Are there any correlations between embolic stroke and previous post-traumatic epilepsy? – Study from a case report

Background: Infection in the stroke was a treatment major problem, because it determines the prognosis. In the acute phase of stroke, high level cortisol may lead to a decreased immune system and patients tend to be more susceptible to infection. The correlation of serum cortisol level among acute stroke patients with incidence of infection was not fully investigated. Objective:The aim of this study was to determine the relationship between initial serum cortisol levels and the incidence of infection in acute stroke patients.Method: A prospective cohort study was conducted on 32 of acute stroke patients who admitted in RSUD Dr. Soetomo Surabaya during the period December 2015 to February 2016. Total of 2 cc to the venous blood within 48 hours in onset of stroke being examined of serum cortisol. During the 7 days of hospitalization, the patient was observed for signs of infection, both clinically and the investigation in accordance with the operational definition. Results:In the infected group there were 8 people (50%) with high cortisol levels (p = 0.015; RR 15,000; 95% IK 1.583-143,171); 6 people were (50%) using urine catheter (p = 0.049; RR 6,667; 95% IK 1.067-30.085); And 6 people were (54.5%) using NGT (p = 0,035; RR 7,200;557). In multivariate analysis obtained that Odds Ratio (OR) 15,468 based on high cortisol and OR 7,469 based on NGT usage. Conclusion:High cortisol levels and the use of NGT had the effect on the incidence of infection in acute stroke.

Section: Discussionmentioning

confidence: 89%

Journal of Forensic Medicine & Toxicology, April-June 2020, Vol. 14, No. 2 1633 The Impact of High Cortisol Level in Increasing Incidence of Infection Cases among Acute Stroke Patients

2020

“…Atherosclerotic plaque exist makes the blood flow to the area will decrease, it could even stop altogether. When the decreased blood flow to the minimal needs of the brain is unfulfilled, it will arise clinical symptoms 3 .…”

Section: Introductionmentioning

confidence: 99%

Correlation between Hyperglycemia Stress and Short-Term Memory Function in Thrombotic Stroke Patients

2020

Background: Hyperglycemic stress is associated with a disorder of the entire cognitive domain in the early phase of stroke, which is memory impairment. Acute changes in blood glucose are known to affect the cerebral blood flow.Objectives: To determine the relationship between stress hyperglycemia with short-term memory function in thrombotic stroke patients.Method: An observational analytic research with the case-control with a patient's of 72-hour onset thrombotic stroke that went to the Emergency Unit and was admitted to the Neurology Department of Dr. Soetomo General Hospital from January to December 2014. 42 subjects were enrolled (21 subjects in the case group and 21 subjects in the control group). The sampling of the study was conducted according to the cases that came in succession until the achievement of the subject was determined.Results: After bivariate and multivariate analysis, hyperglycemic stress had no significant correlation to memory function (p = 0.525) and OR 0.667 (CI95% = 0.190-2.334). There was a significant correlation between educational level and cognitive function (p = 0.003) also between hypertension and cognitive function (p = 0.019). Conclusion:Stress Hyperglycaemia has no significant relationship with memory function. Education levels and hypertension have a significant correlation with memory function.

“…Stroke incidence approximately occurs in 15 million population per year worldwide, 5 million people died and 5 million people experiencing sequelae and permanent disability [1][2][3][4] .Stroke prevalence in Indonesia is 12.1 per 1,000 population 5 . The number of stroke incidences continues to increase along with rising risk factors and elderly population and can affect quality of life 6 that leads to appropriate treatment 7,8 .…”

Section: Introductionmentioning

confidence: 99%

Correlation of Cardiorespiratory Fitness Levels with Functional Mobility Abilitiy in Post Thrombotic Infarction Stroke Patient

2020

Background: Stroke patients often experience functional ambulation difficulties and lack ability to walk independently due to the reduction cardiorespiratory fitness so that an understanding of the relationship between fitness levels cardiorespiratory with functional mobility ability is needed, especially for thrombotic infarction stroke patients.. Objectives:This study aims to assess the relationship between cardiorespiratory fitness levels with functional mobility ability in the first three months after thrombotic infarction stroke.Method: Subjects are 38 post trombotic infarction stroke. Functional mobility is measured by the Timed Up and Go test. Subjects were asked to stand up from a chair whose seat is ± 46cm and the height of its back is 65cm, walk as far as 3 m, turn 1800, walk back and sit back. Data were analyzed and performed statistical test using SPSS 17. Results:The study showed the average TUG test was 15.56-7.79 seconds with the longest travel time was 37.38 seconds and the fastest travel time was 8.16 seconds. The average of VO 2max was 10.62 ± 2.31mL / kg / min, with the lowest VO 2max yield of 5.78mL / kg / min and the highest was 14.54mL / kg / minute. The TUG test had a negative correlation with VO 2max the 6 minute walk test result. Conclusion:There is a significant relationship between cardiorespiratory fitness level and functional mobility abilities in post thrombotic infarction stroke patient.