HUBUNGAN RIWAYAT CEDERA KEPALA RINGAN DENGAN GANGGUAN KOGNITIF
| Main Authors: | , JIMMY ALEXANDER, , dr. Damodoro Nuradyo, Sp.S(K) |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2011
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/91117/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=53749 |
Daftar Isi:
- Background Head injury is non degenerative and non congenital brain abnormality which is caused by external mechanical injury, so it can cause reversible or irreversible cognitive impairment, physical, and psychosocial function impairment, which is associated with level of consciousness disturbance. Mild head injury is defined as head injury with history loss of consciousness less than 30 minutes, Glasgow Coma Scale (GCS) 13 or more, and post traumatic amnesia less than 1 hour. Impact of mild head injury is general, and include physical disturbance, psychological, cognitive function, and emotional disturbance, and often associated with severe burden, psychological problem and economical limitation in majority of young population. Objective To assess the proportion of cognitive impairment of mild head injury patient with GCS 13-14 and GCS 15. Method A cross sectional study with consecutive sampling. Subject eligible are patient with mild head injury history, 15-50 years of age, and are having treatment in Dr. Sardjito hospital Yogyakarta wich devided into 2 groups (GCS 13-14 and GCS 15). Cognitive function is measured by using MMSE and specified for each domain. Result Sixty four patients fulfill inclusion and exclusion criteria. proportion of cognitive impairment is 70.3% among mild head injury patient. Univariate analysis showed significant difference of GCS between mild head injury history patients with cognitive impairment and without cognitive impairment (p=0.001). GCS is not significantly different in the disturbance of cognitive domain on MMSE. Conclusion Mild head injury patients with GCS 13-14 in neurosurgery and neurology Sardjito Hospital Policlinic have higher proportion compared to mild head injury patients with GCS 15.