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All Journal Jurnal Kedokteran Brawijaya Majalah Kedokteran Nusantara The Journal Of Medical School
Fasihah Irfani Fitri
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Health Professions Medicine & Pharmacology

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Perbandingan akurasi diagnostik antara general practitioner assessment of cognition dan memory impairment screen terhadap mini-cog untuk screening poststroke dementia Annisa Ismira; Aldy S. Rambe; Fasihah Irfani Fitri
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 3 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Background : Poststroke dementia is a common type of dementia which diagnosed at least 3 months after stroke. Early detection may relate to a better quality of life of the patients. GPCOG and MIS were proven to be the best instruments to use in screening of postsstroke dementia with high sensitivity and specifity.Objective : The aim of this study was to compare the diagnostic accuracy of General Practitioner Assessment of Cognitions and Memory Impairment Scale to Mini-Cog in screening of poststroke.Method : A cross sectional study of 66 subjects who came to Haji Adam Malik General Hospital with thew history of stroke at least three months before. All the subjects were assessed with Mini-Cog, GPCOG and MIS.Result : Disgnostic analysis of GPCOG in screening of poststroke dementia showed sensitivity 85%; specificity 68^; PPV 74%; NPV 81%; and accuracy 77%. And the diagnostic analiysis of MIS showed sensitivity 97%; speccificity 37%; PPV 62%; NPV 92%; and accuracy 68%.Conclusion : The GPCOG was better in screening poststroke dementia than the MIS with an insignificant difference of accuracy between GPCOG and MIS in screening of poststroke dementia (p=0.94)Keywords : Mini-Cog; GP-COG; MIS; Poststroke Deementia.
Correlation between Chronic Kidney Disease Severity and Cognitive Function Epa Danisa Surbakti; Fasihah Irfani Fitri; Aldy Safruddin Rambe
Jurnal Kedokteran Brawijaya Vol. 31 No. 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.2

Abstract

Chronic kidney disease (CKD) is an independent risk factor for cognitive impairment in all domains, especially delayed memory and executive function. The purpose of this study was to determine the correlation between chronic kidney disease severity and cognitive function. This study used a cross-sectional design in stage III, IV, and V CKD patients in the Nephrology Polyclinic of Haji Adam Malik Central General Hospital. Cognitive function tests were performed using the Montreal Cognitive Assessment (MoCA INA), digit span, and Trail Making Test A & B. The Spearman test was used to analyze the correlation between CKD severity and cognitive function. This study involved 45 chronic kidney disease patients consisting of 28 (62.2%) males and 17 (37.8%) females with a mean age of 49.67±12.18 years. The results of statistical analysis showed that there was a significant positive correlation between CKD on the MoCA-INA examination (r=0.618, p=<0.001), FDS (r=0.414, p=0.005), there was a significant negative correlation on the TMT A time examination (r=-0.425, p=0.004), TMT A error (r=-0.497, p=0.001), TMT B time (r=-0.618, p=<0.001), TMT B error (r=-0.370, p=0.012). The results of this study prove a significant correlation between the severity of CKD and cognitive function.
Co-Authors Aldy S. Rambe Aldy Safruddin Rambe Annisa Ismira Epa Danisa Surbakti