Perbandingan Status Nutrisi Pasien Stroke Iskemik Pertama dan Ulang di RSUP Dr. Hasan Sadikin Bandung

Shafa Ayu Khairunnisa, Lisda Amalia, Siti Nur Fatimah

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 Fisher’s 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 56,6±14,6 dan 61,8±11,4 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%, p>0,05). Kategori PGS B 64,41% dan 66,95% pada strok iskemik pertama dan ulang (p>0,05).
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-sedang

 

Comparison of Nutritional Status between First and Recurrent Ischemic Stroke Patients in Dr. Hasan Sadikin Central General Hospital Bandung


Abstract

Background 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 Fisher’s 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 56,64±14,60 and 61,75±11,36 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%), p>0,05. SGA B rating (64,41% in the first and 66,95% in the recurrent ischemic stroke), p>0,05.
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


Keywords


MT, PGS, status nutrisi, stroke iskemik pertama, stroke iskemik ulang

Full Text:

PDF

References


Radu RA, Terecoasă EO, Băjenaru OA, Tiu C. Etiologic classification of ischemic stroke: Where do we stand?. Clin Neurol Neurosur. 2017;159:93–106. . https://doi.org/10.1016/j.clineuro.2017.05.019

Riskesdas K. Hasil Utama Riset Kesehatan Dasar (RISKESDAS). 2018;44(8):1–200. Tersedia pada: https://kesmas.kemkes.go.id/

Zhuo Y, Wu J, Qu Y, Yu H, Huang X, Zee B, et al. Clinical risk factors associated with recurrence of ischemic stroke within two years: A cohort study. Medicine (Baltimore). 2020;99(26):e20830.https://doi.org/ 10.1097/MD.0000000000020830

Kwon SY, Park JH, Kim WS, Han K, Lee Y, Paik NJ. Health-related quality of life and related factors in stroke survivors: Data from Korea National Health and Nutrition Examination Survey (KNHANES) 2008 to 2014. PLoS One. 2018;13(4):1–12. https://doi.org/ 10.1371/journal.pone.0195713

Kartika G, Amalia L, Nugraha GI. Nutritional status of hospitalized stroke patients: assessment by body mass index and Subjective Global Assessment method. Althea Med J. 2017;4(2):293–8. https://doi.org/10.15850/amj.v4n2.1090

Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z. Nutritional risk screening and assessment. J Clin Med. 2019;8(7):1065. https://doi.org/10.3390/jcm8071065

Shimizu A, Maeda K, Koyanagi Y, Kayashita J, Fujishima I, Mori N. The global leadership initiative on malnutrition–defined malnutrition predicts prognosis in persons with stroke-related dysphagia. J Am Med Dir Assoc [Internet]. 2019;20(12):1628–33. Tersedia pada: https://doi.org/10.1016/j.jamda.2019.07.008.

Centers for Disease Control and Prevention. Body Mass Index (BMI) [Internet]. Healthy Weight, Nutrition, and Physical Activity. 2020. Tersedia pada: https://www.cdc.gov/healthyweight/assessing/bmi/index.html

Brainin M. Textbook of stroke medicine. Textbook of Stroke Medicine. 2019. ix–x.

Kim SM, Woo HG, Kim YJ, Kim BJ. Blood pressure management in stroke patients. J Neurocrit Care. 2020;13(2):69–79. https://doi.org/10.18700/jnc.200028

Lieber AC, Hong E, Putrino D, Nistal DA, Pan JS, Kellner CP. Nutrition, energy expenditure, dysphagia, and self-efficacy in stroke rehabilitation: A review of the literature. Brain Sci. 2018;8(12):218. https://doi.org/10.3390/brainsci8120218

Nishioka S, Okamoto T, Takayama M, Urushihara M, Watanabe M, Kiriya Y, et al. Malnutrition risk predicts recovery of full oral intake among older adult stroke patients undergoing enteral nutrition: Secondary analysis of a multicentre survey (the APPLE study). Clin Nutr [Internet]. 2017;36(4):1089–96. Tersedia pada: http://dx.doi.org/10.1016/j.clnu.2016.06.028

Alharbi MN, Alharbi AK, Alamri M, Alamri MA, Alharthi AAS, Alqerafi AM, et al. Ischemic stroke: prevalence of modifiable risk factors in the Saudi population. Int J Med Dev Ctries. 2019;3(7):601–03. https://doi.org/10.24911/IJMDC.51-1548376707

Xu T, Liu J, Liu J, Zhu G, Han S. Relation between metabolic syndrome and body compositions among Chinese adolescents and adults from a large-scale population survey. BMC Public Health. 2017;17(1):1–8. https://doi.org/ 10.1186/s12889-017-4238-3

Hsieh DY, Hung JW, Chang KC, Huang YC, Lee TH, Chen HM. Malnutrition in acute stroke patients stratified by stroke severity - a hospital based study. Acta Neurol Taiwan. 2017;26(3):120–7.

Junaidi ENSA. Perbedaan tingkat status gizi dengan luaran klinis pasien stroke iskemik fase akut di RSUD Dr.Saiful Anwar Malang. Malang Neurol J. 2018;4(4):527–34.

Kasim VNA, Pateda SM. Nutrisi dan imunitas pada stroke. Journal of Chemical Information and Modeling. 2020, 53.

Weun CC, Hasnan N, Latif LA, Majid HA. Nutritional status of post-acute stroke patients during rehabilitation phase in hospital. Sains Malaysiana. 2019;48(1):129–35. http://dx.doi.org/10.17576/jsm-2019-4801-15

Ferrie S. What is nutritional assessment? A quick guide for critical care clinicians. Aust Crit Care [Internet]. 2020;33(3):295–9. Tersedia pada: https://doi.org/10.1016/j.aucc.2020.02.005




DOI: https://doi.org/10.24244/jni.v12i1.444

Refbacks

  • There are currently no refbacks.


                                    

 

JNI is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License