KAJIAN JURNAL

FAKTOR RISIKO UNTUK MELUKAI DIRI

SENDIRI PADA PASIEN EPILEPSI

Disusun Oleh:
Rizky Ramadhan

Pembimbing:
dr. Nurtakdir Setiawan, Sp.S
KEPANITERAAN ILMU PENYAKIT SARAF
RUMAH SAKIT UMUM DAERAH AMBARAWA
SEPTEMBER – OKTOBER 2019
 PENDAHULUAN
Relative risk
•3,9 (95% CI 3,8-4,1) saat dirawat
dengan epilepsi
•2,6 (95% CI 2,5-2,7) pada tahun
selanjutnya
Singhal et al.

Presentasi kasus:
•2,04 (95% CI 1,85-2,25) kali dari
kelompok pembanding
2x lebih berisiko
Meyer et al.
Inggris: Odds Ratio 2,35
(95% CI 1,67-3,29)

Alasan?
TUJUAN

(1) Memperkirakan risiko melukai diri

sendiri pada orang yang menderita
epilepsi dan yang tidak
(2) Mengidentifikasi faktor-faktor risiko
untuk melukai diri sendiri di antara
individu-individu dengan epilepsi.
METODE

1
Hospital Episode Statistics
(HES)
Data
Clinical Practice Research Data kematian
Datalink (CPRD), Office for National Statistics

2
(ONS)

Periode
01/01/1998–31/03/2014

3Sampel
Juli 2015
7.378.852 orang dari 378 praktik umum
 Epilepsi Tanggal Index
DEFINISI Epilepsi
OPERASIONAL
• Kode diagnostik epilepsi • Tanggal diagnostic
• Resep terkait obat epilepsi epilepsi terbaru
• Peresepan OAE dalam 6
bulan terakhir
• 1 bulan setelah diagnosis
 KRITERIA KRITERIA
INKLUSI EKSKLUSI

Pasien <10 tahun Memiliki riwayat

Pasien dengan Epilepsi epilepsi sebelum

01
dan termasuk dalam periode pengamatan
setidaknya 12 bulan
sebelum tanggal index
02
epilepsi

Memiliki riwayat
Self-harm sebelumnya
03
HASIL
KESIMPULAN

Pasien epilepsi berisiko ↑

01
untuk melukai diri sendiri
terutama pada tahun pertama

Awasi: pikiran & perilaku

membahayakan diri, berkonsultasi
02 secara teratur, diresepkan
politerapi AED dan selama periode
augmentasi pengobatan AED
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