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Hubungan Disfagia dan Penurunan Kesadaran pada Pasien Stroke terhadap Kejadian Pneumonia Aspirasi di RS Atma Jaya
Bibliografi
Author:
BUDIARSO, MICHAEL NATHANIEL
;
Suryakusuma, Linda
(Advisor);
Luse
(Advisor);
Vetinly
(Examiner)
Topik:
PNEUMONIA
;
STROKE
;
Aspiration pneumonia
;
dysphagia
;
reduced consciousness
;
stroke
;
Disfagia
;
penurunan kesadaran
;
pneumonia aspirasi
Bahasa:
(ID )
Penerbit:
Fakultas Kedokteran Unika Atma Jaya
Tempat Terbit:
Jakarta Utara
Tahun Terbit:
2017
Jenis:
Theses - Karya Tulis Ilmiah Kedokteran (KTI-FK)
Fulltext:
KTI Michael Nathaniel (2014060125).pdf
(2.13MB;
64 download
)
Ketersediaan
Perpustakaan FK
Nomor Panggil:
KTI-FK-1303
Non-tandon:
tidak ada
Tandon:
1
Lihat Detail Induk
Abstract
Background: Stroke is the highest mortality causes in Indonesia. Around 40-96% stroke patients get complication, with the highest is pneumonia (33%). The potentiality of stroke to get dysphagia (28-65%) and depressed consciousness (4-38%) are found to cause aspiration pneumonia. Lack research of aspiration pneumonia in Indonesia make the treatment can’t be
done optimally yet.
Method: This was a descriptive analytical research with cross sectional approach towards 263 stroke patients in Atma Jaya Hospital. Research started on February 2016 until October 2017. Data was taken from stroke registry and hospital medical record. Data analysis used Chi-square test, with alpha=0.05.
Results: There were 42 (16%) of 263 stroke patients got aspiration pneumonia. Dysphagia and depressed consciousness could increase the aspiration pneumonia risk with Odds ratio 3.92 and 8.67 times. Stroke patients older than 65 years old were also risk factors to get aspiration pneumonia, with Odds ratio 2.26.
Conclusion: Dysphagia and depressed consciousness could influence the coordination and reflex of swallowing and made stroke patients more vulnerable getting aspiration pneumonia. Depressed consciousness Odds ratio was higher than dysphagia.
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