3-9SYSTOLIC BLOOD PRESSURE, MEAN ARTERIAL BLOOD PRESSURE RELATED TO CLINICAL OUTCOMES IN HEMORRHAGIC STROKE WITH EMERGENCY HYPERTENSION

Abstract

Introduction: Stroke is a leading cause of mortality and disability in Indonesia. According to classification, 15–20% are hemorrhagic stroke, and 80% are due to hypertension. Many of them with emergency hypertension. Several studies have demonstrated a strong association between an increased level of blood pressure (BP) with poor outcomes. Comprehensive management of emergency hypertension could decrease mortality and disability. Objective: To study about the relationship of initial systolic blood pressure (SBP) and initial mean arterial pressure (MAP) with outcome in the patient having a hemorrhagic stroke and emergency hypertension. Method: This is an analytic observational study using medical records.The study investigated the association between SBP and MAP with clinical outcome based on The National Institutes of Health Stroke Scale (NIHSS) in living patients and deceased Result: We collected 60 subjects. Mean SBP initial 191.22 mmHg, MAP initial 134.26. We found a decrease in BP. Mean SBP at discharge 140.56 mmHg and MAP at discharge 103.0 mmHg. We observed decreasing in NIHSS from 12.89 at initial to 9.5 at discharge. Statistical analysis using Pearson's for delta SBP and MAP with NIHSS initial and discharge was not significant. The average of SBP and MAP of the patient who died is higher than the survived patient; however, it was not statistically significant. Conclusion: We could not find the relationship between initial systolic blood pressure, initial mean arterial pressure, and NIHSS in survived and deceased patients.