FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN STROKE YANG DIRAWAT DI ICU RSUP DR KARIADI SEMARANG

Abstract

Background: About 15-20% of stroke patients require admission to an ICU. Cardiovasculer complication was the cause of stroke patients admitted into the ICU (60%). Description of the outcome showed that 14 stroke patients died in a year particularly the haemorrhagic stroke patients. A knowledge of factors related to outcome of stroke patients in ICU could be an evaluation substance to prevent bad outcome. Aim: To identify and study the factors related to outcome of stroke patients admitted to the ICU. Methods: An observational analytic study with historical cohort design. The subjects were 26 with ischemic and haemorrhage stroke who treated in ICU at Dr. Kariadi General Hospital Medical Center of Semarang. Material of the study was taken from medical records in period of January 2012 – December 2014, data presented in tables, and was analyzed with Fisher’s Exact or Kolmogorov Smirnov, and logistic regression. Results: Of the 26 subjects showed results in bivariate analysis the lack of association between factor of gender, age, type of stroke, comorbid diseases which was hypertension, diabetes mellitus, cardiac disease, obesity, hypercholesterolemia, complications which was respiratory failure, fever, pneumonia, UTI, cerebral edema, GCS, DVT, the use of antibiotics, culture examination, duration of the use of mechanical ventilator, length of stay with outcome (p >0,05). In multivariate analysis none of the variable were meaningful to the outcome. Conclusion: Gender, age, type of stroke, comorbid diseases, complications, the use of antibiotics, culture examination, and duration of the use of mechanical ventilator as well as length of stay is not associated with outcome of stroke patients who treated in ICU. Key words: Stroke, ischemic stroke, haemorrhagic stroke, ICU, outcome