scholarly journals Hubungan Tekanan Darah dengan Volume Pendarahan Intraserebral pada Pasien Stroke Hemoragik di Ruang Rawat Inap Saraf Rumkital Dr Ramelan Surabaya

2019 ◽  
Vol 16 (2) ◽  
pp. 135
Author(s):  
KENNY YULIAN ◽  
OLIVIA MAHARDANI ADAM ◽  
LESTARI DEWI
Keyword(s):  
Blood Pressure ◽  
Ct Scan ◽  
Intracerebral Haemorrhage ◽  
Hemorrhagic Stroke ◽  
Haemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
The Brain

<p><strong>ABSTRACT</strong></p><p><strong>Background.</strong> Hemorrhagic stroke is a spontaneous bleeding in the brain that is usually life threatening. The most common risk factor of hemorrhagic stroke is hypertension. Hypertension can cause change in the structure of the artery wall which can cause the blood vessels near the brain to rupture easily. <strong>Purpose.</strong> To analyze the correlation between blood pressure and intracerebral haemorrhage volume in hemorrhagic stroke patients in Dr. Ramelan Navy Hospital neurologic ward.  <strong>Method.</strong> This research is using a cross sectional study design. This study is done using primary data collection, using the head CT Scan result to measure the patient’s intracerebral hemorrhage volume and patient’s ER admission data for the blood pressure. <strong>Results.</strong> The study is performed to 26 haemorrhagic stroke patients who fits the inclusion and exclusion criteria. Correlation test shows no correlation between blood pressure and intracerebral haemorrhage volume in haemorrhagic stroke patients in Dr. Ramelan Navy Hospital neurologic ward, with significance (p) value of 0.888 &gt; α (0.05). <strong>Conclusion.</strong> There is no correlation between blood pressure and intracerebral haemorrhage volume in haemorrhagic stroke patients in Dr. Ramelan Navy Hospital neurologic ward.</p><p><strong>Keywords: </strong>Blood Pressure, Intracerebral Haemorrhage Volume, Haemorrhagic Stroke</p><p> </p><p>ABSTRAK</p><p><strong>Latar belakang. </strong>Stroke hemoragik adalah pendarahan otak spontan yang seringkali mengancam jiwa. Faktor resiko utama terjadinya stroke hemoragik adalah adanya hipertensi. Hipertensi dapat menyebabkan perubahan struktur dinding arteri sehingga pembuluh darah didekat otak mudah ruptur. <strong>Tujuan penelitian.</strong> Mengetahui hubungan antara tekanan darah dengan volume pendarahan intraserebral pada pasien stroke hemoragik di ruang rawat inap saraf RUMKITAL Dr. Ramelan Surabaya. <strong>Metode penelitian.</strong> Penelitian ini adalah penelitian dengan desain cross sectional study. Penelitian ini dilakukan dengan perolehan data primer, yaitu berupa hasil CT scan kepala untuk mengetahui volume pendarahan intraserebral pasien dan data pasien saat masuk IGD untuk tekanan darah pasien. <strong>Hasil.</strong> Penelitian dilakukan pada 26 pasien stroke hemoragik yang masuk kriteria inklusi dan eksklusi. Hasil uji korelasi menunjukkan tidak ada hubungan antara tekanan darah dengan volume pendarahan intraserebral pada pasien stroke hemoragik di ruang rawat inap saraf RUMKITAL Dr. Ramelan Surabaya, dengan nilai signifikansi (p) = 0.888 &gt; α (0.05). <strong>Kesimpulan.</strong> Tidak ada hubungan antara tekanan darah dengan volume pendarahan intraserebral pada pasien stroke hemoragik di ruang rawat inap saraf RUMKITAL Dr. Ramelan Surabaya.</p><strong>Kata Kunci : </strong>Tekanan Darah, Volume Pendarahan Intraserebral, Stroke Hemoragik

scholarly journals Sleep Quality and Related Determinants among Stroke Patients: A Cross-Sectional Study

2021 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Mahdi Khazaei ◽  
Mojtaba Khazaei ◽  
Gita Afrookhteh
Keyword(s):  
Sleep Quality ◽  
Ct Scan ◽  
Treatment Method ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Present Cross Sectional Study

Objective: Effective rehabilitation and better quality of life among stroke patients are functions of several factors such as quality and pattern of sleep. The present study aimed to evaluate sleep quality and related determinants in such patients. Method: The present cross-sectional study was performed from October to December 2019 among stroke patients who were admitted to Sina Hospital, Hamadan, Iran. We used the Pittsburgh Sleep Quality Index (PSQI) questionnaire to determine sleep quality in these patients. Significant determinants of the global score of PSQI were identified via multivariable linear regression. Results: A total of 97 stroke patients (age 67±79 years, 55.7% male) were enrolled into the study. Prevalence of poor sleep was 0.84 (95% CI: 0.75, 0.91) in stroke patients. Patients with nervous tension and those with surgical treatment and with Non-hemorrhagic CT scan had a predicted increase of 1.65, 2.91 and 3.25 in the mean of the global PSQI score (P ≤ 0.05), respectively. Conclusion: Nervous tension, treatment method, results of CT scan and cardiac problems may be associated with post-stroke sleep disorder.

scholarly journals Are stroke patients' reports of home blood pressure readings reliable? Cross-sectional study

2010 ◽  
Vol 28 (1) ◽  
pp. 118-122 ◽  
Author(s):  
J. Shaw ◽  
S. Kerry ◽  
Y. Adjei-Gyamfi ◽  
J. Tulloch ◽  
D. Coster ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cross Sectional Study ◽  
Home Blood Pressure ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

scholarly journals Accuracy of Siriraj stroke scale in the diagnosis of stroke subtypes among stroke patients

2017 ◽  
Vol 5 (3) ◽  
pp. 1084
Author(s):  
Abhilash Somasundaran ◽  
Hashik Mohammed ◽  
Jayaraj Kezhukatt ◽  
Alvin Treasa George ◽  
S. Narayanan Potty
Keyword(s):  
Ischemic Stroke ◽  
Ct Scan ◽  
Rural Areas ◽  
Hemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Stroke Patients ◽  
Stroke Subtype ◽  
Cross Sectional ◽  
Tertiary Centre ◽  
Low Sensitivity

Background: Early detection of intracranial blood is essential for the rational use of anti hemostatic drugs in stroke patients. CT scan is quite expensive as well as it is not easily available especially in the rural areas. Clinical stroke scores were developed to overcome these limitations. Aim of present study is to identify the stroke subtype using Siriraj stroke scoring and thus asses its accuracy by comparing with CT scan reports.Methods: A cross sectional study was conducted in a tertiary centre that evaluated 464 patients admitted with a diagnosis of stroke. Siriraj Stroke score was calculated for each patient and a CT scan of brain was also taken. The results of diagnosis made by Siriraj stroke scoring were compiled and compared with the diagnosis obtained by CT Scan.Results: Of the total 464 patients, the incidence of hemorrhagic stroke was 27.8% and ischemic stroke was 72.2%, as per the CT scan reports, while the Siriraj stroke score diagnosed 16.8% patients to have hemorrhagic stroke and 74.6% to have ischemic stroke and no definite diagnosis was made in rest of the patients (8.6%). The sensitivity of the scoring was found to be 59.2% in diagnosing hemorrhagic stroke and 95.5% in ischemic stroke.Conclusions: Our study has shown that siriraj stroke scoring has a high degree of accuracy in detecting both types of strokes, with roughly 80% of both hemorrhagic and ischemic strokes being correctly identified. However there is a low sensitivity in diagnosing hemorrhagic strokes and higher sensitivity in diagnosing ischemic strokes.

scholarly journals PROTEINURIA DALAM STROK DISERTAI DIABETES MELITUS DAN TANPA DISERTAI DIABETES MELITUS

2018 ◽  
Vol 19 (2) ◽  
pp. 76
Author(s):  
Misnah Misnah ◽  
Suci Aprianti ◽  
Fitriani Mangerangi ◽  
Burhanuddin Bahar
Keyword(s):  
Hemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Urine Samples ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Diabetes Melitus

Proteinuria is a predictor of stroke in diabetic and non diabetic patients, but remains poorly documented from the available researchstudies. The aim of this study is to determine. Proteinuria in stroke (Hemorrhagic and non Hemorrhagic) patients which suffer diabeticand non diabetic. A cross sectional study had been done in stroke patients, diabetics and non diabetics who were hospitalized at theWahidin Sudirohusodo Hospital Makassar during the period of May to July 2010. Urine samples were analyzed using a dipstick method.There were 30 samples of non Hemorrhagic stroke (NHS) with diabetics: 71.4% with proteinuria; Hemorrhagic stroke (HS) with diabetics:87.5% with proteinuria (p = 0.55). Non diabetic HS: 100% with proteinuria; Non diabetic NHS: 40% with proteinuria; (p=0.04).Proteinuria in stroke could occur either in diabetic or non diabetic subjects, but proteinuria was higher in HS the existence of diabetes.Further research is needed on the role of proteinuria in stroke in terms of diagnostic or prognostic values.

scholarly journals Hasil pemeriksaan CT scan pada penderita stroke non hemoragik di Bagian Radiologi FK Unsrat/SMF Radiologi RSUP Prof. Dr. R. D. Kandou Manado periode Agustus 2015 – Agustus 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Christian Elim ◽  
Vonny Tubagus ◽  
Ramli Hadji Ali
Keyword(s):  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Right Hemisphere ◽  
Secondary Data ◽  
Haemorrhagic Stroke ◽  
Descriptive Study ◽  
Body Parts ◽  
Stroke Patients ◽  
The Right ◽  
The Brain

Abstract: CT-scan is used to analyze the structures of specific body parts, mainly to confirm the diagnosis of non-hemorrhagic stroke. Stroke is a neurological deficit that occurs suddenly and caused by the interruption of blood flow to the brain. The symptoms are corresponding to the location of the stroke. This study was aimed to obtain the CT-scan examination of non-haemorrhagic stroke patients. This was a retrospective descriptive study using secondary data such as request letter and data of head CT-scan performed from August 2015 to August 2016. The results showed that there were 89 cases of non-hemorrhagic stroke. The majority were males (60 patients; 67%), elderly ≥65 years old (27 patients; 30%), and location of lesion in the right hemisphere (38 patients; 43%). Conclusion: In this study most patients diagnosed as non-hemorrhagic stroke with CT-scan were males, over 65 years old, and location of lesion in right hemisphere.Keywords: non-haemorrhagic stroke, CT-scan Abstrak: CT scan digunakan untuk menganalisis struktur dalam dari beberapa bagian tubuh tertentu, antara lain untuk memastikan diagnosis dari stroke non hemoragik, Stroke merupakan suatu defisit neurologik yang terjadi secara tiba-tiba diakibatkan oleh adanya gangguan aliran darah ke otak dan gejala yang terjadi sesuai dengan lokasi dari stroke tersebut. Penelitian ini bertujuan untuk mengetahui hasil pemeriksaan CT scan pada penderita stroke non hemoragik. Jenis penelitian ialah deskriptif retrospektif dengan memanfaatkan data sekunder berupa lembar permintaan dan data hasil CT scan kepala yang dilaksanakan sejak Agustus 2015 sampai Agustus 2016. Hasil penelitian mendapatkan sebanyak 89 kasus didiagnosis stroke non-hemoragik dengan CT-scan, terbanyak ialah jenis kelamin laki-laki berjumlah 60 orang (67%); golongan usia manula (≥65 tahun) berjumlah 27 orang (30%); dan lokasi lesi di hemisfer dekstra berjumlah 38 orang (43%). Simpulan: Pada studi ini, majoritas pasien yang didiagnosis stroke non-hemoragik dengan CT-scan Berjenis kelamin laki-laki, usia ≥65 tahun, dengan lokais lesi pada hemisfer kanan. Kata kunci: stroke non hemoragik, CT-scan

scholarly journals Pattern of Stroke in Diabetic and Non-Diabetic Patients Admitted at a Tertiary Care Hospital, a Cross Sectional Study

2021 ◽  
Vol 2 (5) ◽  
pp. 01-05
Author(s):  
Mubashir Ahmed ◽  
Sohail Ahmed Siddiqui ◽  
Abdul Haq ◽  
Atif Ahmed ◽  
Pir Abdul Hayee ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Haemorrhagic Stroke ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Stroke Patients ◽  
Cross Sectional

Objective: To determine the frequency of diabetic among stroke patients and to compare the pattern of stroke in diabetic and non-diabetic stroke patients admitted at a tertiary care hospital in Hyderabad, Sindh. Methods: A cross sectional study enrolled 148 consecutive adult acute stroke patients admitted at Liaquat University Hospital, Hyderabad, during Sep 2014 to Feb 2015. Demographic, clinical, radio-imaging and laboratory data were collected on structured questionnaire to identify diabetes, type of stroke and different risk factors of stroke. Data was entered and analysed by using SPSS version 16. Association was seen by using Pearson’s Chi-square test and Independent t test. A P value of < 0.05 was considered statistically significant. Results: A total of 148 acute stroke cases were enrolled in the study. Males were 92 (62%). Mean age of study participants was 51.21 ± 10.19 years. Diabetes was found in 104 (70.3%) stroke patients. Ischemic stroke was seen in 101 (68.2%) and haemorrhagic stroke seen in 47 (31.8) stroke patients. Diabetes was more common in ischemic stroke 81 (80.2) as compared to haemorrhagic stroke 23 (48.9%) (P< 0.05). Hospital mortality of stroke patients was 37 (25%). No difference of mortality in diabetic and non-diabetic (P>0.05) stroke patients was recorded. Conclusion: Diabetes was found in majority of stroke patients. Ischemic stroke was more common than haemorrhagic stroke. Ischaemic stroke is more prevalent in diabetic whereas haemorrhagic stroke was more in non-diabetic stroke patients. Prognosis of stroke was bad in both diabetic and non-diabetic stroke patients.

scholarly journals Blood Pressure and Tooth Loss: A Large Cross-Sectional Study with Age Mediation Analysis

2021 ◽  
Vol 18 (1) ◽  
pp. 285
Author(s):  
José João Mendes ◽  
João Viana ◽  
Filipe Cruz ◽  
Dinis Pereira ◽  
Sílvia Ferreira ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Tooth Loss ◽  
Cross Sectional Study ◽  
Mediation Effect ◽  
Sectional Study ◽  
Cross Sectional ◽  
Undiagnosed Hypertension ◽  
Dental Hospital ◽  
Continuous Measures ◽  
Effect Of Age

We aimed to investigate the association between blood pressure (BP) and tooth loss and the mediation effect of age. A cross-sectional study from a reference dental hospital was conducted from September 2017 to July 2020. Single measures of BP were taken via an automated sphygmomanometer device. Tooth loss was assessed through oral examination and confirmed radiographically. Severe tooth loss was defined as 10 or more teeth lost. Additional study covariates were collected via sociodemographic and medical questionnaires. A total of 10,576 patients were included. Hypertension was more prevalent in severe tooth loss patients than nonsevere tooth lost (56.1% vs. 39.3%, p < 0.001). The frequency of likely undiagnosed hypertension was 43.4%. The adjusted logistic model for sex, smoking habits and body mass index confirmed the association between continuous measures of high BP and continuous measures of tooth loss (odds ratio (OR) = 1.05, 95% CI: 1.03–1.06, p < 0.001). Age mediated 80.0% and 87.5% of the association between periodontitis with both systolic BP (p < 0.001) and diastolic BP (p < 0.001), respectively. Therefore, hypertension and tooth loss are associated, with a consistent mediation effect of age. Frequency of undiagnosed hypertension was elevated. Age, gender, active smoking, and BMI were independently associated with raised BP.

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