THE DISEASE PATTERN OF ELDERLY PATIENTS ADMITTED IN THE NEUROLOGY WARD OF HASAN SADIKIN GENERAL HOSPITAL
Keywords:Elderly, Neurological disorders, Hospital prevalence
Background: As life expectancy continues to increase, the elderly population in Indonesia has significantly doubled in the last five decades, making Indonesia a home to 4th largest population of elderly people in Asia. Unlike other age group, there are more challenges in handling older persons due to their increased mortality, morbidity, and disability risks.
Objective: We performed this study to understand the disease pattern in elderly patients admitted in the neurology ward of Hasan Sadikin General Hospital.
Methods: This was a descriptive cross-sectional study using data from medical resume. We included medical resume of elderly patients admitted in the neurology ward of Hasan Sadikin General Hospital from January 2015 to December 2019. All incomplete, lost, or inaccessible medical resumes were excluded.
Results: Among a total of 400 subjects, 210 (52.5%) were males and 190 (47.5%) were females. Young old (59,5%) presented to be the most observed age group. The most frequent diseases of elderly patients seen in this study were ischemic stroke (55.3%), followed by hemorrhagic stroke (19.5%), subarachnoid hemorrhage (5.3%), and tetanus (4.5%). Atherothrombotic subtype (50,6%) of ischemic stroke was seen to be the most frequent.
Conclusion: Noncommunicable diseases were the majority of all cases in the elderly with cerebrovascular diseases, such as stroke and subarachnoid haemorrhage, as the most common conditions. It is important to develop efficient hospital-based management strategies particularly for these diseases and intensify early detection and management of risk factors.
United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2019: Highlights (ST/ES/SER.A/430).
World Health Organization. Noncommunicable Diseases [Internet]; 2018 [cited 2021 Jan 21]. Available from: http://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
Ministry of Health Republic of Indonesia. InfoDatin: Elderly Situation in Indonesia. Jakarta; 2016.
Indonesia Central Bureau of Statistics. Indonesia Life Expectancy 2019 [Internet]; 2019 [cited 2020 Apr 15]. Available from:
Indonesia Central Bureau of Statistics. Indonesia Elderly Population Statistics 2019. Jakarta; 2019.
Kane RL, Ouslander JJ, Abrass IB, Resnick B. Essentials of Clinical Geriatrics. 7th ed. New York: McGraw-Hill Education; 2013. 3–22 p.
Feigin VL, Nichols E, Alam T, Bannick MS, Beghi E, Blake N, et al. Global, regional, and national burden of neurological disorders, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol; 2019. 18(5):459–80.
Hofman A, Murad SD, Van Duijn CM, Franco OH, Goedegebure A, Arfan Ikram M, et al. The rotterdam study: 2014 objectives and design update. Eur J Epidemiol; 2013. 28(11):889–926.
Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet; 2012. 380(9859):2197–223. DOI: 10.1016/S0140-6736(12)61689-4
Yofi FA. The Pattern of Diseases in geriatric patients admitted in Soetomo General Hospital. Universitas Airlangga; 2019.
Ministry of Health Republic of Indonesia. Indonesia Basic Health Report 2018 [Internet]. Jakarta; 2018. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf
Castillo X, Castro-Obregón S, Gutiérrez-Becker B, Gutiérrez-Ospina G, Karalis N, Khalil AA, et al. Re-thinking the etiological framework of neurodegeneration. Front Neurosci; 2019. 13(Jul):1–25. DOI: 10.3389/fnins.2019.00728
Chowdhury RN, Hasan ATMH, Rahman YU, Khan SI, Hussain AR, Ahsan S. Pattern of neurological disease seen among patients admitted in tertiary care hospital. BMC Res Notes; 2014. 7(1). DOI: 10.1186/1756-0500-7-202
Tan CT. Neurology in Asia. Neurology; 2015. 84(6):623–5. DOI: 10.1212/WNL.0000000000001224
Fenny Y, Mochammad M, Amir D, Anam O, Muhammad K, Siswanto. Indonesia stroke registry (S12.003). Neurol 82 [Internet]; 2014. Available from: https://n.neurology.org/content/82/10_Supplement/S12.003.short
Venketasubramanian N, Yoon BW, Pandian J, Navarro JC. Stroke epidemiology in south, east, and south-east asia: A review. J Stroke; 2017. 19(3):286–94.
Venketasubramanian N. The Epidemiology of Stroke in ASEAN countries - A Review. Neurol J Southeast Asia; 1998. Vol. 3 p. 9–14. Available from: http://www.neurology-asia.org/articles/19981_009.pdf
Ministry of Health Republic of Indonesia. Info Datin: Hipertension the silent killer [Internet]. Jakarta; 2019. Available from:
McGurgan IJ, Clarke R, Lacey B, Kong XL, Chen Z, Chen Y, et al. Blood pressure and risk of subarachnoid hemorrhage in China. Stroke; 2019. 50(1):38–44.
Feigin V, Parag V, Lawes CMM, Rodgers A, Suh I, Woodward M, et al. Smoking and elevated blood pressure are the most important risk factors for subarachnoid hemorrhage in the Asia-Pacific region: An overview of 26 cohorts involving 306 620 participants. Stroke; 2005. 36(7):1360–5.
Dabilgou AA, Drave A, Kyelem JMA, Naon L, Napon C, Kabore J. Spontaneous subarachnoid haemorrhage in neurological setting in Burkina Faso: Clinical profile, causes, and mortality risk factors. Neurol Res Int; 2019. 2019:16–21. DOI: 10.1155/2019/8492376
Clarissa Tertia, I Ketut Sumada, Ni Ketut Candra Wiratmi. Case Report: Generalized tetanus in unvaccinated elderly. Callosum Neurol; 2019. 2(3):9–10.
Chin JH. Tuberculous meningitis: Diagnostic and therapeutic challenges. Neurol Clin Pract; 2014. 4(3):199–205. DOI: 10.1212/CPJ.0000000000000023
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