Profil Klinis dan Profil Rawat Inap Penderita Stroke di Departemen Neurologi RSUP Dr. Mohammad Hoesin Palembang Periode 1 Januari 2016-31 Desember 2017

  • Rini Nindela Departemen Neurologi FK Unsri/RSMH Palembang
  • Achmad Junaidi
  • Irfannuddin Irfannuddin Staf Pengajar Metodologi Penelitian FK Unsri

Abstract

Pendahuluan: Stroke merupakan salah satu kegawatdaruratan di bidang Neurologi. Indonesia, sebagai salah satu negara berkembang dengan insiden stroke yang terus meningkat, perlu melakukan serangkaian langkah untuk mencegah semakin tingginya angka kejadian stroke, serta kecacatan dan kematian akibat stroke. Data tentang berbagai aspek klinis stroke serta aspek perawatan stroke dapat dijadikan bahan pertimbangan bagi klinisi dan struktur RS dalam menyelenggarakan program pencegahan sekunder dan tersier penyakit stroke dan perawatan penderita stroke.

Tujuan: Penelitian ini bertujuan untuk mengetahui profil klinis dan profil rawat inap penderita stroke di Departemen Neurologi RSUP Dr. Moh. Hoesin (RSMH) Palembang.

Metode: Penelitian ini merupakan penelitian observasional deskriptif potong lintang dengan menggunakan data sekunder dari rekam medis. Seluruh penderita stroke (total sampling) yang dirawat di Departemen Neurologi RSUP Dr. Moh. Hoesin Palembang sejak 1 Januari 2016 hingga 31 Desember 2017 dan dapat diakses rekam mediknya dimasukkan sebagai sampel penelitian.

Hasil: Stroke nonhemoragik merupakan jenis stroke yang paling banyak dialami oleh penderita stroke di RSUP Dr. Moh. Hoesin Palembang. Faktor risiko utama pada penderita stroke di RSUP Dr. Moh. Hoesin Palembang adalah hipertensi. Gangguan motorik merupakan keluhan yang paling sering dialami oleh penderita stroke di RSUP Dr. Moh. Hoesin Palembang. Komplikasi yang paling sering dialami oleh penderita stroke di RSUP Dr. Moh. Hoesin Palembang adalah infeksi saluran kemih. In-hospital mortality di RSUP Dr. Moh. Hoesin Palembang untuk stroke nonhemoragik adalah sebesar 20,8%, sedangkan untuk stroke hemoragik adalah sebesar 44,2%. Penderita stroke nonhemoragik dan hemoragik paling banyak tiba di RSUP Dr. Moh. Hoesin Palembang setelah 24 jam onset stroke. Di RSUP Dr. Moh. Hoesin Palembang, rerata lama rawat penderita stroke nonhemoragik adalah selama 9,793 hari sedangkan rerata lama rawat penderita stroke hemoragik selama 11,825 hari.

Kesimpulan: Prevalensi faktor risiko, manifestasi klinis, dan komplikasi stroke serta lama rawat penderita stroke pada studi ini serupa dengan penelitian sebelumnya. Tingkat mortalitas penderita stroke pada penelitian ini cukup tinggi. Masih sangat sedikit penderita stroke iskemik yang datang ke RSMH dalam waktu kurang dari 6 jam.

 

Kata kunci: profil klinis, profil rawat inap, penderita stroke

ABSTRACT

 

Introduction: Stroke was one of the emergencies in Neurology. Indonesia, as one of the developing countries with an increasing incidence of strokes, needed to take a series of steps to prevent the high incidence of strokes, as well as disability and deaths from strokes. Data on various clinical aspects of stroke and aspects of stroke care could be taken into consideration for clinicians and hospital officials in carrying out secondary and tertiary prevention programs and the treatment of stroke patients.

Objective: This study aimed to determine the clinical and hospitalization profile for stroke patients in the Department of Neurology of RSUP Dr. Moh. Hoesin (RSMH) Palembang.

Methods: This study was a cross-sectional study using secondary data from medical records. All stroke patients (total sampling) treated in the Department of Neurology of RSMH Palembang from January 1, 2016 to December 31, 2017 whose medical records can be accessed included as research samples.

Results: Non-haemorrhagic stroke was the most common type of stroke in Neurology Department of RSMH Palembang. The main risk factors of stroke was hypertension. Motoric disorder was the most common complaint while the most frequent complication was urinary tract infection. In-hospital mortality at for nonhemorrhagic strokes was 20.8%, whereas for hemorrhagic stroke was 44.2%. Most patients with nonhemoragic and hemorrhagic strokes arrived at RSMH Palembang after 24 hours of stroke onset. The average length of stay for non-haemorrhagic stroke patients was 9,793 days while the average length of stay for hemorrhagic stroke patients was 11,825 days.

Conclusions: The prevalence of risk factors, clinical manifestations, and stroke complications also length of stay of stroke patients in this study were similar to previous studies. The mortality rate of stroke patients in this study was quite high. Very few ischemic stroke patients came to RSMH in less than 6 hours.

 

Keywords: clinical profile, hospitalization profile, stroke patients

Published
2019-04-05