Abstract
Introduction : In 2001, intracerebral hemorrhage (ICH) incidence rate in Indonesia was 18.5%. Globally, the mortality rate in the first year was 55 % 1,2,9 . Th is research was conducted to find out whether pre-hospital factors (age, initial prehospital treatment, GCS) affected ICH patient outcomes. Methods : This is analytical observational research. After 3 months, the outcomes were assessed using the Glasgow Outcome Scale. 60 patients, who were the samples, were collected from August 2018 to January 2019 at Saiful Anwar Government General Hospital Malang. Results: There was no significant relationship among age, prehospital initial treatment, and outcomes; there was a relationship between GCS and patient outcomes (p = 0.04). Conclusion : Prehospital factors such as age and prehospital initial treatment did not affect ICH patient outcomes since they did not have a direct effect on reducing intracranial pressure. GCS was related to patient outcomes because it was a determining predictor of ICH patients’ mortality and morbidity. Keywords : Prehospital factors, prehospital initial treatment, age, GCS, intracerebral hemorrhage (ICH), outcomes, Glasgow Outcome Scale. DOI : 10.7176/JHMN/65-05 Publication date : August 31 st 2019
Highlights
Stroke is an acute neurological deficit disease; a spontaneous occurrence of the brain blood vessel disorder can cause disability and/or death/ Cerebro Vascular Disease (CVD)
Indonesia experiences an increase in disability and death; based on the patients’ age, 15.9% occurs to 45 to 55- year-olds, 26.8% occurs to the 55 to 65-year-olds, and 23.5% occurs to the >65-year-olds.6.7 Saiful Anwar Hospital Malang is a class-A government hospital in East Java Province, as well as a teaching and referral hospital serving around 30367 patients/year, or around 83.14 patients/day
This is analytical observational research using the cross-sectional study to find out the relationship between prehospital initial treatment, age, and GCS affecting the intracerebral hemorrhage/ ICH outcomes
Summary
Stroke is an acute neurological deficit disease; a spontaneous occurrence of the brain blood vessel disorder can cause disability and/or death/ Cerebro Vascular Disease (CVD). It includes ischemic and hemorrhagic (bleeding) strokes. Stroke is the 3rd leading cause of death after coronary heart disease and cancer. There are around 13 million new stroke patients every year, and around 4.4 million deceases[1,9]. At least 2 new stroke patients visit each day, with or without referrals.[5]
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