Gambaran Faktor Risiko Kejadian Stroke di RSHS Bandung Periode Januari 2015– Desember 2016

Abstract

Latar Belakang dan Tujuan: Stroke merupakan masalah kesehatan di dunia yang menjadi penyebab kematian kedua tertinggi. Epidemiologi pasien stroke berdasarkan faktor risikonya masih sangat bervariasi dan belum ada data yang melaporkan di Jawa Barat. Tujuan penelitian ini adalah untuk mengetahui gambaran faktor risiko kejadian stroke. Subjek dan Metode: Penelitian ini menggunakan studi desain deskriptif dengan rancangan potong lintang. Data diambil secara retrospektif dengan metode total sampling dari rekam medis pasien stroke di bangsal neurologi RSUP Dr. Hasan Sadikin periode Januari 2015-Desember 2016 yang memenuhi kriteri inklusi dan eksklusi. Hasil: Didapatkan 1044 subjek terdiri dari 486 laki-laki dan 558 perempuan. Kelompok usia 55-64 tahun (33,3%), pendidikan tamat SD (45,3%), dan tidak bekerja (56,4%) merupakan prevalensi tertinggi dari subjek yang diteliti. Stroke iskemik memiliki prevalensi lebih tinggi dibandingkan stroke perdarahan dengan lokasi sistem karotis lebih tinggi (89,6%) dibandingkan sistem vertebrobasilar (10,4%). Faktor risiko tertinggi yaitu hipertensi. Simpulan: Insidensi pasien stroke lebih tinggi terjadi pada wanita, kelompok usia tua, pendidikan rendah, dan tidak bekerja. Kasus pasien stroke iskemik lebih sering terjadi dibandingkan dengan stroke perdarahan dengan lokasi sistem karotis lebih banyak dibandingkan sistem vertebrobasilar. Hipertensi merupakan faktor risiko paling sering mengakibatkan stroke.

The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia

“…Interestingly, present study examined that a higher proportion of stroke in young adults, namely 4.9% at ages 20-29 years and 14.8% at ages 30-49 years. Research conducted at Hasan Sadikin Hospital in Bandung, Indonesia found stroke at the age of 15-24 years was 0.6%, 25-34 years was 2.6% and 35-44 years was 9% (Jamilatul Badriyah et al, 2018). These results are also in line with national data from RISKESDAS 2018 which showed a shift in stroke patients to a younger age, even at the age of 18-24 years.…”

“…The current study found that ischemic stroke was more common than hemorrhagic stroke. Previous research at Hasan Sadikin Hospital Bandung, Indonesia also showed similar results that ischemic stroke occured in 66,4% of patients and hemorrhagic stroke in 33,6% (Jamilatul Badriyah et al, 2018). However, a study conducted at Kandou Hospital Manado, Indonesia obtained different results that hemorrhagic stroke (58%) was more common than ischemic stroke (42%) (Barahama & Tangkudung, 2019).…”

“…Likewise, data from the Indonesian Health Survey in 2023 showed that the prevalence of stroke in males population aged ≥15 years was 8.8 ‰ (95%CI 8.3-9.3), higher than that of females (7.9‰; 95%CI 7.4-8.4) (Kementerian Kesehatan Republik Indonesia, 2023). However, a study at Hasan Sadikin Hospital in Bandung, Indonesia found that more females (53.4%) experienced stroke than males (46.6%), although not significantly different (Jamilatul Badriyah et al, 2018). The incidence of stroke in males may be closely related to the higher prevalence of smoking in males compared to females, even at a young age.…”

The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia

“…Interestingly, present study examined that a higher proportion of stroke in young adults, namely 4.9% at ages 20-29 years and 14.8% at ages 30-49 years. Research conducted at Hasan Sadikin Hospital in Bandung, Indonesia found stroke at the age of 15-24 years was 0.6%, 25-34 years was 2.6% and 35-44 years was 9% (Jamilatul Badriyah et al, 2018). These results are also in line with national data from RISKESDAS 2018 which showed a shift in stroke patients to a younger age, even at the age of 18-24 years.…”

“…The current study found that ischemic stroke was more common than hemorrhagic stroke. Previous research at Hasan Sadikin Hospital Bandung, Indonesia also showed similar results that ischemic stroke occured in 66,4% of patients and hemorrhagic stroke in 33,6% (Jamilatul Badriyah et al, 2018). However, a study conducted at Kandou Hospital Manado, Indonesia obtained different results that hemorrhagic stroke (58%) was more common than ischemic stroke (42%) (Barahama & Tangkudung, 2019).…”

“…Likewise, data from the Indonesian Health Survey in 2023 showed that the prevalence of stroke in males population aged ≥15 years was 8.8 ‰ (95%CI 8.3-9.3), higher than that of females (7.9‰; 95%CI 7.4-8.4) (Kementerian Kesehatan Republik Indonesia, 2023). However, a study at Hasan Sadikin Hospital in Bandung, Indonesia found that more females (53.4%) experienced stroke than males (46.6%), although not significantly different (Jamilatul Badriyah et al, 2018). The incidence of stroke in males may be closely related to the higher prevalence of smoking in males compared to females, even at a young age.…”

Clinical Outcome of Stroke Patients Based on the National Institutes of Health Stroke Scale (Nihss) in a Tertiary Hospital

“…Hasan Sadikin, in 2016, showed that only 20.9% of stroke patients had a recurrence. 31 Research by Yuanyuan Zhuo et al 32 in China showed that recurrent stroke patients had a more severe severity. This result is related to the characteristics of recurrent stroke patients who have uncontrolled comorbid factors and have lower pre-stroke functional conditions than patients who have never had a stroke.…”

The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia

“…Interestingly, present study examined that a higher proportion of stroke in young adults, namely 4.9% at ages 20-29 years and 14.8% at ages 30-49 years. Research conducted at Hasan Sadikin Hospital in Bandung, Indonesia found stroke at the age of 15-24 years was 0.6%, 25-34 years was 2.6% and 35-44 years was 9% (Jamilatul Badriyah et al, 2018). These results are also in line with national data from RISKESDAS 2018 which showed a shift in stroke patients to a younger age, even at the age of 18-24 years.…”

“…The current study found that ischemic stroke was more common than hemorrhagic stroke. Previous research at Hasan Sadikin Hospital Bandung, Indonesia also showed similar results that ischemic stroke occured in 66,4% of patients and hemorrhagic stroke in 33,6% (Jamilatul Badriyah et al, 2018). However, a study conducted at Kandou Hospital Manado, Indonesia obtained different results that hemorrhagic stroke (58%) was more common than ischemic stroke (42%) (Barahama & Tangkudung, 2019).…”

“…Likewise, data from the Indonesian Health Survey in 2023 showed that the prevalence of stroke in males population aged ≥15 years was 8.8 ‰ (95%CI 8.3-9.3), higher than that of females (7.9‰; 95%CI 7.4-8.4) (Kementerian Kesehatan Republik Indonesia, 2023). However, a study at Hasan Sadikin Hospital in Bandung, Indonesia found that more females (53.4%) experienced stroke than males (46.6%), although not significantly different (Jamilatul Badriyah et al, 2018). The incidence of stroke in males may be closely related to the higher prevalence of smoking in males compared to females, even at a young age.…”

Clinical Outcome of Stroke Patients Based on the National Institutes of Health Stroke Scale (Nihss) in a Tertiary Hospital

“…Hasan Sadikin, in 2016, showed that only 20.9% of stroke patients had a recurrence. 31 Research by Yuanyuan Zhuo et al 32 in China showed that recurrent stroke patients had a more severe severity. This result is related to the characteristics of recurrent stroke patients who have uncontrolled comorbid factors and have lower pre-stroke functional conditions than patients who have never had a stroke.…”

The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia

“…Interestingly, present study examined that a higher proportion of stroke in young adults, namely 4.9% at ages 20-29 years and 14.8% at ages 30-49 years. Research conducted at Hasan Sadikin Hospital in Bandung, Indonesia found stroke at the age of 15-24 years was 0.6%, 25-34 years was 2.6% and 35-44 years was 9% (Jamilatul Badriyah et al, 2018). These results are also in line with national data from RISKESDAS 2018 which showed a shift in stroke patients to a younger age, even at the age of 18-24 years.…”

“…The current study found that ischemic stroke was more common than hemorrhagic stroke. Previous research at Hasan Sadikin Hospital Bandung, Indonesia also showed similar results that ischemic stroke occured in 66,4% of patients and hemorrhagic stroke in 33,6% (Jamilatul Badriyah et al, 2018). However, a study conducted at Kandou Hospital Manado, Indonesia obtained different results that hemorrhagic stroke (58%) was more common than ischemic stroke (42%) (Barahama & Tangkudung, 2019).…”

“…Likewise, data from the Indonesian Health Survey in 2023 showed that the prevalence of stroke in males population aged ≥15 years was 8.8 ‰ (95%CI 8.3-9.3), higher than that of females (7.9‰; 95%CI 7.4-8.4) (Kementerian Kesehatan Republik Indonesia, 2023). However, a study at Hasan Sadikin Hospital in Bandung, Indonesia found that more females (53.4%) experienced stroke than males (46.6%), although not significantly different (Jamilatul Badriyah et al, 2018). The incidence of stroke in males may be closely related to the higher prevalence of smoking in males compared to females, even at a young age.…”

Clinical Outcome of Stroke Patients Based on the National Institutes of Health Stroke Scale (Nihss) in a Tertiary Hospital

“…Hasan Sadikin, in 2016, showed that only 20.9% of stroke patients had a recurrence. 31 Research by Yuanyuan Zhuo et al 32 in China showed that recurrent stroke patients had a more severe severity. This result is related to the characteristics of recurrent stroke patients who have uncontrolled comorbid factors and have lower pre-stroke functional conditions than patients who have never had a stroke.…”