Asian Pacific Journal of Health Sciences

Yazarlar: Rizaldy Taslim Pinzon, Andra Kurniawan

Konular:-

DOI:10.21276/apjhs.2017.4.4.37

Anahtar Kelimeler:Clinical predictor,Intracerebral hemorrhage stroke,Mortality,Prognosis

Özet: Background: Stroke is leading cause of death in Indonesia. The mortality rates of patients’ hemorrhage stroke are higher than ischemic stroke. The understanding of prognostic factors can help the clinician for further management. The previous studies of a prognostic factor for hemorrhagic stroke in Indonesia are still very limited. Aim: The aim of this study is to measure determinant factors of mortality in patients with primary intracerebral hemorrhage. Methods: A nested case–control method is used in this study. The study subjects were obtained from the stroke registry from stroke unit at Bethesda Hospital Yogyakarta between 2015 and 2017. Data were analyzed using univariate, bivariate, and multivariate logistic regression analysis. Results: The data obtained from 128 intracerebral hemorrhage stroke patients which consist of 74 males (57/8%) and 54 females (42.2%). This study showed that significant prognostic factors are level of consciousness (Glasgow Coma Scale level ≤8) (OR: 22.41, 95% confidence interval [CI]: 4.461-112.587, P < 0.001), leukocyte count (odds ratio [OR]: 4.894, 95% CI: 1.480–16.179, P = 0.009), and the presence of complications (OR: 3.502, 95%CI: 1.103–11.117, P = 0.033). Conclusion: This study showed that unconsciousness, high leukocyte count, and the presence of complications will increase the risk of inhospital mortality.

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