Rerata Tekanan Arteri Lebih Dari 145 Mmhg Pada Saat Masuk Rumah Sakit Sebagai Prediktor Prognosis Kematian 7 Hari Pada Pasien Stroke Hemoragik  

Oleh:

Nugrahanti, Shinta S. ; Ghofir, Abdul ; Yudiyanta

Jenis: Article from Journal - ilmiah nasional - tidak terakreditasi DIKTI - atma jaya
Dalam koleksi: Majalah Kedokteran Damianus vol. 10 no. 01 (Feb. 2011), page 1-7.
Topik: Hemorrhagic Stroke; Mean Arterial Pressure; Hospital Admission; Prognosis; Mortality

Ketersediaan

Perpustakaan FK Nomor Panggil: D01.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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ABSTRACT Background: Hemorrhagic stroke is usually caused by high blood pressure. Mean Arterial Pressure (MAP) >145 mmHg that exceed upper limit of autoregulation could increase cerebral blood flow leading to encephalopathy hypertension, rupture of blood vessel, and bleeding. This study is aim to know prognostic value of MAP value in hospital admission to 7 days mortality rate in hemorrhagic stroke patient. Methods: This is a cohort retrospective study. One hundred eighty four medical records were collected. All hemorrhagic stroke patient medical records were included and all recurrent patient were excluded. Characteristics of patient include age, sex, level of consciousness, blood pressure, mean arterial pressure, blood glucose, cholesterol, ECG, hematoma volume, perifocal oedem, ventricular extension were noted and classified. Outcome after 7 days since admission (die and not die) were also noted and then filled into form and all data were analysed. Results: Significant value of MAP >145 mmHg as prognosis predictor of 7 days mortality in hemorrhagic stroke is 0,771 (p>0,05). P value of each level of consciousness and ventricular extension are p=0,000 (p<0,05) and p=0,015 (p<0,05). Conclusions: MAP >145 mmHg at hospital admission is not significant as prognosis predictor of 7 days mortality in hemorrhagic stroke while level of consciousness and ventricular extension is significant as prognosis predictor of 7 days mortality in hemorrhagis stroke.

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