Indicator of Dyslipidemia for Ischemic Stroke in Elderly with Hypertension

• Main Authors: ADITA PUSPITASARI SWASTYA PUTRI, -, Atik Choirul Hidajah, -
• Format: Article PeerReviewed
• Language: English
• Published: Institute of Medico-Legal 2019
• Subjects: R Medicine
• Online Access: https://repository.unair.ac.id/122338/1/IJPHRD%20Year%202019%2C%20Vol%20-10%2C%20Issue%20-3%20%28March%29.pdf; https://repository.unair.ac.id/122338/; https://ijphrd.com/
• Institution: Universitas Airlangga

Elderly with hypertension have a greater risk for ischemic stroke. It can be caused by dyslipidemia which is an abnormal amount of lipids in the blood such as increased levels of total cholesterol, LDL cholesterol, triglycerides and decreased levels of HDL cholesterol. The aim of this study is to analyze the indicator of dyslipidemia for ischemic stroke in elderly with hypertension. This study is an observational studies of analytical epidemiology with case control study design. The subject of study is the occurrence of ischemic stroke in elderly with hypertension who were admitted to outpatient installation RSU Haji Surabaya. The sample size for case and control samples were 74 patients. Samples were taken using simple random sampling methods. The data of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides from patient medical records were analyzed using bivariate analysis (p=0.25) is selected as a candidate for the multivariate analysis with multiple logistic regression (p=0.05). Total cholesterol, LDL cholesterol and triglycerides are selected as a candidate (p=0.00, p=0.18, p=0.18). The results showed that the most influential independent variables and became a model to predict the incidence of ischemic stroke in RSU Haji Surabaya was elevated total cholesterol (p=0.03; OR=4.87; 95% CI=1.10-21,53). It was concluded that total cholesterol had an effect on the incidence of ischemic stroke in RSU Haji Surabaya. Self-awareness is required to perform blood cholesterol screening as a prevention efforts, especially for elderly with hypertension because of greater risk for ischemic stroke.