Abstract:Stroke is rapidly developing clinical signs of focal or global disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death, with no apparent cause other than of vascular origin. This study aimed to know characteristic of ischemic stroke patients hospitalized at Prof.Dr.R.D.Kandou hospital in 2012-2013. This research is descriptive retrospective research using secondary data, including the ischemic stroke patient’s medical record. The results showed the highest percentage isch… Show more
“…Hal ini sesuai dengan penelitian yang dilakukan di RSUP Prof. Dr. R. D. Kandou Manado tahun 2012-2013 bahwa jumlah pasien laki-laki (52%) lebih banyak dibanding perempuan. 12 Meski penelitian di Singapura didapatkan hasil bahwa jenis kelamin tidak berkorelasi secara signifikan dengan LOS 13 namun, hasil dari penelitian Sagrat Cor Hospital of Barcelona 14 menyatakan bahwa perempuan dan laki-laki memiliki perbedaan karakteristik faktor risiko, presentasi stroke, dan penyebab stroke yang dapat mempengaruhi LOS.…”
Stroke is a cardiovascular disease which is the second rank of worldwide disease leading to death. Hospitalization is a treatment process which including patient to stay at hospital and length of stay (LOS) is a calculated time periode when patient admitted until discharged. This studywas aimed to obtain the profile of hospitalized stroke patients’ LOS at Prof. Dr. R. D. Kandou Hospital Manado from July 2015 to Juni 2016. This was a descriptive retrospective study using secondary data of the medical records. Samples consisted of 293 patients.The results presented ischemic stroke in 58.02% with LOS 6.84 days and hemorrhagic stroke in 41.98% with LOS 10.84 days. Patients with the highest LOS were females with hemorrhagic stroke (11.04 days); age 45-54 years (9.47 days); hemorrhagic stroke with hypertension (11.26 days); hemorrhagic stroke without dyslipidemia (10.67 days); hemorrhagic stroke with DM type 2 (12.67 days); and hemorrhagic stroke with tuberculosis (23.50 days). Conclusion: In this study, hemorrhagic stroke patients had higher LOS.Keywords: stroke, length of stay. Abstrak: Stroke adalah penyakit kardiovaskular yang menempati peringkat kedua sebagai penyakit yang menyebabkan kematian di dunia. Pelayanan rawat inap merupakan proses perawatan pasien dengan menginap di rumah sakit dan length of stay (LOS) merupakan periode yang dihitung ketika pasien masuk hingga keluar dari rumah sakit. Penelitian ini bertujuan untuk mengetahui gambaran LOS pada pasien stroke rawat inap di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder pasien stroke periode Juli 2015-Juni 2016 dari bagian rekam medik. Sampel penelitian berjumlah 293 pasien. Hasil penelitian menunjukkan persentase jumlah pasien stroke iskemik 58,02% dengan LOS 6,84 hari dan persentase jumlah pasien stroke hemoragik 41,98% dengan LOS 10,64 hari. Pasien stroke dengan LOS tertinggi terdapat pada jenis kelamin perempuan dengan stroke hemoragik, 11,04 hari; usia 45-54 tahun, 9,47 hari; stroke hemoragik dengan hipertensi, 11,26 hari; stroke hemoragik tanpa dislipidemia, 10,67 hari; stroke hemoragik dengan DM tipe 2, 12,67 hari; stroke dengan komplikasi, 9,33 hari; stroke hemoragik dengan pneumonia, 10,65 hari; dan stroke hemoragik dengan tuberculosis, 23,50 hari. Simpulan: Pasien stroke hemoragik memiliki LOS yang lebih tinggi.Kata kunci: stroke, lama rawat
“…Hal ini sesuai dengan penelitian yang dilakukan di RSUP Prof. Dr. R. D. Kandou Manado tahun 2012-2013 bahwa jumlah pasien laki-laki (52%) lebih banyak dibanding perempuan. 12 Meski penelitian di Singapura didapatkan hasil bahwa jenis kelamin tidak berkorelasi secara signifikan dengan LOS 13 namun, hasil dari penelitian Sagrat Cor Hospital of Barcelona 14 menyatakan bahwa perempuan dan laki-laki memiliki perbedaan karakteristik faktor risiko, presentasi stroke, dan penyebab stroke yang dapat mempengaruhi LOS.…”
Stroke is a cardiovascular disease which is the second rank of worldwide disease leading to death. Hospitalization is a treatment process which including patient to stay at hospital and length of stay (LOS) is a calculated time periode when patient admitted until discharged. This studywas aimed to obtain the profile of hospitalized stroke patients’ LOS at Prof. Dr. R. D. Kandou Hospital Manado from July 2015 to Juni 2016. This was a descriptive retrospective study using secondary data of the medical records. Samples consisted of 293 patients.The results presented ischemic stroke in 58.02% with LOS 6.84 days and hemorrhagic stroke in 41.98% with LOS 10.84 days. Patients with the highest LOS were females with hemorrhagic stroke (11.04 days); age 45-54 years (9.47 days); hemorrhagic stroke with hypertension (11.26 days); hemorrhagic stroke without dyslipidemia (10.67 days); hemorrhagic stroke with DM type 2 (12.67 days); and hemorrhagic stroke with tuberculosis (23.50 days). Conclusion: In this study, hemorrhagic stroke patients had higher LOS.Keywords: stroke, length of stay. Abstrak: Stroke adalah penyakit kardiovaskular yang menempati peringkat kedua sebagai penyakit yang menyebabkan kematian di dunia. Pelayanan rawat inap merupakan proses perawatan pasien dengan menginap di rumah sakit dan length of stay (LOS) merupakan periode yang dihitung ketika pasien masuk hingga keluar dari rumah sakit. Penelitian ini bertujuan untuk mengetahui gambaran LOS pada pasien stroke rawat inap di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data sekunder pasien stroke periode Juli 2015-Juni 2016 dari bagian rekam medik. Sampel penelitian berjumlah 293 pasien. Hasil penelitian menunjukkan persentase jumlah pasien stroke iskemik 58,02% dengan LOS 6,84 hari dan persentase jumlah pasien stroke hemoragik 41,98% dengan LOS 10,64 hari. Pasien stroke dengan LOS tertinggi terdapat pada jenis kelamin perempuan dengan stroke hemoragik, 11,04 hari; usia 45-54 tahun, 9,47 hari; stroke hemoragik dengan hipertensi, 11,26 hari; stroke hemoragik tanpa dislipidemia, 10,67 hari; stroke hemoragik dengan DM tipe 2, 12,67 hari; stroke dengan komplikasi, 9,33 hari; stroke hemoragik dengan pneumonia, 10,65 hari; dan stroke hemoragik dengan tuberculosis, 23,50 hari. Simpulan: Pasien stroke hemoragik memiliki LOS yang lebih tinggi.Kata kunci: stroke, lama rawat
“…The results of this study are similar with a study conducted in Manado, which found that mild alcohol consumption is protective against stroke events. 31 In contrast, a meta-analysis in Australia reported that respondents who consumed alcohol ±200 ml-400 ml showed a low adjusted RR for a stroke while the ±1000 ml alcohol use showed a higher adjusted RR for stroke. 32 Another meta-analysis also reported that alcohol consumed >1000 ml is a risk factor for stroke in Asian populations.…”
Background and purpose: Hypertension is a major risk factor for stroke. Despite efforts to control hypertension with pharmacological and non-pharmacological therapies, the prevalence of and death from stroke is reported to be increasing. This study aims to determine the association of hypertension self-management with the incidence of stroke in patients with hypertension.Methods: A case-control study was conducted involving 44 patients suffering from hypertension and who had suffered a stroke as a case, as well as 44 patients with hypertension and no stroke as a control. Data on self-management of diet, physical activity, stress mitigation efforts, alcohol consumption, and medication adherence were collected using self administered questionnaire. Data on the diagnosis of hypertension, stroke and history of comorbidities were obtained from the patient's medical records. Multivariatee analysis using logistic regression was employed to assess the association between hypertension self-management with the incidence of stroke in patients with hypertension.Results: Characteristics of cases and controls did not differ in education, marital and socioeconomic status, but differed in age and employment. Multivariate analysis showed that there were three components of hypertension self-management associated with the incidence of stroke, namely poor adherence to medication (AOR=7.28; 95%CI: 2.19-24.17), poor self-management of stress (AOR=5.45; 95%CI: 1.56-18.99), and poor management of self-regulated diet (AOR=5.28; 95%CI: 1.31-21.32).Conclusions: Medication adherence, diet and stress management are the three main components of self-management that are associated with stroke events among hypertension patients. Efforts to increase medication adherence, diet and stress management should be enhanced.
“…Factors that can't be modified include mature enough and sex, while factors that can be changed fuse hypertension, diabetes mellitus, lipid profile, alcohol drunk and smoking. (Patricia, Kembuan and Tumboimbela, 2015) Hypertension a significant danger factor for stroke. Arranged as hypertension when pulse is more noteworthy than or equivalent to 140/90 mmHg.…”
Background and Purpose:The executives patients with ceaseless stroke created to treatment that fast and exact on target can reduce morbidity rate patients with strokes. In intense ischemic stroke, irritation process came about in neutrophil cells preparation as the main leucocytes coming through in the ischemic region. This review meant to correlation between changes in neutrophil levels and clinical result in patients with intense ischemic stroke < 72 hours and the 7 days beginning at Dr. Soetomo medical clinic. Method: A cross-sectional technique was utilized in this study. Test information were gathered from the stroke library in the neurologic room at Dr. Soetomo medical clinic from January to March 2021. Neutrophil level were gathered upon <72 hours and 7 days of beginning. The information were surveyed utilizing National Institutes of Health Stroke Scale (NIHSS) upon release. Information was dissected utilizing SPSS rendition 24 with p<0.05 as huge worth. Result: From the stroke library information, it was observed that 65 subjects have satisfied the measures for this review. In the comparison of neutrophil levels and NIHSS scores on onset <72 hours NIHSS scores were found in moderate NIHSS 14 subjects (21,5%) with a mean neutrophil of 8.62 ± 2.5 x103/uL statistically significant with p = 0.015, while the after 7 days onset results of increased neutrophils were found in moderate NIHSS 18 subjects (27,7%) with a mean neutrophil of 8.03 ±3.2 x103/uL. The difference results were found to be statistically significant with p = 0.037. Conclusion: There is a significant difference between changes in neutrophil levels and clinical outcome in patients with acute ischemic stroke < 72 hours and the onset of day 7, that the higher the neutrophil level, the worse the clinical outcome of stroke
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