DERAJAT KESADARAN RENDAH SEBAGAI FAKTOR PROGNOSIS MORTALITAS PASIEN STROKE AKUT
| Main Authors: | , dr. Kusbiantoro, , dr. H. Moh. Was�an, Sp.S (K) QIA |
|---|---|
| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2011
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/91118/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=53630 |
Daftar Isi:
- Introduction: Stroke is the number two cause of death in the world. Many factors have been implicated in the mortality rate among acute stroke patients, one of tem is consciousness level. Objective: To investigate the role of consciousness level as a predictor for mortality in acute stroke patients admitted in Stroke Unit of dr. Sardjito Hospital, Yogyakarta Methods: This is a prospective cohort study, with subjects recruited by consecutive sampling of acute stroke patients admitted in the stroke unit who diagnosed with stroke based on CT scan. Patients� history, physical examination results and lab results were then recorded. Low level of consciousness group (GCS score � 7) was compared with group (GCS >7) for mortality outcome in 7 days of stroke. Results: A total of 99 patients (56 males and 43 females, mean of age 62 ± 12,5 years old) in the study. 43 patients (43,4%) were treated for hemorrhagic stroke. Low level of consciousness (GCS < 7) (RR = 6,249, 95%CI 3,260-11,979), body temperature � 37,5 o C (RR = 2,473, 95%CI 1,301-4,702), hemorrhagic stroke (RR = 2,479, 95%CI 1,384-5.461), significant lesion size (RR = 2,808, 95%CI 1,566-5,066), cerebral edema (RR = 2,653, 95%CI 1,497-4,700), midline shift (RR = 2,265, 95%CI 1,253- 4,094) and infratentorial location (RR = 2,566, 95%CI 1,433-4,557) were significantly correlated with higher mortality risk in 7 days of stroke. Multivariate logistic regression analysis indicated that only low level of consciousness (GCS � 7), significant lesion size and infratentorial lesion were independently associated with higher mortality in 7 days of stroke (all adjusted p < 0,05). Conclusion : Low level of consciousness (GCS � 7) proved to act as a mortality prognostic factor of acute stroke.