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All Journal Global Medical and Health Communication Jurnal Neuroanestesi Indonesia
Khairunnisa, Shafa Ayu
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Difference between Nutrition Status in First and Recurrent Ischemic Stroke Patients: a Retrospective Cross-Sectional Study Amalia, Lisda; Khairunnisa, Shafa Ayu
Global Medical & Health Communication (GMHC) Vol 11, No 3 (2023)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v11i3.11051

Abstract

Malnutrition in stroke patients can be caused by neurological deficits such as decreased consciousness, dysphagia, cranial nerve paresis, and hemiparesis/hemiplegia. The condition of malnutrition seriously impacts healing and can exacerbate the underlying disease, in this case, stroke, so malnutrition in stroke patients extends the length of stay and increases morbidity and mortality. This study compares nutritional status between first and recurrent ischemic stroke patients based on body mass index (BMI) and subjective global assessment (SGA). This study is a comparative analysis of the medical records of ischemic stroke patients in Dr. Hasan Sadikin General Hospital Bandung from January 2018 until December 2020. The chi-square and Fisher's exact tests were used for statistical analysis. The significance criteria are the p-value if p≤0.05 means statistically significant. A total of 236 subjects in both groups of first and recurrent ischemic stroke patients consisting of 130 men and 106 women with an average age of 56.64 and 61.75 years, and the majority had risk factors for hypertension. The first ischemic stroke group has a good nutrition status compared with the recurrent stroke group (p<0.05). Thirteen patients (11.02%) of first ischemic stroke and 11 patients of recurrent ischemic stroke (9.32%) were underweight, 67 patients (56.78%) of first ischemic stroke and 74 patients of recurrent ischemic stroke (62.71%) had average weight, 31 patients (26.27%) first ischemic stroke and 33 patients (27.97%) recurrent ischemic stroke were overweight, five patients (4.24%) first ischemic stroke and seven patients (5.93%) recurrent ischemic stroke were obese (p<0.05). In conclusion, there was a significant difference in the nutritional status of first and repeated ischemic stroke patients. The nutritional status of recurrent ischemic stroke patients is worse than that of first ischemic stroke patients.
Perbandingan Status Nutrisi Pasien Stroke Iskemik Pertama dan Ulang di RSUP Dr. Hasan Sadikin Bandung Khairunnisa, Shafa Ayu; Amalia, Lisda; Fatimah, Siti Nur
Jurnal Neuroanestesi Indonesia Vol 12, No 1 (2023)
Publisher : https://snacc.org/wp-content/uploads/2019/fall/Intl-news3.html

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24244/jni.v12i1.444

Abstract

Latar Belakang dan Tujuan: Stroke memiliki manifestasi klinis yang dapat menyebabkan rendahnya asupan nutrisi. Pasien stroke juga dapat mengalami stroke ulang. Penelitian ini bertujuan untuk mengetahui perbandingan status nutrisi pasien stroke iskemik pertama dan ulang berdasarkan Indeks Massa Tubuh (IMT) dan Penilaian Global Subjektif (PGS).Subjek dan Metode: Penelitian ini merupakan analitik komparatif dari data rekam medis pasien stroke iskemik pertama dan ulang di RSUP Dr. Hasan Sadikin Bandung periode 2018?2019. Metode pemilihan sampel dengan sampling konsekutif, sampel sebanyak 118 pasien untuk masing-masing kelompok. Analisis data nominal dengan uji Fishers Exact, data ordinal dan numerik dengan uji Mann Whitney. Hasil: Total 236 subjek pada kedua kelompok yang terdiri dari 130 pria dan 106 wanita dengan rata-rata usia 56,614,6 dan 61,811,4 tahun, mayoritas memiliki faktor risiko hipertensi. Berdasarkan IMT, mayoritas pasien dalam kategori normal dan obesitas pada strok iskemik pertama (33,05%) dan obesitas pada strok iskemik ulang (37,39%, p0,05). Kategori PGS B 64,41% dan 66,95% pada strok iskemik pertama dan ulang (p0,05).Simpulan: Tidak terdapat perbedaan yang signifikan secara statistika pada status nutrisi pasien stroke iskemik pertama dan ulang berdasarkan PGS dan IMT, namun secara proporsi pasien stroke iskemik ulang memiliki status nutrisi yang lebih buruk. Mayoritas pasien stroke iskemik mengalami obesitas, berlawanan dengan PGS yang menunjukkan pasien mengalami malnutrisi ringan-sedangComparison of Nutritional Status between First and Recurrent Ischemic Stroke Patients in Dr. Hasan Sadikin Central General Hospital BandungAbstractBackground and Objective: Stroke has various clinical manifestations that can cause low nutritional intake. Stroke patients can also experience recurrent stroke. This study aims to determine the comparison of nutritional status in patients with first and recurrent ischemic stroke based on Body Mass Index (BMI) and Subjective Global Assessment (SGA).Subject and Methods: This study is a comparative analysis of the medical records of patients with first and recurrent ischemic stroke at RSUP Dr. Hasan Sadikin Bandung period 2018?2019. The sample selection method was carried out by consecutive sampling with 118 patients for each group. Data analysis for nominal data was tested by Fishers exact test, for ordinal and numerical data tested by Mann Whitney test. Result: A total of 236 subjects in both groups of first and recurrent ischemic stroke patients consisting of 130 men and 106 women with an average age of 56,6414,60 and 61,7511,36 years, and the majority had risk factors for hypertension. Based on BMI, the majority of ischemic stroke patients were categorized as normal and obese in the first (33,05%) and obese in recurrent ischemic stroke (37,39%), p0,05. SGA B rating (64,41% in the first and 66,95% in the recurrent ischemic stroke), p0,05.Conclusion: There was no statistically significant difference in the nutritional status of first and recurrent ischemic stroke patients based on SGA and BMI, but the proportion of recurrent ischemic stroke patients had worse nutritional status. The majority of ischemic stroke patients are obese, in contrast to the SGA which shows that patients are mildly-moderately malnourished
Co-Authors Lisda Amalia Siti Nur Fatimah