scholarly journals Gambaran length of stay pada pasien stroke rawat inap di RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2015-Juni 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Reunita C. Amiman ◽  
Melke J. Tumboimbela ◽  
Mieke A.H.N. Kembuan
Keyword(s):  
Cardiovascular Disease ◽  
Length Of Stay ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Treatment Process ◽  
Secondary Data ◽  
Stroke Patients ◽  
Stroke Length ◽  
Dm Type 2

Abstract: 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

scholarly journals Lama Hari Rawat Pasien Stroke

2020 ◽  
Vol 9 (2) ◽  
pp. 117-122
Author(s):  
Novita Nirmalasari ◽  
Muhamat Nofiyanto ◽  
Rizqi Wahyu Hidayati
Keyword(s):  
Length Of Stay ◽  
Hemorrhagic Stroke ◽  
Treatment Process ◽  
Clinical Signs ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Cerebral Function ◽  
Stroke Patients ◽  
Design Data

Background: Stroke has remained the leading cause of death globally in the last 15 years. Stroke is rapidly developing clinical signs of focal or global disturbance of cerebral function. Hospitalization is a treatment process which including patient to stay at the hospital. Length of stay is influenced by the type of stroke.  This  study aimed to know classification of stroke and length of stay of stroke patients. Methods: The study was a descriptive study with restrospective design. Data collected from medical record from May until December 2020 in RS PKU Muhammadiyah Yogyakarta. There were 207 patients with stroke. Descriptive data is then processed. Results: The results showed the highest percentage stroke patients male (50,24%), non hemorrhagic stroke (57,49%), length of stay hemorrhagic stroke 8 days. Conclusion: The result of this study may provide nursing research in patients with stroke.

scholarly journals Gambaran Faktor Risiko dan Tipe Stroke pada Pasien Rawat Inap di Bagian Penyakit Dalam RSUD Kabupaten Solok Selatan Periode 1 Januari 2010 - 31 Juni 2012

2013 ◽  
Vol 2 (2) ◽  
pp. 57
Author(s):  
Cintya Agreayu Dinata ◽  
Yuliarni Safrita Safrita ◽  
Susila Sastri
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Ischemic Stroke ◽  
Glucose Level ◽  
High Glucose ◽  
Hemorrhagic Stroke ◽  
Secondary Data ◽  
Modifiable Risk Factors ◽  
Stroke Patients ◽  
High Glucose Level

AbstrakStroke merupakan penyakit akibat gangguan peredaran darah otak yang dipengaruhi oleh banyak faktor risiko terdiri dari yang tidak dapat diubah berupa usia dan jenis kelamin dan yang dapat diubah seperti hipertensi, peningkatan kadar gula darah, dislipidemia, dan pekerjaan. Penelitian ini bertujuan untuk mengetahui distribusi tipe stroke dan faktor risiko yang berpengaruh pada pasien stroke rawat inap di RSUD Kabupaten Solok Selatan. Metode penelitian: Penelitian ini adalah penelitian deskriptif dengan menggunakan data skunder pasien stroke yang dirawat di RSUD Solok Selatan. Data yang diambil meliputi usia, jenis kelamin, tekanan darah, kadar gula darah, profil lipid saat pertama pasien masuk rumah sakit, dan pekerjaan. Sampel penelitian adalah seluruh pasien stroke yang pernah dirawat di Bagian Penyakit Dalam RSUD Kabupaten Solok Selatan pada periode 1 Januari 2010 – 31 Juni 2012 yang memenuhi kriteria inklusi. Hasil penelitian: Hasil penelitian menunjukkan proporsi stroke terbanyak adalah stroke ischemic (61,46%), perempuan (54,17%) yang berusia >50 tahun (81,25%) yang bekerja sebagai ibu rumah tangga (43,75%). Faktor risiko yang dapat diubah tertinggi adalah hipertensi (82,30%) diikuti kolesterol total meningkat (69,79%). Faktor risiko tertinggi pada stroke ischemic adalah gula darah meningkat (47,89%) dan pada stroke hemorrhagic adalah hipertensi (100,00%). Faktor risiko tertinggi pada seluruh pasien adalah hipertensi (82,30%). Kesimpulan: Berdasarkan hasil penelitian ini disimpulkan bahwa stroke tipe ischemic lebih banyak dari tipe hemorrhagic dengan faktor risiko utama hipertensi, sedangkan stroke ischemic terutama dipengaruhi oleh peningkatan gula darah.Kata kunci: stroke ischemic, stroke hemorrhagic, faktor risiko strokeAbstractStroke is a disease caused by disorder of brain blood circulation with many risk factors that contribute in this disease, consist of non modifiable risk factor including age and sex and modifiable risk factors example hypertension, high glucose level, dyslipidemia, and jobs. This study aimed to determine the distribution of the type of stroke and the risk factors that affect to stroke patients who were treat in South Solok hospital.Methods: This research is descriptive research using secondary data, including the patient’s medical record. The data including age, gender, blood pressure, glucose level, lipid profile when the first patient in the hospital, and jobs. The samples were all stroke patients who had been treat in the Department of Internal Medicine of South Solok hospital in the period from January 1st 2010 until June 31th 2012 that meet the inclusion criteria.The results: The results showed the highest proportion of strokes were ischemic stroke (61.46%), women (54.17%) aged> 50 years (81.25%) who work as housewives (43.75%). The highest of modifiable risk factors are hypertension (82.30%) followed by increases in total cholesterol (69.79%). The highest risk factors for ischemic stroke is high glucose level (47.89%) and for hemorrhagic stroke is hypertension (100.00%). The highest risk in both ischemic stroke and hemorrhagic is hypertension (82.30%).Conclusion: Based on the end result, we can concluded that the insidence of ischemic stroke disease is greater than hemorrhagic stroke, and as the main risk factor is hypertension, mean while ischemic stroke is most affected by high glucose level.Keywords: stroke ischemic, stroke hemorrhagic, faktor risiko stroke

scholarly journals Epidemiological Patterns of Hypertension and Type 2 Diabetes Mellitus in Vietnam. Ecological Study

2020 ◽  
Author(s):  
Patrik Sivčo ◽  
Giang Nguyen Hoang ◽  
Juliana Melichová ◽  
Dominika Plančíková ◽  
Marek Majdan ◽  
...  
Keyword(s):  
Ecological Study ◽  
Polynomial Regression ◽  
Pearson Correlation ◽  
Rank Correlation ◽  
Secondary Data ◽  
Health Financing ◽  
Well Being ◽  
Good Health ◽  
Dm Type 2

Abstract Vietnam is a SEA country with a high burden of NCD and hypertension and diabetes are among the top contributors to premature mortality. The recent reviews reported the rapidly growing prevalence of these two chronic conditions in Vietnam. To investigate the epidemiological burden of HT and DM type 2 in Vietnam an ecological study employing secondary data analysis was conducted. The study was a part of the SUNI SEA project implementation with the aim to put the basis for the research hypothesis for the SUNI SEA project in Vietnam. Data from the Institute of Health Metrics and Evaluation and Vietnamese Health statistics years books were analysed by linear and polynomial regression analyses, Kendall rank correlation and Pearson correlation. On average 19% of all deaths and 9% of all DALYs were associated with high SBP and 2% of all deaths and 2% of all DALYs were attributable to DM type 2 between 1990-2017 in Vietnam. Differences between genders were recognizable mainly in CVDs and high SBP death rates. The decrease in the number of elementary nurses, as well as the increase in health insurance expenditures per inpatient, seems to be with the highest certainty correlated with HT and type 2 DM death and DALYs rates. If the tracked progress remains at the same pace, in the category of Good health and well-being Vietnam seems not to be able to achieve the desired threshold by 2030 as committed by United Nations Member States in 2015. Developing regulatory frameworks and social demand for professionalism in Vietnam could encourage nurses to pursue higher education but the essential role of elementary nurses became more sensible. The health financing reform that shifts resources from hospital care to primary care should be developed to improve access to early diagnosis and chronic care.

scholarly journals INFLUENCE OF NURSING CLINICAL PATHWAY IMPLEMENTATION TO LENGTH OF STAY OF NON HEMORRHAGIC STROKE PATIENTS IN BUKITTINGGI ACHMAD MOCHTAR HOSPITAL

2018 ◽  
Vol 12 (1) ◽  
pp. 9
Author(s):  
Fitrianola Rezkiki
Keyword(s):  
Length Of Stay ◽  
Nursing Care ◽  
Clinical Pathway ◽  
Hemorrhagic Stroke ◽  
Average Length ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Nursing Clinical

<p><em>Lenght of stay is indicator of serving quality and nursing care to measure hospital efficiency level. Neurology ward is one of the wards that experience increasing of length of stay from 5,91 to 7,38. The cause of length of stay increasing is nursing care management that according to Calhoun can be formulated to nursing clinical pathway. The purpose of this study is to analyze influence of nursing clinical pathway implementation to length of stay of non hemorrhagic stroke patients in neurology ward Bukitttinggi Achmad Mochtar Hospital. The designs of this study used non-equivalent post test only control group design approach. Sample of this study were taken by purposive sampling with total of 32 samples consist of 16 sample as intervention group and another 16 samples as control group. Data analyzing used t-test independent. The result shows that there is significant influence for average length of stay of stroke non hemorrhagic patients that were given nursing clinical pathway compared to the group that is not given nursing clinical pathway with p value 0,001 (p value ≤ 0,05. According to this study, hospital should implement nursing clinical pathway when doing nursing care to patients in ward and also hospital should make policy related to nursing clinical payhway implementation..</em></p><p><em> </em></p>

Abstract TP464: System Changes Decrease Emergency Department Length of Stay for Hemorrhagic Stroke Patients

Stroke ◽  
2019 ◽  
Vol 50 (Suppl_1) ◽  
Author(s):  
Carrie A Cobos ◽  
Cleidi C DeSouza ◽  
Leslie Duke ◽  
Donna Kotlar ◽  
Shipley Desara
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Hemorrhagic Stroke ◽  
Stroke Patients ◽  
System Changes

scholarly journals TINJAUAN PENGGUNAAN DAN POTENSI INTERAKSI OBAT ANTIKEJANG DENGAN OBAT LAIN PADA PASIEN STROKE PERDARAHAN RAWAT INAP RSUP PROF. DR. R. D. KANDOU MANADO

PHARMACON ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 239
Author(s):  
Vionita L. Porogoi ◽  
Weny Indayany Wiyono ◽  
Heedy Tjitrosantoso
Keyword(s):  
Drug Interactions ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Scar Tissue ◽  
Retrospective Data ◽  
Inclusion Criteria ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Neurological Problem ◽  
The Brain

ABSTRACK Hemorrhagic stroke is a stroke caused by intra-cerebral hemorrhage or subarachniod hemorrhage due to rupture of cerebral blood vessels in certain areas so that blood fills the brain tissue. Seizures are the most common neurological problem in stroke patients. The occurrence of seizures due to stroke is believed to be the presence of lesions in the brain during a stroke and the formation of scar tissue. This study discusses the use of anti-seizures and the potential of anti-seizure interactions of hemorrhagic stroke patients in inpatient at RSUP Prof. Dr. R. D. Kandou Manado. This study is involved retrospective data on 30 medical records of stroke patients with Hemorrhage in inpatients that met the inclusion criteria. Phenytoin as many as 23 (76,67%), phenytoin combined with Diazepam can occur as many as 4 (13,33%) and Diazepam by 3 (10%). Drug interactions, phenytoin combined with nicardipine which occurs as many as 2 (40%) interactions occur, phenytoin combined with Diazepam can occur as many as 3 (60%) interactions occur. Based on interactions, pharmacokinetic interactions were 5 (100%) occurrences.  Keywords: Hemorrhagic Stroke, anti-seizures, drug interactions ABSTRAK Stroke hemoragik adalah stroke yang disebabkan oleh perdarahan intraserebral atau perdarahan subaraknoid akibat pecahnya pembuluh darah otak di daerah tertentu sehingga darah mengisi jaringan otak. Kejang adalah masalah neurologis yang paling umum pada pasien stroke. Terjadinya kejang akibat stroke dipercayai adanya lesi di otak selama stroke dan pembentukan jaringan parut. Penelitian ini membahas penggunaan anti-kejang dan potensi interaksi anti-kejang pasien stroke hemoragik di rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini melibatkan data retrospektif pada 30 catatan medis pasien stroke dengan Perdarahan pada pasien rawat inap yang memenuhi kriteria inklusi. Fenitoin sebesar 23 (76,67%), Fenitoin dikombinasikan dengan Diazepam sebesar 4 (13,33%)., dan Diazepam sebesar 3 (10%). Interaksi obat, fenitoin yang dikombinasikan dengan nicardipine yang terjadi sebanyak 2 (40%) interaksi terjadi, fenitoin yang dikombinasikan dengan Diazepam dapat terjadi sebanyak 3 (60%) interaksi terjadi. Berdasarkan interaksi, interaksi farmakokinetik adalah 5 (100%) kejadian.  Kata kunci: Stroke Hemoragik, anti-kejang, interaksi obat

scholarly journals Gambaran NIHSS pada Pasien Stroke di Ruang Rawat Inap Neurologi RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2014 - Juni 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Yunike M. Arisoy ◽  
Junita Maja PS ◽  
Theresia Runtuwene
Keyword(s):  
Educational Level ◽  
Hemorrhagic Stroke ◽  
Secondary Data ◽  
Measurement Tool ◽  
Stroke Patients ◽  
High School Degree ◽  
Normal Category ◽  
Discharged Patients ◽  
Male Patients ◽  
The Brain

Abstract: Stroke is the interruption of blood flow to the brain that occurs suddenly and persists for more than 24 hours, which can cause disability. NIHSS is a measurement tool assessing the outcomes of stroke. This study aimed to describe NIHSS in stroke patients in the Neurology Departement of Prof. Dr. R. D. Kandou Manado, for the period of July 2014 – June 2015. This is a descriptive retrospective study which used secondary data in the form of inpatients medical record. The result of this study showed that 136 stroke patients who met the criteria used the NIHSS examination with a total of 73 male patients (53,7%) and 63 female patients (46,3%). The largest age group was 41 – 65 years with a total of 96 patients (70,58%) and based on the educational level, most patients had high school degree or equivalent as the latest educational level with a total of 66 patients (48,52%). NIHSS examination in admitted hemorrhagic stroke patients were 28 patients (60%) consisting of 3 patients in the minor category, 16 patients in the moderate category, and 9 patients in the severe category, whereas the discharged patients were 19 patients (40%), consisting of 6 patients in the normal category, 5 patients in the minor category, 6 patients in the moderate category, and 2 patients in the severe category. NIHSS examination in admitted non-hemorrhagic stroke patients were 45 patients (51%), consisting of 3 patients in the minor category, 32 patients in the moderate category, and 10 patients in the severe category, whereas discharged patients were 44 patients (49%) consisting of 6 patients in the normal category, 10 patients in the minor category, 26 patients in the moderate category, and 2 patients in the severe category.Keywords: Stroke Patients, NIHSS Examination Abstrak: Stroke adalah gangguan aliran darah ke otak yang terjadi mendadak dan bertahan dalam waktu lebih dari 24 jam, yang dapat menimbulkan kecacatan. Pemeriksaan NIHSS merupakan alat ukur yang di gunakan menilai luaran stroke. Penelitian ini bertujuan untuk mengetahui gambaran NIHSS pada pasien stroke di ruang rawat inap Neurologi Prof. Dr. R. D. Kandou Manado, periode Juli 2014 - Juni 2015. Penelitian ini bersifat deskriptif retrospektif dengan memanfaatkan data sekunder berupa catatan rekam medik pasien rawat inap. Hasil penelitian ini didapatkan 136 pasien stroke yang memenuhi kriteria menggunakan pemeriksaan NIHSS dengan jumlah pasien laki-laki sebanyak 73 pasien (53,7%) dan perempuan 63 pasien(46,3%). Kelompok umur terbanyak adalah 41-65 tahun dengan jumlah 96 pasien (70,58%) dan kategori pendidikan terakhir paling banyak SMA atau sederajat didapatkan sebanyak 66 pasien (48,52%). Pemeriksaan NIHSS pada stroke hemoragik yang masuk sebanyak 28 pasien (60%) dengan kategori ringan 3 pasien, sedang 16 pasien, dan berat 9 pasien sedangkan pasien keluar sebanyak 19 pasien (40%) dengan kategori normal 6 pasien, ringan 5 pasien, sedang 6 pasien, dan berat 2 pasien. Pemeriksaan NIHSS pada stroke non hemoragik yang masuk sebanyak 45 pasien (51%) dengan kategori ringan 3 pasien, sedang 32 pasien, dan berat 10 pasien sedangkan pasien keluar sebanyak 44 pasien (49%) dengankategori normal 6 pasien, ringan 10 pasien, sedang 26 pasien, dan berat 2 pasien.Kata kunci : Pasien Stroke, Pemeriksaan NIHSS

scholarly journals Electrolyte disturbances and lipid profiles in ischaemic and hemorrhagic stroke patients in Aisyiyah Bojonegoro Hospital, Indonesia

2020 ◽  
Vol 8 (6) ◽  
pp. 2028
Author(s):  
Yunita Dwi Setyawati ◽  
Rila Ruis Mastura
Keyword(s):  
Ischaemic Stroke ◽  
Medical Records ◽  
Hemorrhagic Stroke ◽  
Previous History ◽  
Lipid Profiles ◽  
Electrolyte Imbalance ◽  
P Value ◽  
High Morbidity ◽  
Lipid Levels ◽  
Stroke Patients

Background: The prevalence of stroke continues to increase every year. Electrolyte imbalance and metabolic disorder can cause high morbidity and mortality of stroke. There are very few studies conducted on serum electrolytes and lipid levels in stroke patients. Authors aimed to know the electrolyte disturbance and lipid profiles in acute stroke.Methods: Retrospective case analysis was used in this study. Patients who diagnosed with hemorrhagic and ischaemic stroke in Aisyiyah Bojonegoro Hospital from January to September 2019 were selected trough electronic medical records system. Authors examine the electrolyte levels and lipid profiles. Patients with a previous history of stroke, complication that might affect electrolyte level and incomplete data in medical records were excluded. Independent T-test or Mann Whitney test were used to analyze the difference of parameters between hemorrhagic and ischaemic stroke patients. P value was considered as significant at p<0.05.Results: Most common electrolyte imbalance in both hemorrhagic and ischaemic stroke was hypokalemia which is statistically significant. Comparison between stroke patients was statistically significant for mean potassium and high density lipoprotein (HDL), while other mean serum values were not different. Potassium significantly lower (p=0.002) in hemorrhagic stroke and HDL significantly lower (p=0.034) in ischaemic stroke.Conclusions: This study reveals that hypokalemia was higher in hemorrhagic stroke and HDL was lower in ischaemic stroke. Regular monitoring of lipid levels in patients with high risk factors and correction of electrolytes imbalance for stroke patients will help in decreasing the mortality and morbidity.

A Comparison of Biological and Physical Risk Factors for Cardiovascular Disease in Overweight/Obese Individuals With and Without Prediabetes

2016 ◽  
Vol 26 (6) ◽  
pp. 674-693 ◽  
Author(s):  
Tingting Liu
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Fasting Blood Glucose ◽  
Secondary Data ◽  
Cvd Risk ◽  
Obese Adults ◽  
Insulin Resistant ◽  
Physical Risk ◽  
Physical Risk Factors

Compared with type 2 diabetes, evaluating the direct biological and physical risk factors for cardiovascular disease (CVD) in overweight/obese adults with and without prediabetes is less understood. Therefore, the aim of the study was to compare baseline biological and physical risk factors for CVD among overweight/obese adults with and without prediabetes. A secondary data analysis was performed. Three hundred forty-one overweight/obese participants were included in the analysis. Compared with non-prediabetics, prediabetics had higher fasting blood glucose, body mass index, waist-to-hip ratio, and triglycerides. Prediabetics were also more likely to be insulin resistant than non-prediabetics. Participants with prediabetes had much lower cardiorespiratory fitness than those without prediabetes. Findings from this study suggest that healthy overweight/obese adults with prediabetes were likely at higher biological and physical risk of CVD at baseline compared with those without prediabetes. Early intervention to improve CVD risk progression among persons with prediabetes is essential.

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