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Hubungan Faktor Risiko Stroke dan Hipertensi terhadap Kejadian Demensia Vaskular Muhammad Ayatullah Rafsanjani Sutrisno; Alya Tursina; Mochammad Faisal Afif Mochyadin
Bandung Conference Series: Medical Science Vol. 4 No. 1 (2024): Bandung Conference Series: Medical Science
Publisher : UNISBA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/bcsms.v4i1.10697

Abstract

Abstract. WHO states that 55 million people suffering from dementia due to the increasing number of elderly people. In Bandung, 35.3% of elderly people suffering from dementia. In a journal published by the AHA it is stated that 7-40% of stroke incidents which can result in vascular dementia. Meanwhile, in another study, it was explained around 39.1% of dementia patients suffered from hypertension. The subjects in this study were 328 data from medical records of dementia patients at Al-Ihsan Hospital in 2020-2022 which were taken using the total sampling method. This research was analytical observational cross sectional using the chi-square method. The research data processing was carried out using univariate and bivariate analysis. This research shows that vascular dementia cases account for 67.4% of all dementia cases, most widely gender was male (61.5%) and the most age was 60-64 years (23.5%). Regarding the relationship between stroke and the incidence of vascular dementia, the result was p=0.205 and odds ratio=1,352. Meanwhile, the relationship between hypertension and the incidence of vascular dementia was found to be p=0.022 and odds ratio=0,461.It was concluded there was no relationship between stroke risk factors and the incidence of vascular dementia and there was a relationship between hypertension risk factors and the incidence of vascular dementia. Modifiable risk factors, namely stroke and hypertension, only contribute to some of the risk factors for vascular dementia. Other risk factors such as education, lifestyle, duration of disease and others are needed to get better results. Abstrak. WHO menyebutkan terdapat 55 juta orang menderita demensia disebabkan oleh peningkatan jumlah lansia. Di Indonesia, terjadi peningkatan jumlah lansia yang signifikan. Di kota Bandung terdapat 35,3% lansia yang menderita demensia. Selain usia, jenis kelamin, dan faktor risiko vaskular menjadi aspek karakteristik pasien yang dapat meningkatkan angka kejadian demensia. Pada jurnal yang diterbitkan oleh AHA menyebutkan terdapat 7-40% kejadian stroke yang dapat berakibat pada kejadian demensia vaskular. Sedangkan pada penelitian lain dijelaskan bahwa sekitar 39,1% pasien demensia menderita hipertensi. Subjek pada penelitian ini berjumlah 328 data rekam medis pasien demensia di RSUD Al-Ihsan tahun 2020-2022 yang diambil menggunakan metode total sampel. Penelitian ini berbentuk observasional analitik cross sectional dengan menggunakan metode chi-square. Pengolahan data penelitian dilakukan analisis univariat dan bivariat. Penelitian ini menunjukan pada kasus demensia vaskular mencapai 67,4% dari seluruh kejadian demensia. Dari data tersebut, jenis kelamin terbanyak pada pria (61,5%) dan usia terbanyak pada 60-64 tahun (23,5%). Pada hubungan faktor risiko stroke terhadap kejadian demensia vaskular didapatkan hasil p=0,205 dan odds ratio=1,352. Sedangkan, hubungan faktor risiko hipertensi terhadap kejadian demensia vaskular didapatkan hasil p=0,022 dan odds ratio=0,461. Disimpulkan tidak terdapat hubungan faktor risiko stroke terhadap kejadian demensia vaskular dan terdapat hubungan faktor risiko hipertensi terhadap kejadian demensia vaskular. Faktor risiko modifiable yaitu stroke dan hipertensi hanya menyumbang sebagian faktor risiko demensia vaskular. Faktor risiko lain seperti pendidikan, gaya hidup, durasi penyakit dan lainnya dibutuhkan untuk mendapat hasil yang lebih maksimal.
Perbandingan Kadar Hemoglobin, Hematokrit, dan Leukosit Pasien Stroke Infark dan Stroke Perdarahan dengan Covid-19 Daffa Khairan; Alya Tursina; Mochammad Faisal Afif Mochyadin
Jurnal Riset Kedokteran Volume 4, No.2, Desember 2024, Jurnal Riset Kedokteran (JRK)
Publisher : UPT Publikasi Ilmiah Unisba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/jrk.v4i2.5400

Abstract

Abstract. The highest number of stroke sufferers in 2018 were patients aged 75 years and over as much as 50.2% and the lowest was in the 15-24 year age range, which was equivalent to 0.6%. On the other hand, the Coronavirus disease-19 (COVID-19) pandemic has also recently attracted world attention. This study aims to determine the relationship between hemoglobin, hematocrit, and leukocytes with the incidence of stroke in Covid-19 patients at the Sumedang District Hospital in 2020-2022. The results of hemoglobin, hematocrit and leukocyte examinations are obtained through laboratory examination and are classified into normal or abnormal levels, while the diagnosis of Covid-19 is based on antigen examination. From the research results, it was found that of the 68 samples, the majority of stroke patients with Covid-19 at Sumedang District Hospital in 2020-2022 having an age range of 50-74 years were 47 people (69%). The majority of stroke patients with Covid-19 at Sumedang District Hospital in 2020-2022 were men as much as 37 people (54%). The majority of stroke patients among Covid-19 patients at the Sumedang District Hospital in 2020-2022 had hemoglobin in the range of 12.3-15.3 g/dl, hematocrit levels between 35-47%, and leukocyte levels >10,000 mm3. There is no relationship between hemoglobin, hematocrit and leukocyte levels with the incidence of stroke in Covid-19 patients at Sumedang District Hospital in 2020-2022. Abstrak. Jumlah penderita stroke terbanyak pada tahun 2018 adalah pasien berusia 75 tahun keatas yaitu sebanyak 50,2% dan terendah pada rentang umur 15-24 tahun yaitu setara dengan 0,6%. Di sisi lain, pandemi Coronavirus disease- 19 (COVID-19) juga baru-baru ini menarik perhatian dunia. Penelitian ini bertujuan untuk mengetahui hubungan hemoglobin, hematokrit, dan leukosit dengan kejadian stroke pada pasien Covid-19 di RSUD Kabupaten Sumedang tahun 2020-2022. Penelitian ini menggunakan metode analitik observasional dengan desain cross sectional. Jumlah sample yang diambil sebanyak 68 orang. Dari hasil penelitian didapatkan bahwa dari 68 sampel, pasien stroke dengan Covid-19 di RSUD Sumedang pada tahun 2020-2022 memiliki rentang usia 50-74 tahun yaitu sebanyak 47 orang (69%). Sebagian besar pasien pasien stroke dengan Covid-19 di RSUD Sumedang pada tahun 2020-2022 adalah laki-laki yaitu sebanyak 37 orang (54%). Sebagian besar pasien stroke pada pasien Covid-19 di RSUD Kabupaten Sumedang tahun 2020-2022 memiliki hemoglobin di rentang 12.3-15.3 g/dl, kadar hematokrit antara 35-47%, dan kadar leukosit >10.000 mm3. Tidak terdapat perbandingan yang signifikan pada kadar hemoglobin, hematokrit, maupun leukosit dengan kejadian stroke pada pasien Covid-19 di RSUD Sumedang pada tahun 2020-2022.