Update Artikelilmiah: 14461

IRMA NURAENI HIDAYAT

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Abstrak (Bhs. Indonesia)

Latar Belakang: Stroke meningkatkan beban kesehatan negara terutama di negara berkembang. Stroke merupakan penyebab morbiditas utama di dunia akibat disabilitas terutama pada penderita stroke iskemik. Morbiditas stroke terutama diakibatkan oleh  adanya disabilitas fisik dan kognitif. Prognosis stroke iskemik lebih buruk pada penderita dengan kadar hematokrit (Ht) yang tinggi.
Tujuan: Menganalisis hubungan kadar hematokrit dengan fungsi kognitif pada pasien stroke iskemik di RSUD Prof. dr. Margono Soekarjo Purwokerto (RSMS).
Desain Penelitian: Penelitian ini merupakan penelitian observasional analitik dengan desain studi case-control. Subjek penelitian adalah penderita stroke iskemik yang berobat di Poli Saraf RSMS bulan November 2015 menggunakan teknik consecutive sampling. Didapatkan 52 subjek penelitian yang memenuhi kriteria insklusi yang terbagi menjadi kelompok dengan fungsi kognitif normal (n=26) dan tidak normal (n=26). Fungsi kognitif diukur menggunakan Montreal Cognitif Assesment (MoCA). Kadar Ht didapatkan dari rekam medis saat subjek terdiagnosis stroke iskemik. Data univariat disajikan dalam bentuk tabel distribusi frekuensi. Hubungan kadar Ht dengan fungsi kognitif dianalisis menggunakan uji Lambda
Hasil: Uji Lambda hubungan kadar Ht dengan fungsi kognitif diperoleh nilai p=0.000 dengan r=0.385 (p<0.05, r= 0.20-0.399, 95%CI).
Kesimpulan: terdapat hubungan yang lemah antara kadar Ht dengan fungsi kognitif pada pasien stroke iskemik di RSMS

Abtrak (Bhs. Inggris)

Background: Stroke improve the country's health burden, particularly in developing countries. Stroke is a major cause of morbidity in the world due to disability, especially in patients with ischemic stroke. Stroke morbidity mainly caused by physical and cognitive disabilities. Worse prognosis of ischemic stroke in patients with hematocrit (Ht) is high.
Objective: To analyze the relationship between hematocrit levels and cognitive function in patients with ischemic stroke in Prof. dr. Margono Soekarjo Purwokerto Hospital (RSMS).
Study Design: This study is the design of the studies and observational analytic controls. The subjects were patients with ischemic stroke treated in Neurology Clinic RSMS in November 2015 using consecutive sampling technique. Obtained 52 research subjects who meet the criteria insklusi divided into groups with normal cognitive function (n = 26) and normal (n = 26). Cognitive function was measured using the Montreal Cognitive Assessment (MoCA). Ht levels obtained from medical records when a patient diagnosed with ischemic stroke. Univariate Data presented in the form of a frequency distribution table. Ht relation to levels of cognitive function tests were analyzed by test of Lambda
Results: Test of Lambda hematocrit levels relationship with cognitive function obtained with p = 0.000 r = 0.385 (p <0.05, r = .20 to .399, 95%).
Conclusion: There is a weak relationship between hematocrit levels and cognitive function in patients with ischemic stroke in RSMS

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