Skripsi
KOMORBIDITAS PASIEN GANGGUAN KOGNITIF DI POLIKLINIK MEMORI RSUP DR. MOHAMMAD HOESIN PERIODE 2023-2024
Background: Cognitive impairment is characterized by a decline in the ability to think, remember, and perform daily activities, and its prevalence increases with age. Globally, more than 57 million people were living with dementia in 2021, and this number is projected to reach 139 million by 2050. In Indonesia, the number of individuals with dementia is estimated to increase to 4 million by 2050. Various comorbid conditions such as hypertension, diabetes, stroke, and neurodegenerative diseases contribute to accelerating cognitive decline. However, data on comorbidities among cognitive impairment patients in Palembang, particularly at Dr. Mohammad Hoesin General Hospital, remain limited. This study aims to describe the distribution of comorbidities among cognitive impairment patients during 2023–2024. Methods: This research is a descriptive observational study with a cross-sectional design using medical record data from patients attending the Memory Clinic of Dr. Mohammad Hoesin General Hospital. Samples were obtained using total sampling from January 2023 to December 2024. Demographic data, types of cognitive impairment, and comorbidities were analyzed descriptively. Results: Among the 608 patients who met the criteria, most were older than 60 years (34.5%), female (51.8%), had a senior high school–level education (37.8%), and were unemployed (42.1%). The most common cognitive impairment was Mild Cognitive Impairment (57.4%), followed by dementia (39.5%) and Subjective Cognitive Decline (3.1%). Most patients had comorbid hypertension (40.1%), other comorbidities (18.8%), stroke (17.7%), cerebral space-occupying lesions (14.5%), diabetes mellitus (7.9%), epilepsy (7.4%), heart disease (5%), Parkinson’s disease (4.8%), depression (0.7%), and HIV (0.6%). More than half of the patients had ≥2 comorbidities (54.8%). Conclusion: Cognitive impairment at the Memory Clinic of Dr. Mohammad Hoesin General Hospital was predominantly MCI, accompanied by a high burden of comorbidities, especially hypertension and stroke. These findings highlight the importance of early detection and comprehensive management of comorbidities to improve patient quality of life. Keywords: Cognitive Impairment. Comorbidity. SCD. MCI. Dementia.