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Faktor Risiko Kejadian Stroke Iskemik pada Penderita Diabetes Mellitus Tipe 2 (Studi Kasus di RSUP Dr Kariadi Semarang) Ratna Muliawati; Tjokorda Gde Dalem Pemayun; Suharyo Hadisaputro; Widiastuti Samekto; Hari Peni Juliati
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (388.618 KB) | DOI: 10.14710/j.e.k.k.v1i1.3938

Abstract

Background : Stroke is the second leading cause of death and a major cause of long term disability. The prevalence of stroke in type 2 diabetes mellitus patients were increased. Diabetic patients have 3-4 times greater risk for ischemic stroke than non-diabetic. Information regarding risk factors for ischemic stroke in patients with type 2 diabetes mellitus is still limited. This study propose to determine risk factors of ischemic stroke in type 2 diabetes patients.Methods : Observational-analytic with case-control design study and qualitative data. Two groups of patients were include in this study, 48 ischemic stroke patient s with type 2 diabetes mellitus and 48 ischemic stroke without diabetes mellitus in Kariadi hospital, used by consecutive sampling. Data were collected by medical records and indepth interview. Data were analyzed by multiple logistic regression and content analysis.Results : Risk factors of ischemic stroke in patients with type 2 diabetes mellitus are hypertension (OR 5.42; 95% CI 1.40 to 20.93), fasting blood glucose levels ≥ 100 mg/dL(OR=2.72; 95%CI=1.13 to 6.56), and microalbuminuria (OR=10.92; 95%CI= 1.46 to 81.66). Age,sex, working status, cholesterol levels, triglycerid levels, HDL levels, LDL levels, total cholesterol/HDL ratio, triglyceride/HDL ratio, LDL/HDL ratio, and hyperuricemia are not statistically significant as a risk factors of ischemic stroke in type 2 diabetes mellitus patients. Conclusion: Hipertension, fasting blood glucose levels ≥ 100 mg/dL and microalbuminuria are significantly risk factors of ischemic stroke in type 2 diabetes mellitus patients. Microalbuminuria is the most dominant risk factor in stroke patients with type 2 diabetes mellitus.
Faktor-Faktor Risiko Kejadian Kaki Diabetik pada Penderita Diabetes Melitus Tipe 2 (Studi Kasus Kontrol di RSUP dr. M. Djamil Padang) Rina Rina; Henry Setyawan; Heri Nugroho; Suharyo Hadisaputro; Tjokorda Gde Dalem Pemayun
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2396.077 KB) | DOI: 10.14710/j.e.k.k.v1i2.3943

Abstract

Background : Diabetic foot is one of the chronic complications of diabetes mellitus and are the most feared by people who suffer of diabetes mellitus as it can lead to disability or even death. This more specific research on risk factors of the ethnic communities of the Minangkabau society. The purpose of this research is to prove the factors related to the incidence of diabetic foot in people with type 2 diabetes mellitus.Methods : The research applied with mix method were quantitative as the main approach (case control design) and qualitative as support (indepth interview). Target population is all people with a diagnosis of type 2 diabetes mellitus in Padang City, West Sumatera Province there were 172 respondent involved, consisting of 86 cases and 86 controls with concequtive sampling technique. Data analysis included univariat and bivariat analysis using the chi square test and mu ltivariate analysis using multiple logistic regression test.Results : Factors proven to correlate with the incidence of diabetic foot in patients with type 2diabetes mellitus are deformities in legs (p=<0,001), habit of smoking (p=<0,001), age ≥45 years (p=<0,001; OR=27,6; 95%CI=3,96-193,23), a series of ulceration on the legs (p=0,001;), and hypertension (p=0,001), with the probability of 95,88%. Protective factors on the incidence of diabetic foot in patients with type 2 diabetes mellitus is a gender (p=0,002).Conclusion : Risk factors to the incidence of diabetic foot are related of the deformities in the foot, smoking, age, leg ulceration and hypertension
Co-Authors Hari Peni Juliati Henry Setyawan Susanto Henry Setyawan Susanto K. Heri Nugroho HS, K. Heri Ratna Muliawati Rina Rina Suharyo Hadisaputro Widiastuti Samekto