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Abstract

Data from the 2018 Indonesian Basic Health Research (Riskesdas) demonstrates a marked increase in stroke prevalence, rising from 7% in 2013 to 10% in 2018. This upward trend is accompanied by a notable epidemiological shift, with stroke no longer predominantly affecting older adults ≥65 years, but increasingly occurring among the productive-age population (15–64 years). This scoping review was conducted in February 2026 in accordance with the JBI methodological guidelines and PRISMA-ScR. Searches were conducted in Google Scholar, PubMed, Garuda, and ScienceDirect. Inclusion criteria include articles published within the last 10 years (2016–2026), articles discussing the characteristics of stroke patients in the productive age group in Indonesia, observational studies, and articles published in English or Indonesian. Data extraction includes author, year of publication, study design, location, sample size, age range, and main findings. Six studies met the inclusion criteria. Ischemic stroke was the predominant subtype, and most young stroke patients in Indonesia were male. The majority of patients had a history of hypertension, hyperlipidemia, gout, and diabetes mellitus. Stroke in the productive age in Indonesia, predominantly ischemic, shows an increasing trend with age (18–59 years) and a higher prevalence in males, though housewives emerge as a highly vulnerable female subgroup. Patients exhibit heterogeneous BMI profiles clustering with a high descriptive prevalence of metabolic comorbidities. Given the reliance on six hospital-based descriptive studies, these findings represent preliminary regional trends rather than a definitive national profile, emphasizing the urgent need for a centralized national stroke registry and future community-based analytical studies.

Keywords: Productive age, Stroke, Indonesia

References

  1. Ren H, Liu Y, Zhao M, Shen H, Nie S, Gao X, et al. Stroke: Epidemiology, Risk Factors, Signaling Pathways, and Clinical Management. MedComm (Beijing). 2025 Dec 17;6(12). doi:10.1002/mco2.70558
  2. Familah A, Arifin AF, Muchsin AH, Rachman ME, Dahliah. Karakteristik Penderita Stroke Iskemik dan Stroke Hemoragik. Fakumi Medical Journal. 2024;4(6).
  3. Rasing A, Hilkens N, Leeuw FE de. Young stroke: An update on epidemiology, emerging risk factors, and future research directions. International Journal of Stroke. 2026 Jan 2;21(1):6–13. doi:10.1177/17474930251400524
  4. Rajati F, Rajati M, Rasulehvandi R, Kazeminia M. Prevalence of stroke in the elderly: A systematic review and meta-analysis. Interdisciplinary Neurosurgery. 2023 Jun;32:101746. doi:10.1016/j.inat.2023.101746
  5. Oktavia A, Sandy AT, Ningrum MVR, Juwari. Projected Productive Age Population in East Kalimantan in 2040. Jurnal Sustainability. 2025;5(2).
  6. Nehme A, Li L. The rising incidence of stroke in the young: Epidemiology, causes and global impact. International Journal of Stroke. 2026 Jan 25;21(1):14–23. doi:10.1177/17474930251362583
  7. Alchuriyah Si, Wahjuni CU. Faktor Risiko Kejadian Stroke Usia Muda pada Pasien Rumah Sakit Brawijaya Surabaya. Jurnal Berkala Epidemiologi. 2016;4(1).
  8. Vidyarni KE, Irawati D. Karakteristik Pasien Stroke Usia Dewasa Muda di RS Islam Orpeha Tulungagung. Jurnal kesehatan Qamarul Huda. 2025;13(1).
  9. Amila, Sembiring E, Rifami E. Karakteristik Stroke pada Pasien Usia Muda. Jurnal Ilmu Keperawatan. 2022.
  10. Budi H, Bahar I, Sasmita Heppi. Faktor Risiko Stroke pada Usia Produktif di Rumah Sakit Stroke Nasional (RSSN) Bukit Tinggi. Jurnal Persatuan Perawat Nasional Indonesia. 2020;3(3).
  11. Mahendrakrisna D, Windriya DP, Soedomo ACGT. Karakteristik Pasien Stroke Usia Muda di RSUD Kota Surakarta. Cermin Dunia Kedokteran. 2019;46(3).
  12. Azkia N, Rizkidawati, Khattab. Karakteristik Stroke Usia Muda di Rumah Sakit Umum Daerah Meuraxa Banda Aceh. Future Academia. 2026;4(1).
  13. Abdu H, Seyoum G. Sex Differences in Stroke Risk Factors, Clinical Profiles, and In-Hospital Outcomes Among Stroke Patients Admitted to the Medical Ward of Dessie Comprehensive Specialized Hospital, Northeast Ethiopia. Degener Neurol Neuromuscul Dis. 2022 Oct;Volume 12:133–44. doi:10.2147/DNND.S383564
  14. Dewi NLPT, Wati NMN, Lisnawati K, Sanjiwani AAS, Sudarma IN. Pencegahan Serangan Stroke pada Ibu Rumah Tangga dengan Pengendalian Faktor Risiko Stres melalui Metode SUPERNOL. Jurnal Abdimas Kesehatan. 2023;5(2).
  15. Horn JW, Feng T, Mørkedal B, Aune D, Strand LB, Horn J, et al. Body Mass Index Measured Repeatedly over 42 Years as a Risk Factor for Ischemic Stroke: The HUNT Study. Nutrients. 2023 Feb 28;15(5):1232. doi:10.3390/nu15051232
  16. Zubaidi A, Akbar SM. The Correlation Between Obesity with Stroke Incidence among Elderly. Indonesian Journal of Global Health Research. 2023;5(4).
  17. Putaala J. Ischemic Stroke in Young Adults. Continuum (N Y). 2020 Apr;26(2):386–414. doi:10.1212/CON.0000000000000833
  18. Datta S, Mehrotra MK, Hura JK. Unravelling the Role of Plasma Fibrinogen in Acute Stroke. National Journal of Medical Research. 2024 Jul 1;14(03):80–4. doi:10.55489/njmr.14032024999
  19. Moosa A, Osama D, Alnidawi F, Algillidary S, Hussein A, Das P. Risk Factors, Incidence, and Outcome of Stroke: A Retrospective Cross-Sectional Hospital-Based Study Comparing Young Adults and Elderly. Cureus. 2023 Jun 19. doi:10.7759/cureus.40614
  20. Moghadam-Ahmadi A, Soltani N, Ayoobi F, Jamali Z, Sadeghi T, Jalali N, et al. Association between metabolic syndrome and stroke: a population based cohort study. BMC Endocr Disord. 2023 Jun 6;23(1):131. doi:10.1186/s12902-023-01383-6
  21. Li M, Hou W, Zhang X, Hu L, Tang Z. Hyperuricemia and risk of stroke: A systematic review and meta-analysis of prospective studies. Atherosclerosis. 2014 Feb;232(2):265–70. doi:10.1016/j.atherosclerosis.2013.11.051
  22. Padda J, Khalid K, Padda S, Boddeti NL, Malhi BS, Nepal R, et al. Hyperuricemia and Its Association With Ischemic Stroke. Cureus. 2021 Sep 21. doi:10.7759/cureus.18172

Bahasa Abstract

Data dari Survei Kesehatan Dasar Indonesia (Riskesdas) 2018 menunjukkan peningkatan prevalensi stroke yang signifikan, yaitu dari 7% pada tahun 2013 menjadi 10% pada tahun 2018. Tren kenaikan ini disertai dengan pergeseran epidemiologis yang mencolok, di mana stroke tidak lagi terutama menyerang lansia berusia ≥65 tahun, melainkan semakin sering terjadi pada populasi usia produktif (15–64 tahun). Tinjauan cakupan ini dilakukan pada Februari 2026 sesuai dengan pedoman metodologi JBI dan PRISMA-ScR. Pencarian dilakukan pada Google Scholar, PubMed, Garuda, dan ScienceDirect. Kriteria inklusi mencakup artikel yang diterbitkan dalam 10 tahun terakhir (2016–2026), artikel yang membahas karakteristik pasien stroke pada kelompok usia produktif di Indonesia, studi observasional, serta artikel yang diterbitkan dalam bahasa Inggris atau Indonesia. Ekstraksi data mencakup penulis, tahun publikasi, desain studi, lokasi, ukuran sampel, rentang usia, dan temuan utama. Enam studi memenuhi kriteria inklusi. Stroke iskemik merupakan subtipe yang dominan, dan sebagian besar pasien stroke muda di Indonesia adalah laki-laki. Sebagian besar pasien memiliki riwayat hipertensi, hiperlipidemia, asam urat, dan diabetes mellitus. Stroke usia produktif di Indonesia, yang didominasi oleh jenis iskemik, menunjukkan tren peningkatan seiring bertambahnya usia (18–59 tahun) dan prevalensi yang lebih tinggi pada laki-laki, meskipun ibu rumah tangga muncul sebagai subkelompok perempuan yang sangat rentan. Pasien menunjukkan profil IMT yang heterogen yang mengelompok dengan prevalensi deskriptif komorbiditas metabolik yang tinggi. Mengingat ketergantungan pada enam studi deskriptif berbasis rumah sakit, temuan ini merupakan tren regional awal dan bukan profil nasional yang definitif, sehingga mempertegas kebutuhan mendesak akan registri stroke nasional yang tersentralisasi dan studi analitis berbasis komunitas di masa depan.

Kata Kunci: Usia Produktif, Stroke, Indonesia

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