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Functional Status of Stroke Patients at Neurologic Outpatient Clinic Dr. Hasan Sadikin General Hospital Chen, Lee Shok; Moeliono, Marina A.; Amalia, Lisda
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Functional status refers to the ability of an individual to perform normal daily activity required to meet basic needs, fulfill usual roles, and maintain health and well-being. The objective of this study was to evaluate the level of disability and independency of stroke patients who had undergone rehabilitation therapy as the routine activity using Instrumental Activity of Daily Living (IADLs) and basic Activity of Daily Living (BADLs). Methods: This descriptive study carried out from September to October 2014 at Neurologic outpatient clinic Dr. Hasan Sadikin General Hospital Bandung with a total 33 subjects. Barthel index and IADLs questionnaire was used as an instrumental tool. Barthel index was used to measure the level of disability and IADLs was used to measure the level of independency of an individual.Results: From the 33 patients, 20 patients completed their rehabilitation therapy; 5 patients showed a moderate disability and 15 patients showed a mild disability at the Barthel Index of ADLs. The result of IADLs showed that 7 patients who completed the therapy had moderate level of independency, and 3 patients were at the category of high level of independency.Conclusions: Most of the stroke patients have moderate disability in Barthel Index and had low level of independency in IADLs. [AMJ.2016;3(1):126–31] DOI: 10.15850/amj.v3n1.720
Functional Status of Stroke Patients at Neurologic Outpatient Clinic Dr. Hasan Sadikin General Hospital Chen, Lee Shok; Moeliono, Marina A.; Amalia, Lisda
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (529.992 KB)

Abstract

Background: Functional status refers to the ability of an individual to perform normal daily activity required to meet basic needs, fulfill usual roles, and maintain health and well-being. The objective of this study was to evaluate the level of disability and independency of stroke patients who had undergone rehabilitation therapy as the routine activity using Instrumental Activity of Daily Living (IADLs) and basic Activity of Daily Living (BADLs). Methods: This descriptive study carried out from September to October 2014 at Neurologic outpatient clinic Dr. Hasan Sadikin General Hospital Bandung with a total 33 subjects. Barthel index and IADLs questionnaire was used as an instrumental tool. Barthel index was used to measure the level of disability and IADLs was used to measure the level of independency of an individual.Results: From the 33 patients, 20 patients completed their rehabilitation therapy; 5 patients showed a moderate disability and 15 patients showed a mild disability at the Barthel Index of ADLs. The result of IADLs showed that 7 patients who completed the therapy had moderate level of independency, and 3 patients were at the category of high level of independency.Conclusions: Most of the stroke patients have moderate disability in Barthel Index and had low level of independency in IADLs. [AMJ.2016;3(1):126–31] DOI: 10.15850/amj.v3n1.720
Nutritional Status of Hospitalized Stroke Patients: Assessment by Body Mass Index and Subjective Global Assessment Method Kartika, Gloria; Amalia, Lisda; Nugraha, Gaga Irawan
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

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Abstract

Background: Stroke is a disease with a high mortality rate and common cause of disability. Nutritional factors are strongly associated with this disease. Malnutrition in hospitalized patients increases the incidence of complications, prolonged the length of stay and also the cost of hospitalization. Furthermore, nutritional status of stroke patients can deteriorate during hospitalization. The prevalence of malnutrition in hospitalized stroke patients is about 6% to 62%. The objective of this study was to identify  the nutritional status of hospitalized stroke patient.Methods: This was a descriptive cross-sectional study. Population of the study was hospitalized stroke patients at Neurology Ward, Kemuning Building Dr. Hasan Sadikin General Hospital Bandung, Indonesia from August until October 2014 who meet the inclusion criteria. Nutritional status was measured objectively using Body Mass Index (BMI) and subjectively using Subjective Global Assessment (SGA) method. The collected data were processed using  frequency tabulation and percentage.Results: Twenty six hospitalized stroke patients were included in this study. The hospitalized patients with normal BMI were about 12 people (46.15%), 8 people were overweight (30.77%), 4 people were undernourished (15.39%) and 2 people (7.69%) were obese. According to SGA measurement, approximately 18 people (69.22%) were moderately malnourished, and as much as 4 people (15.39%) were in good nutrition, whereas 4 people (15.39%) were severely malnourished.Conclusions: Majority of the hospitalized stroke patients has normal BMI and moderately malnourished based on SGA. DOI: 10.15850/amj.v4n2.1090
Gambaran Epidemiologi Pasien Stroke Dewasa Muda yang Dirawat di Bangsal Neurologi RSUP Dr.Hasan Sadikin Bandung Periode 2011–2016 Syifa, Nadia; Amalia, Lisda; Bisri, Dewi Yulianti
Jurnal Neuroanestesi Indonesia Vol 6, No 3 (2017)
Publisher : Departement of Anesthesiology and Intensive Care Dr. Hasan Sadikin Hospital Bandung

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Abstract

Latar Belakang dan Tujuan: Kerugian akibat stroke lebih berat pada penderita yang berusia lebih muda dibandingkan usia tua. Insidensi stroke dewasa muda terus meningkat di berbagai negara. Pencegahan yang tepat dapat dilakukan dengan melakukan studi epidemiologi. Penelitian ini bertujuan untuk mengetahui gambaran epidemiologi pasien stroke dewasa muda. Subjek dan Metode: Penelitian ini merupakan studi kuantitatif dengan metode deskriptif. Data yang digunakan adalah resume rekam medis pasien stroke yang dirawat di bangsal neurologi Rumah Sakit Dr.Hasan Sadikin(RSHS) Bandung tahun 2011–2016. Data kemudian diklasifikasikan berdasarkan kelompok usia, jenis kelamin, tipe stroke, demografi, dan faktor risiko.Hasil: Sampel yang didapatkan sejumlah 450 buah. Jumlah kasus stroke terbanyak berada pada kelompok umur 42–45 tahun (45,11%). Kejadian stroke iskemik (50,44%) lebih tinggi dibandingkan kejadian stroke perdarahan (49,56%). Kejadian pada perempuan (56,66%) lebih tinggi dibandingkan laki-laki (43,34%). Pendidikan terakhir penderita paling banyak adalah SMA (32,89%). Kelompok pekerjaan terbanyak adalah kelompok tidak bekerja (56,22%). Faktor risiko terbanyak adalah hipertensi (42,06%). Simpulan: Kejadian stroke dewasa muda di RSHS paling banyak terjadi pada kelompok usia 42-45 tahun, tipe stroke iskemik, jenis kelamin perempuan, pendidikan terakhir SMA, tidak bekerja, dan faktor risiko tertinggi adalah hipertensi. Epidemiological Picture of Young Adult Stroke Patients treated in Neurology Ward of RSUP Dr.Hasan Sadikin Bandung 2011–2016 PeriodBackground and Objectives: The stroke loss is higher in younger patients compared to the older patients. Stroke incidence is increasing year by year. Epidemiological study can be used as the basis of prevention and reduction of young adult stroke incidence. This study aims to determine the epidemiological picture of young adult stroke patientsSubjects and Method: This study is a quantitative study using descriptive method. The datas were taken from the resume of medical records of patients that are diagnosed as stroke and treated in the neurology ward Dr.Hasan Sadikin Hospital(RSHS) in 2011 - 2016. All samples were taken then classified by its age group, sex, stroke type, demographical characteristic and risk factor. Result: 452 samples were obtained. The highest number of cases are found in the 42-45 year old group (45,11%). Ischemic stroke (50,44%) cases are higher compared to the hemorrhagic stroke (49,56%). Stroke cases in women (56,66%) is higher than in men (43,34%). Most of the patient’s last education is high school (32,89%). Most of the patients who have stroke are unemployed (56,22%). The most risk factor is hypertension (42,06%). Conclusion: Stroke cases in RSHS happen to be higher in older age group, ischemic stroke type, women, high school as the last education, unemployment and the highest risk factor is hypertension.
Gambaran Faktor Risiko Kejadian Stroke di RSHS Bandung Periode Januari 2015– Desember 2016 Badriyah, Nur’aini Jamilatul; Amalia, Lisda; Suwarman, S
Jurnal Neuroanestesi Indonesia Vol 7, No 3 (2018)
Publisher : Departement of Anesthesiology and Intensive Care Dr. Hasan Sadikin Hospital Bandung

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Abstract

Latar Belakang dan Tujuan: Stroke merupakan masalah kesehatan di dunia yang menjadi penyebab kematian kedua tertinggi. Epidemiologi pasien stroke berdasarkan faktor risikonya masih sangat bervariasi dan belum ada data yang melaporkan di Jawa Barat. Tujuan penelitian ini adalah untuk mengetahui gambaran faktor risiko kejadian stroke. Subjek dan Metode: Penelitian ini menggunakan studi desain deskriptif dengan rancangan potong lintang. Data diambil secara retrospektif dengan metode total sampling dari rekam medis pasien stroke di bangsal neurologi RSUP Dr. Hasan Sadikin periode Januari 2015–Desember 2016 yang memenuhi kriteri inklusi dan eksklusi.Hasil: Didapatkan 1044 subjek terdiri dari 486 laki-laki dan 558 perempuan. Kelompok usia 55-64 tahun (33,3%), pendidikan tamat SD (45,3%), dan tidak bekerja (56,4%) merupakan prevalensi tertinggi dari subjek yang diteliti. Stroke iskemik memiliki prevalensi lebih tinggi dibandingkan stroke perdarahan dengan lokasi sistem karotis lebih tinggi (89,6%) dibandingkan sistem vertebrobasilar (10,4%). Faktor risiko tertinggi yaitu hipertensi. Simpulan: Insidensi pasien stroke lebih tinggi terjadi pada wanita, kelompok usia tua, pendidikan rendah, dan tidak bekerja. Kasus pasien stroke iskemik lebih sering terjadi dibandingkan dengan stroke perdarahan dengan lokasi sistem karotis lebih banyak dibandingkan sistem vertebrobasilar. Hipertensi merupakan faktor risiko paling sering mengakibatkan stroke.Profile of Stroke Risk Factors in Hasan Sadikin General Hospital Bandung During January 2015–December 2016Background and Objective: Stroke is an important health issue causing the second most death worldwide. Epidemiology of stroke patients based on risk factors is highly variable without data to report regarding risk factors of stroke in West Java. Aim of this study is to find out profile of stroke risk factor.Subject and Method: This study is a descriptive study with cross section design. Data acquired retrospectively with total sampling method from medical records of stroke patients in Hasan Sadikin General Hospital from January 2015–December 2016 that fulfills inclusion criteria and exclusion criteria.Result: Obtained 1044 subjects consisted of 486 males and 558 females. Subjects with age 55–64 years old (33.3%), elementary school graduate (45.3%), and no occupation (56.4%) were the highest prevalence of studied subject. Ischaemic stroke had higher prevalence than haemorrhagic stroke with carotid system (89.6%) higher than vertebrobasilar (10.4%). Highest risk factor were hypertension. Conclusion: Incidence of stroke patients are higher in women, older age group, low education, and no occupation. Ischaemic stroke case patients were found more often than haemorrhagic stroke with carotid system more than vertebrobasilar system. Hypertension is the most common risk factor causing stroke.
Characteristics of Cardioembolic Stroke Patient in Neurologic Ward Dr. Hasan Sadikin General Hospital Bandung Damayanti, Adriana; Amalia, Lisda; Sudjud, Reza W.
Journal of Medicine & Health Vol 2 No 1 (2018)
Publisher : Universitas Kristen Maranatha

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Abstract

Stroke is the second most common cause of death worldwide after heart disease. About80% stroke cases are ischemic stroke. One of 4 people with ischemic stroke had cardioembolicstroke. Ninety percent of cardiac emboli obstruct cerebral blood vessels and causedneurological deficit. Cardioembolic stroke may be due to abnormalities in cardiac walls,rhythm, valve, or function. Stroke patients with cardiac abnormalities have poor prognosis. Thisretrospective descriptive study was done in May-June 2017. We collected 103 medical recordsof stroke patients from Department of Neurology, Dr. Hasan Sadikin General Hospital duringJanuary 2015- March 2016. Data regarding sex, age, education level, economic status, andcardiac abnormalities were recorded. Majority of subjects were female (53.4%). The mostfrequent age group was 45-65 years old (49.51%). Most subjects had low educational level(76.7%) and low economic status (77.67%). Among subjects, 41.75% had cardiac rhythmabnormalities, 29.13% had cardiac wall abnormalities, 14.56% had cardiac valveabnormalities, and 14.56% had cardiac function abnormalities. The most common cause ofcardioembolic stroke was atrial fibrillation.Keywords: cardioembolic stroke epidemiology, patient characteristics, cardiac disease
Clinical Profile of Stroke Patients with Vertigo in Hasan Sadikin General Hospital Bandung Neurology Ward Khansa, Amany; Cahyani, Aih; Amalia, Lisda
Journal of Medicine & Health Vol 2 No 3 (2019)
Publisher : Universitas Kristen Maranatha

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Abstract

 Vertigo often occurs from the ages of 18 to 79 years with a prevalence of 7.4%. Central vertigo is less common than peripheral vertigo, but it can worsen disability in stroke patients. This study aims to determine the profile of stroke patients with vertigo in Hasan Sadikin General Hospital Bandung Neurology Ward. This is a retrospective descriptive study, using medical record data from 2013 to 2017, and collected 173 medical record data. The results showed that most stroke patients with vertigo were women (59%), the most age group was 55-64 years (34.1%), the most common type of stroke was ischemic stroke (75.7%), the most disturbance regarding the vertebrobasilar system was (72.8%), the most patients got the first stroke was (52.6%), 60.7% of patients suffered from hypertension, 23.1% of patients suffered from hyperlipidemia 40 (23.1%), and 22% of patients suffered from diabetes mellitus type 2. This study concludes that stroke patients who experience vertigo are more common in women, and in the 55-64 year age group. The most common stroke is ischemic in the vertebrobasilar system. Most symptoms in stroke patients with vertigo are dizziness not affected by position, vomiting and nystagmus. Hypertension, hyperlipidemia and diabetes mellitus play an important role in the incidence of stroke in patients.   Keywords: vertigo, risk factor, stroke, vertebrobasilar
Nutritional Status of Hospitalized Stroke Patients: Assessment by Body Mass Index and Subjective Global Assessment Method Kartika, Gloria; Amalia, Lisda; Nugraha, Gaga Irawan
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (102.016 KB)

Abstract

Background: Stroke is a disease with a high mortality rate and common cause of disability. Nutritional factors are strongly associated with this disease. Malnutrition in hospitalized patients increases the incidence of complications, prolonged the length of stay and also the cost of hospitalization. Furthermore, nutritional status of stroke patients can deteriorate during hospitalization. The prevalence of malnutrition in hospitalized stroke patients is about 6% to 62%. The objective of this study was to identify  the nutritional status of hospitalized stroke patient.Methods: This was a descriptive cross-sectional study. Population of the study was hospitalized stroke patients at Neurology Ward, Kemuning Building Dr. Hasan Sadikin General Hospital Bandung, Indonesia from August until October 2014 who meet the inclusion criteria. Nutritional status was measured objectively using Body Mass Index (BMI) and subjectively using Subjective Global Assessment (SGA) method. The collected data were processed using  frequency tabulation and percentage.Results: Twenty six hospitalized stroke patients were included in this study. The hospitalized patients with normal BMI were about 12 people (46.15%), 8 people were overweight (30.77%), 4 people were undernourished (15.39%) and 2 people (7.69%) were obese. According to SGA measurement, approximately 18 people (69.22%) were moderately malnourished, and as much as 4 people (15.39%) were in good nutrition, whereas 4 people (15.39%) were severely malnourished.Conclusions: Majority of the hospitalized stroke patients has normal BMI and moderately malnourished based on SGA. DOI: 10.15850/amj.v4n2.1090