Analysis of the Recurrence of Stroke: a Cross-Sectional Study in the University of Muhammadiyah Malang Hospital

Abstract

Background: a recurrence of stroke, is a matter of concern because it can worsen the situation, increase the treatment costs, and increase death risk. Stroke recurrence caused by multifactorial cases. The objective of this study is to analyze the factors associated with stroke recurrence in the university of muhammadiyah malang hospital. Methods: This study used a cross-sectional observation analytic study. A total sample of 64 people was collected using the purposive sampling technique. The dependent variable in this study was stroke recurrence. The independent variables were the factors that cause stroke recurrence (family history of the disease, comorbidities, physical activity, stress, and knowledge). This study used the Global Physical Activity Questionnaire(GPAQ), the International Stress Management Association(ISMA), and socio-demographic questionnaire to collect the data. The data were analyzed using the Chi-Square test. Results: a total of 47 patients (73.43%) had stroke recurrence, the majority of the second recurrence. Most types of stroke were ischemic stroke (81.25%). The risk factor significantly associated with stroke recurrence was hypertension (sig 0.026 <0.05). Conclusion: Uncontrolled hypertension increases the process of atherosclerosis that can lead to bleeding and brain infarction.

The Effect of Education on Self-Management and Stroke Prevention Behavior on Recurrence

“…Our findings corroborated previous findings that the age of stroke patients was predominantly aged 55-64 years. Stroke in patients aged > 65 years is dominated by ischemic stroke type (Agustiyaningsih et al, 2020;Benjamin et al, 2019;Setyowati et al, 2021). ischemic stroke patients physiologically have a better prognosis than hemorrhagic stroke, so their physical condition is better (Rahmawati et al, 2019).…”

Association between the frequency of stroke recurrence and cognitive function: a cross-sectional study

“…According to a systematic review, stroke survivors had a higher prevalence of stroke recurrence (33%) than those with hemorrhagic stroke (26.3%) (Rao et al, 2016). As stated by Setyowati et al (2021), the incidence of ischemic stroke is 81.25%. The risk of stroke recurrence will increase by 1.2% in the first 30 days, 3.4% within 90 days, 7.4% within 1 year, and 19.4% within 5 years (Stahmeyer et al, 2019).…”

“…A stroke happens when a thrombus blocks blood vessels that carry oxygen and nutrients to the brain, or when there is a rupture in a particular area of the brain. It is typically described as a neurological deficiency caused by a vascular source of acute localized injury to the central nervous system (CNS) (Kariasa et al, 2019;Parmar, 2018;Sacco et al, 2013;Setyowati et al, 2021).…”