Latar belakang: Epilepsi merupakan salah satu penyakit kronik dan memiliki risikotinggi untuk mengalami gangguan kognitif yang dapat mempengaruhi kualitas hidup.Pemeriksaan Intelligence quotient (IQ) memerlukan waktu pemeriksaan yang lama danbiaya yang mahal, diperlukan alat skrining untuk mendeteksi gangguan kognitif padapasien epilepsi anak yaitu School Years Screening Test For Evaluation Of MentalStatus-Revised (SYSTEMS-R)Tujuan: Mengetahui seberapa besar nilai diagnostik dari School Years Screening TestFor Evaluation Of Mental Status-Revised (SYSTEMS-R) dalam mendeteksi gangguankognitif pada anak epilepsi usia 6-15 tahun.Metode: Penelitian potong lintang dilakukan di Rumah Sakit Cipto MangunkusumoJakarta terhadap subjek berusia 6-15 tahun dengan epilepsi. Pada sampel dilakukananamnesis dan pemeriksaan fisik, dilanjutkan pemeriksaan fungsi kognitif denganSchool Years Screening Test For Evaluation Of Mental Status-Revised (SYSTEMS-R)dan kemudian dilakukan pemeriksaan baku emas IQ oleh psikolog.Hasil: Prevalensi gangguan kognitif pada pasien epilepsi usia 6-15 tahun sebesar86,3%. School Years Screening Test For Evaluation Of Mental Status-Revised(SYSTEMS-R) memiliki sensitivitas 84%, spesifisitas 91%, nilai prediksi positif 98%,nilai prediksi negatif 47%, rasio kemungkinan positif 10,11, rasio kemungkinan negatif0,17 dan akurasi 85%.Simpulan: School Years Screening Test For Evaluation Of Mental Status-Revised(SYSTEMS-R) memiliki nilai diagnostik yang baik dan dapat menjadi pilihan dalamdeteksi dini gangguan kognitif pada pasien epilepsi anak.
Background: Epilepsy is a chronic disease and children with epilepsy are at high riskof cognitive disorders which can affect the quality of life. Intelligence Quotient (IQ)examination requires a long examination time and expensive costs, a screening tool forcognitive clearance is needed in pediatric epilepsy patients, which is School YearsScreening Test For Evaluation Of Mental Status-Revised (SYSTEMS-R)Objective: To know the diagnostic value of School Years Screening Test ForEvaluation Of Mental Status-Revised (SYSTEMS-R) detecting cognitive impairment inchildren aged 6-15 years with epilepsy.Methods: This is a cross sectional study done in Cipto Mangunkusumo Hospital Jakartawas conducted on subjects aged 6-15 years with epilepsy. We evaluated history ofillness, physical examination, and cognitive function using School Years Screening TestFor Evaluation Of Mental Status-Revised (SYSTEMS-R) and then a standard gold IQexamination was carried out by a psychologist.Results: The Prevalence of cognitive impairment in 6-15 years epilepsy patients is86,3%. School Years Screening Test For Evaluation Of Mental Status-Revised(SYSTEMS-R) has a sensitivity of 84%, specificity 91%, positive predictive value 98%,negative predictive value 47%, positive likelihood ratio 10,11, negative likelihood 0,17and accuracy 85%.Conclusion: School Years Screening Test For Evaluation Of Mental Status-Revised(SYSTEMS-R) has good diagnostic value and it can be an option in early detection ofcognitive impairment in paediatric epilepsy patients |
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