Published: 2020-01-23

Characteristics of geriatric neurology patients treated at the central hospital of Sanglah Denpasar in 2019

Stephanie Elizabeth Gunawan, Anak Agung Ayu Putri Laksmidewi


Background: According to the World Health Organization (WHO), an elderly person is someone who has entered the age of 60 years and above whose percentage tends to increase along with decreasing morbidity of the elderly. Geriatric Neurology itself is the study of a group of neurological diseases in the elderly. Based on 2012 data, the proportion of elderly population in Indonesia is 7.59%. This is accompanied by an increase in the dependency ratio of the productive age population to the non-productive age population. The results of the 2013 Basic Health Research showed an increase in the prevalence of neurological disease in the elderly which was the main cause of death in 15 regencies in 2011. It is to find out the 5 most neurological diseases in the elderly, clinical characteristics and outcomes of geriatric neurology patients treated at the Central Hospital of Sanglah.

Methods: It is a retrospective study using no control by looking at medical records in geriatric neurology patients aged 60 years and over who visited the Central Hospital of Sanglah in the March to May 2019 period.

Results: A total of 200 patients consisted of 111 men (55.5%) and 89 women (44.5%) who were divided into 5 most geriatric neurology diseases which included 1. ischemic stroke, 2. bleeding stroke, 3. brain tumor, 4. injury head, and 5. epilepsy. The number of deaths was 16, of which 7 cases were caused by sepsis and pneumonia.

Conclusions: Stroke, tumors, head injuries and epilepsy are the dominant neurological diseases found. The focus of care and supervision of elderly neurology patients is expected to be further enhanced to prevent side effects that will extend the patient’s treatment period in the hospital which will automatically increase the burden on the hospital itself.


Elderly, Epilepsy, Geriatric neurology, Head injury, Stroke, Tumor

Full Text:



Rathmann W, Haastert B, Icks A, Giani G, Holle, R, Koenig, W, et alPrevalence of the metabolic syndrome in the elderly population according to IDF, WHO, and NCEP definitions and associations with C-reactive protein: the KORA Survey 2000. Diabetes Care. 2006;29(2), 461-1.

Laksmidewi A: Cognitive changes associated with normal aging. Presented at the 4th Bali Neurology Update; 2016: 2016.

Launer LJ, Berger K, Breteler MM, Dartigues, JF, Baldereschi M, Fratiglioni L, et al. Prevalence of Parkinson's disease in Europe: A collaborative study of population-based cohorts. Neurologic Diseases in the Elderly Research Group. Neurology.

;54(11 Suppl 5):S21-3.

Orimo H, Ito, H, Suzuki T, Araki A, Hosoi T, Sawabe M. Reviewing the definition of “elderly”. Geriatrics Gerontol Int. 2006;6(3):149-58.

Tinetti ME., Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Eng J Med. 1988;319(26):1701-7.

Laksmidewi A: Perbaikan plastisitas otak yang ditandai oleh penipisan Beta-Amyloid dan penurunan CRP serta peningkatan BDNF akibat latihan gerak pada tikus model demensia. Presented at the 5th Bali Neurology Update 2017;September 2017.

Baker DW, Wolf, MS, Feinglass J, Thompson JA, Gazmararian JA, Huang, J. Health literacy and mortality among elderly persons. Arch Int Med. 2007;167(14):1503-9.

Johannesen TB., Angell-Andersen, E, Tretli S, Langmark, F, Lote, K. Trends in incidence of brain and central nervous system tumors in Norway, 1970-1999. Neuroepidemiology. 2004;23(3);101-9.

Laurin D, Verreault R, Lindsay J, MacPherson, K, Rockwood, K. Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol. 2001;58(3):498-504.

Setiati S, Istanti R, Andayani R, Kuswardhani RA, Aryana IG, Putu ID, et al. Cut-off of anthropometry measurement and nutritional status among elderly outpatient in Indonesia: multi-centre study. Acta Med Indones. 2010;42(4);224-30.

Kemenkes RI. Situasi dan analisis lanjut usia. Januari. Jakarta. 2014

Wada T, Ishine M, Sakagami, T, Kita, T, Okumiya, K, Mizuno K, et al. Depression, activities of daily living, and quality of life of community-dwelling elderly in three Asian countries: Indonesia, Vietnam, and Japan. Arch of Gerontol Geriatrics, 2005;41(3):271-80.

Unsar S, Sut N. Depression and health status in elderly hospitalized patients with chronic illness. Arch Gerontol Geriatrics, 2010;50(1):6-10.

Herzog AR, Morgan JN. Age and gender differences in the value of productive activities: Four different approaches. Research on aging, 1992;14(2):169-98.

Vos T, Abajobir, AA, Abate, KH, Abbafati C, Abbas KM, Abd-Allah F et al. 2017. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study Lancet. 2016;390(10100):1211-2.