correlation is still unclear. The aim of this study was to determine the correlation between dehydration and END in acute hemorrhagic stroke. Method: In this cross-sectional study, we assessed acute hemorrhagic stroke patients within 72 hours of onset at Haji Adam Malik General Hospital Medan, Indonesia, from April to October 2023. Patients are categorized as dehydrated if BUN/Cr ≥15 and urine specific gravity >1,010. END was defined as an increase in National Institutes of Health Stroke Scale (NIHSS) score of ≥ 2 points on the total score, or ≥ 1 point on motor items. Bivariate analysis was carried out to determine the correlation between dehydration and END in acute hemorrhagic stroke using the contingency correlation test. Results: A total of 30 subjects were included, with a mean age of 56,47 ± 12,75 years and 53,3% women. In this study, END was identified in 11 (36,7%) patients and dehydration was detected in 13 (43,3%) patients. The results of statistical analysis found no significant correlation between dehydration and END in acute hemorrhagic stroke (p=0,88 and r=0,298). Conclusion: There was no significant correlation between dehydration and END in acute hemorrhagic stroke.
Perbandingan Uji Diagnostik Kuesioner Sindrom Terowongan Karpal Boston dengan Kuesioner Kamath dan Stothard Pada Pasien Sindrom Terowongan Karpal di Rumah Sakit Adam Malik Medan Putri, Melysa Kemala; Fithrie, Aida; Pujiastuti, R.A. Dwi
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

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Latar Belakang: Diagnosis Sindrom Terowongan Karpal (STK) yang akurat sangat penting untuk terapi yang tepat sehingga dapat meningkatkan kualitas hidup pasien. Namun, tidak semua fasilitas kesehatan memiliki alat pemeriksaan konduksi saraf serta biaya pemeriksaan yang tidak sedikit sehingga banyak kasus tidak dapat terdiagnosis dengan baik. Dengan adanya keterbatasan tersebut maka dikembangkan kuesioner atau instrumen yang dapat membantu klinisi untuk mendiagnosis STK. Tujuan: Mengetahui nilai uji diagnostik Kuesioner Sindrom Terowongan Karpal Boston (KSTK-B) dengan Kuesioner Kamath dan Stothard (KKS) di RS Adam Malik Medan. Metode Penelitian: Penelitian ini menggunakan desain analitik observasional pada 51 pasien (67 manus yang diperiksa) yang mengalami gejala klinis STK di RS Adam Malik Medan yang memenuhi kriteria penelitian serta dikonfirmasi dengan pemeriksaan konduksi saraf. Kemudian dilakukan analisis statistik untuk menilai sensitivitas, spesifisitas, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio, akurasi, serta nilai AUC dan ROC. Hasil: Terdapat 51 subjek penelitian, dengan mayoritas berjenis kelamin perempuan (66,7%). Hasil uji diagnostik untuk KSTK-B didapatkan sensitivitas sebesar 83,6%, spesifisitas sebesar 66,7%, PPV sebesar 92,0%, NPV sebesar 47,0%, LR+ sebesar 2,5, LR- sebesar 0,25, akurasi sebesar 80,5%, AUC sebesar 0,752. Sedangkan pada KKS didapatkan sensitivitas sebesar 87,2%, spesifisitas sebesar 75,0%, PPV sebesar 94,1%, NPV sebesar 56,2%, LR+ sebesar 3,49, LR- sebesar 0,17, akurasi sebesar 85,1%, dan nilai AUC sebesar 0,811. Kesimpulan: Pada hasil penelitian ini, KKS memiliki sensitifitas, spesifisitas, PPV, NPV, LR+, LR-, Akurasi, Nilai AUC, dan ROC yang lebih baik dibandingkan dengan KSTK-B dalam mendiagnosis Sindrom Terowongan Karpal.
Co-Authors Fithrie, Aida Nasution, Iskandar Purba, Siti Hasnita Oktavia Putri, Melysa Kemala