Hospital Room Research Articles

Identification and Characterization of Acanthamoeba from Contact Lens Care Solutions and Hospital Environments in the Ophthalmology Wards and Operating Rooms in Southeastern Iran.

Different Acanthamoeba species are among the most ubiquitous organisms causing serious diseases in humans including central nervous system (CNS) and eye infections. Contact lenses, lens care solutions and the hospital environments particularly the indoor and outdoor environments of ophthalmology wards where people are present with different types of eye diseases, are the potential sources of human infection. The purpose of the present study was the molecular investigation of free-living amoebae in the used contact lenses, lens care solutions and hospital samples from the ophthalmology wards and operating rooms in a referral hospital in southeastern Iran. Samples were collected from the lens care solutions, used contact lenses, and from indoor and outdoor environments of the ophthalmology ward and operating room of a major referral hospital in Kerman, Southeastern Iran. The samples were cultured on non-nutrient agar (NNA) in 28-30oC and microscopically studied. Molecular study including PCR-sequencing and phylogenetic analysis on partial 18S rDNA were performed on positive culture samples. In total 70 samples were collected from the used contact lenses and lens care solutions, as well as the hospital environment of which 11.4% (8 out of 70) were found positive using NNA culture. Two out of 40 samples (5.0%) from the used contact lenses and the care solutions were found positive for the presence of Acanthamoeba T4 genotype. Acanthamoeba cysts were identified in two out of 22 dust samples (9.1%) collected from the ophthalmology ward and operating rooms. Protacanthamoeba bohemica was found in the soil samples from outdoor environment of the ophthalmology ward. This study identified Acanthamoeba species in contact lenses and in indoor environmental samples from the ophthalmology ward. T4 genotype was found on the contact lenses examined in this study. In the dust sampled from within the ophthalmology ward Acanthamoeba sp. was identified.

Butterfly Touch massage as a technique to support opening up communication between parent and mechanically ventilated child at home

A child’s stay in a hospital intensive care unit is a challenging experience for both the child and his parents. It limits opportunities for contact with loved ones and requires compliance with medical procedures during the visit. Touch and contact with an adult may be associated by the child with discomfort and pain, on top of which the limited number of contacts may affect communication between them and the rebuilding of relationships. Returning a child home who is mechanically ventilated as a result of the effects of the disease causes his or her room to become, in part, a hospital room. The parents’ focus on adapting to the new situation can push the child’s needs for communication and relationship-building with other loved ones into the background. After learning how to operate medical equipment and getting used to it, caregivers look for ways to communicate, open up communication, and provide positive emotions and a cheerful touch to the child. Massage Touch Butterfly by Eva Reich can help with this.

Edukasi Peran Kepala Ruang dalam Menerapkan Gaya Kepemimpinan Caring Leadership

Background: Leadership is one of the crucial aspects in managing a health care unit, especially in nursing. A leadership style that focuses on attention and empathy, or known as Caring Leadership, has been shown to improve the quality of service and patient satisfaction. This community service aims to improve the understanding and ability of the head of the room in implementing the Caring Leadership style. Methods: This activity is carried out through a series of training and interactive discussions involving the head of the room in various hospitals. Educational materials include an introduction to the concept of Caring Leadership, effective communication techniques, and strategies in supporting the nursing team. Results: The results of this activity show an increase in participants' knowledge and skills in applying Caring Leadership in their work environment. The impact is expected to create a more harmonious work atmosphere and support the improvement of the quality of health services. Conclusion: This activity also contributes to improving the welfare of the nursing team and patient satisfaction.

Pola Hubungan Ruang Rumah Sakit Umum Daerah Tebing Tinggi terhadap Peraturan Menteri Kesehatan

In the relationship of space, the architect makes a precondition of how each space should relate and the type of relationship. The pattern of hospital room relationships has been regulated in the regulation of the Minister of Health. This study aims to analyze the level of suitability of the hospital room relationship with the regulations of the Minister of Health. The object of the research used is the Kumpulan Pane Regional General Hospital or abbreviated as RSKP, located in the city of Tebing Tinggi, Serdang Bedagai Regency, North Sumatra Province. This research is a quantitative research, with data obtained through direct observation and juxtaposed with the Regulation of the Minister of Health. The results of observations at the location of the research object found that the spatial relationship pattern between hospital buildings did not meet the standard of spatial relationship pattern contained in the Regulation of the Minister of Health. This study has a conclusion that some of the buildings in the hospital do not meet the existing regulatory standards so that they need to be adjusted. The targeted output is an accredited journal.

Move to improve - Prescribing physical activity and deprescribing paracetamol for low back pain: Protocol for a hybrid type III feasibility study

IntroductionPeople experiencing low back pain (LBP) could potentially benefit from multimedia educational resources that integrate self-management strategies and improve awareness of the benefits of staying active and about medications that...

Birthing parent and companion verbal reactions following interactions with inpatient postpartum health care team members: an observational study using naturalistic filming

BackgroundRespectful, equitable, and supportive health care team interactions with patients and their companions are a key part of quality health care services. Despite the importance of communication and other aspects of engagement during inpatient postpartum care, little is known about how care is experienced during this period from families’ perspectives.MethodsThis study collected video and audio data with 15 birthing families (n = 9 English-speaking and n = 6 Spanish-speaking) and their health care team members during inpatient postpartum care in a southeastern United States academic medical center. This analysis quantifies health care team member presence in family hospital rooms, assesses linguistic appropriateness of health care team member verbal communication, and describes birthing parent and companion verbal reactions to health care team member interactions. A behavioral taxonomy was applied to identify these codes in the 12 h prior to hospital discharge. Additionally, we transcribed the birthing parent and companion verbal reactions for 10-minutes each time the health care team member departed their room. This content was inductively coded to identify topics and develop themes.ResultsA total of 160 h of video and audio data were coded across 15 participating families for this analysis. There were 19.9 h of missing data in the 12 h prior to hospital discharge due to equipment being turned off across five participants. At least one health care team member was present in the postnatal unit rooms within the observation period in 200 instances (median 13 times, range 5 to 19 times per participating family). Communication with Spanish-speaking birthing parents was linguistically appropriate for between 20.0% and 75.0% of interactions. Following health care team member presence, birthing parent and companion reactions were indeterminate 1 time, no verbal reaction 107 times, positive 25 times, confused 38 times, and negative 52 times. Many parents expressed more than one reaction. Reaction topics included clarity of information provided, postpartum pain management, hospital discharge coordination, health care team member conduct, and access to supplies.ConclusionThere are strengths in postpartum patient engagement as well as areas for health care team improvement. More appropriate communication including setting of clearer expectations surrounding various aspects of services on the postnatal unit may improve patient experiences. As a part of this improved quality of inpatient postpartum care, consistent utilization of interpretation services could decrease patient confusion, enable shared decision-making, and promote positive patient-provider relationships.

Epidemiological investigation of adult emergency infusion adverse drug reactions (EIADR) in Nanjing, China: a prospective cross-sectional study (EIADR II)

ABSTRACT Objective To analyze the clinical characteristics of adverse drug reactions (ADRs) in adults receiving emergency infusions at a tertiary hospital. Methods We conducted a prospective observational cohort study involving 585 adult patients who experienced adverse drug reactions (ADRs) between 20 November 2019, and 20 November 2023, during intravenous infusions in the emergency infusion room of a tertiary hospital. The analysis included patients’ gender, age, type of drugs involved, organ-system involvement, clinical manifestations of ADRs, severity grading of ADRs, and preventability of ADRs. Results The highest percentage of ADRs occurred in the 30–39 age group. Antimicrobials were the most common cause of ADRs, with skin manifestations being the predominant clinical feature. Approximately 23.93% of ADRs were deemed preventable. Conclusion Monitoring ADRs related to antimicrobials is crucial in adult emergency infusions. The 30–39 age group is particularly susceptible to ADRs. Preventive measures and a well-established Electronic Health Record (EHR) system can effectively reduce ADRs incidence.

Classification of speech arrests and speech impairments during awake craniotomy: a multi-databases analysis.

Awake craniotomy presents a unique opportunity to map and preserve critical brain functions, particularly speech, during tumor resection. The ability to accurately assess linguistic functions in real-time not only enhances surgical precision, but also contributes significantly to improving postoperative outcomes. However, today, its evaluation is subjective as it relies on a clinician's observations only. This paper explores the use of a deep learning based model for the objective assessment of speech arrest and speech impairments during awake craniotomy. We extracted 1883 3-second audio clips containing the patient's response following direct electrical stimulation from 23 awake craniotomies recorded from two operating rooms of the Tokyo Women's Medical University Hospital (Japan) and two awake craniotomies recorded from the University Hospital of Brest (France). A Wav2Vec2-based model has been trained and used to detect speech arrests and speech impairments. Experiments were performed with different datasets settings and preprocessing techniques and the performances of the model were evaluated using the F1-score. The F1-score was 84.12% when the model was trained and tested on Japanese data only. In a cross-language situation, the F1-score was 74.68% when the model was trained on Japanese data and tested on French data. The results are encouraging even in a cross-language situation but further evaluation is required. The integration of preprocessing techniques, in particular noise reduction, improved the results significantly.

VIVÊNCIA DAS ESTUDANTES DE ODONTOLOGIA DA FACULDADE DO AMAZONAS – IAES NO PROJETO DE EXTENSÃO REFERENTE ÀS PRÁTICAS MULTIDISCIPLINARES EM ODONTOLOGIA HOSPITALAR – UM RELATO DE EXPERIÊNCIA

Introduction: The role of the university is to train critical, reflective and ethical professionals. In this context, as an educational strategy, aligning theoretical teaching with practice, this experience took place at the Hospital and Emergency Room 28 de Agosto. The study was carried out by undergraduate students of the Dentistry course, in their sixth semester, with the practice taking place on two days a week, monthly, with a total duration of eight hours. The activities included lectures to patients, such as oral hygiene care and intraoral examinations, under the supervision of Prof. MSc. Guilherme Ferreira. Hospital Dentistry is a consolidated specialty in the care of hospitalized patients, encompassing a multidisciplinary approach and dental interventions. The care structure at the hospital was organized, ensuring safety and comfort for patients. In the Intensive Care Unit, there was one intubated patient, receiving continuous monitoring, and the other patients demonstrated good health. This experience report aims to share the experience acquired in the practice of Hospital Dentistry, highlighting the multidisciplinary work, the application of the relevant legislation and the challenges faced. Methodology: Descriptive in nature, providing an insight into the dental practices applied in the hospital environment – ​​description of the care provided, the clinical conditions of the patients, the multidisciplinary approaches and the difficulties faced by the professionals. Results and Discussion: Dental care provided to patients with various clinical conditions was observed, allowing an immersion in hospital dentistry. There was an opportunity to learn about hospital protocols and how they align with the hospital's standards and procedures, in relation to infection control and patient safety. The experience highlighted the complexity of dental care and highlighted the importance of multidisciplinary collaboration. Conclusion: The experience was an essential act for future professional practice, providing theoretical and practical learning, the opportunity to observe in a real clinical environment, to verify the complexity of hospital dental care and to adapt to the challenges of the environment.

Analyzing Nurses Midwives' Experience and its Influence on Knowledge and Performance in Postpartum Hemorrhage Management

Background: Postpartum haemorrhage (PPH) stands as the foremost contributor to maternal mortality rates worldwide. It represents the most prevalent form of obstetric haemorrhage, with even healthy mothers facing potential fatality within a mere two-hour window if PPH remains undetected. This study explores the correlation between the professional experience, Knowledge, and Performance of nurses/midwives concerning postpartum haemorrhage. Method: Sixty nurses/midwives stationed in the delivery room and postpartum ward of a maternity teaching hospital in Sulaimani, Iraq, participated in a descriptive (correlational) research endeavour. Data collection spanned six consecutive months, from September 2021 to April 2022, employing an observation checklist and a self-administered questionnaire. Result: The study findings reveal a statistically significant correlation between Knowledge and Performance, the duration of service (experience) in the delivery room, and the cumulative years of service, as evidenced by a p-value lower than the standard alpha of 0.05. Conclusion: The results denote a statistical nexus between overall Knowledge and Performance and the duration of service and experience in the delivery room. Recommendation: Based on these findings, it is recommended that nurses/midwives with extensive professional experience and robust Knowledge of PPH be assigned to the delivery room and postpartum department, as this approach holds promise for reducing PPH incidence rates.

Effects of staphylococcal enterotoxin and fungal sensitization on clinical outcomes of asthma

BackgroundStaphylococcal enterotoxin and fungal sensitization can influence asthma severity; however, the effects on the clinical outcomes of asthma remain unclear. This study investigated the clinical outcomes of asthma in patients with or without staphylococcal enterotoxin sensitization and further analyzed the effects of fungal sensitization on the clinical outcomes of patients with staphylococcal enterotoxin sensitization.MethodsThis retrospective study included patients with asthma who had undergone a staphylococcal enterotoxin-specific immunoglobulin E test at our hospital between January and August 2021. Data on clinical manifestations, medication use, pulmonary function, clinic and emergency room visits and hospitalization were collected from 106 patients.ResultsThe prevalence of staphylococcal enterotoxin sensitization was 27.3%. Among the patients with staphylococcal enterotoxin sensitization, 50% also presented with fungal sensitization. The risk of hospitalization and emergency room visits was higher among patients with staphylococcal enterotoxin sensitization than among those without, as was the need for high-level asthma treatment, including triple inhaler therapy and biologics. After the 12-month Program enrollment, the rates of emergency room visits and hospitalization were similar in the two cohorts. Patients with concomitant staphylococcal enterotoxin and fungal sensitization exhibited a notable post-treatment decline in pulmonary function.ConclusionAdherence to asthma treatment protocols was shown to improve clinical outcomes in patients with or without staphylococcal enterotoxin sensitization. Among patients with staphylococcal enterotoxin sensitization, those with concomitant fungal sensitization were more likely to exhibit a rapid decline in pulmonary function during a 1-year high-level treatment program.

Effect of using a birth ball on birth satisfaction and pain in pregnant women during labor: a randomized controlled trial.

This study was applied to evaluate the effect of birth ball use on birth satisfaction and pain levels of pregnant women during labor. The type of study is randomized controlled. The data of the study were collected in the delivery room of a state hospital in Konya/Türkiye between March 2020 and December 2021. The sample of the study consisted of 57 pregnant women for the intervention group and 54 pregnant women for the control group. During labor, intervention group was seated on the birth ball in an upright position; control group was laid on the bed in semi-fawler or lateral positions. In the study, Descriptive Information Form, Birth Process Follow-up Form, Visual Analog Scale and Birth Satisfaction Scale-Revised were used as data collection tools. It was determined that the pain scores of the pregnant women in the intervention group were lower during the first and second follow-up than the control group. The duration of the active phase of labor in the intervention group was shorter than in the control group, and a statistically significant difference was found between them. It was found that the Birth Satisfaction Scale-Revised total score, the sub-dimensions of quality of care, women's attributes and stress experienced during labor of the pregnant women in the intervention group were higher than the control group. According to the results of the study, the use of a birth ball during the active phase of labor reduces the pain level during labor and increases the level of birth satisfaction of pregnant women.

In-vitro and in-use efficacy of a rapid, targeted UVC decontamination system

Ultraviolet C (UVC) decontamination systems are used in healthcare to supplement manual cleaning. Systems typically target whole rooms with fixed, vertical bulbs. To evaluate the in-vitro and in-use efficacy of the novel device with emitters on articulating arms designed for rapid, targeted decontamination in a hospital room. Isolates of meticillin-resistant Staphylococcus aureus (MRSA) (∼106colony-forming units (cfu)), Klebsiella pneumoniae (∼106cfu) and Clostridioides difficile spores (∼105cfu) were inoculated on to stainless steel biological indicators (BIs) with low (0.3% BSA) and high (10% BSA/synthetic faeces) soiling. Bacteria were recovered from BIs following UVC decontamination, enumerated, and compared with controls. In-use efficacy was assessed by sampling aerobic colony counts (ACC) with contact plates. Sites were further sampled for C.difficile. Samples were taken before cleaning, after manual cleaning, and after UVC decontamination. Reductions of 2.97-4.87 and 0.53-3.63 log10cfu were demonstrated with MRSA and K.pneumoniae with low and high soiling, respectively. Efficacy against C.difficile was only observed in one location (1.12 log10) with low soiling, but not synthetic faeces. ACC were highest on the bed foot rail (75cfu/25cm2) and toilet flush (67cfu/25cm2). Bacteria persisted on 50% of surfaces after manual cleaning and 30% after UVC decontamination. C.difficile persisted on one surface. The system was effective for targeted disinfection and may be used for high-touch surfaces and equipment. The short cycle times allow operation in areas with minimal turnaround time such as operating theatres and anaesthetic rooms.

Childhood dead-before-arrival, our experience at a tertiary hospital in Southern Nigeria: a clarion call to stakeholders in the health sector

Dead-Before-Arrival (DBA) is a term used to describe patients who have no sign of life at the time of presentation to the hospital. There is a dearth of information about this cohort of children at most healthcare service delivery points. In fact, these children are also never captured in most of our national and local healthcare data. This research is aimed at sharing our experience on DBA at the Children’s Emergency Room of a tertiary hospital in the South-South geopolitical region of Nigeria, by determining the prevalence, probable disease cause, and pattern of DBA among children presenting at our facility. This is a cross-sectional study that used a standardized verbal autopsy instrument to ascertain the details of all the children aged 1 month to 17 years who were cases of DBA at the Children’s Emergency Room of the University of Benin Teaching Hospital, Benin City, Edo State, Nigeria, over 24 months (January 2018 to December 2019). Socio-demographic characteristics, symptoms before demise, treatment received, and suspected cause(s) of death were documented. The prevalence of DBA was compared to the in-hospital mortality during the period. A total of 96 (3.2%) compared to 144 (4.9%) in-hospital of the 2,914 emergency admissions were cases of DBA, with a 2:1 male-to-female ratio. The age group of 1-6 months had the highest proportion (41.7%). Children under two were 62.5% and 81.3% were under-fives. Infections such as diarrhea, bronchopneumonia, and sepsis were the most common suspected causes of death, followed by non-infectious causes such as perinatal asphyxia, Chronic Kidney Disease (CKD), cyanotic congenital heart disease, drowning, and electrocution. Cases of DBA were significantly lower than in-hospital mortality (144 cases) during the study period (3.2% vs 4.9%) The DBA prevalence as recorded in this hospital-based study may be the tip of the iceberg compared to what happens in the community. Making our primary and secondary health care services more accessible, affordable, and optimally functional may help reduce the burden of DBA.

Asthmatic patients with vitamin D deficiency: Can vitamin D supplementation make a difference.

Asthma is a major public health concern due to its persistent inflammation of the airways. The intricate and widely variable epidemiology of asthma among nations and populations is a result of the interplay between genetic, environmental, and socioeconomic factors. This study aims to investigate whether VitD supplementation can reduce the frequency of exacerbations (including the frequency of exacerbations requiring systemic corticosteroids and the frequency of exacerbations necessitating trips to the hospital or emergency room, or both) and improve pulmonary function (clinical indicators such as the FEV1% predicted value). Computers were used to search Pubmed, Medline, ISI Web of Science, Embase, Cachrane Library, CNKI, CBM, VIP, and the Wanfang Database. Asthma/asthma, VitD/VitD, lung function/lung function, retrieval time is from database setup to October 8, 2021, to search all randomized controlled trials (RCTs) on the effect of VitD on human asthma and to retroactively incorporate references to literature were all included in the search criteria. After rigorous screening, quality evaluation, and data extraction of the included literature by two reviewers independently, heterogeneity tests and sensitivity analyses were performed. The findings show that a total of 12 relevant studies meeting the inclusion criteria were finally included, including 649 cases in the experimental group and 646 cases in the control group. VitD intervention reduced the number of asthma exacerbations, including the rate of exacerbations requiring systemic corticosteroid therapy and the rate of acute exacerbations requiring emergency department or hospital visits or both. In the outcome of lung function (FEV1% predicted value), it was shown that VitD supplementation improved lung function; in the outcome of serum 25-hydroxyVitD levels, it was shown that VitD supplementation increased serum 25-hydroxyVitD levels.

Social Determinants of Health in Acute Kidney Injury: Looking Beyond the Hospital Room.

Social Determinants of Health in Acute Kidney Injury: Looking Beyond the Hospital Room.

A Cohort Study Comparing Cost-Efficiency of Abdominal and Robotic Sacrocolpopexy

ObjectivesTo compare cost and reimbursement of robotic and abdominal sacrocolpopexy procedures to evaluate which approach may minimize costs while improving the hospital profit margin-. MethodsWe performed an IRB-exempt retrospective cohort study investigating all patients who underwent robotic or abdominal sacrocolpopexy at our hospital between July 1, 2018 and May 31,2022. Patient demographic, procedural, and post-operative course data were extracted via chart review including duration of procedure, time in operating room, complications, and length of hospital stay. The billing department provided information on estimated cost of stay and reimbursement rates. ResultsA total of 203 robotic and 291 abdominal cases were included in analysis. The groups had significant differences in demographics, including race and insurance status. Abdominal procedures were associated with lower costs ($7675.99 versus 8747.48, p<0.0001) and higher reimbursement rates ($16210.48 versus $10102.28, p<0.0001), with the total collected (reimbursement minus cost), or profit margin, differing significantly ($8534.50 versus $1354.80, p<0.0001). Discrepancies in reimbursement and profit remained after controlling for secondary procedures. Abdominal cases also had shorter average duration (129.9 vs. 168.4 minutes, p<0.0001). Abdominal sacrocolpopexy was associated with higher estimated blood loss (EBL) (109.2 vs. 97.9, p<0.0001) and longer hospital stay (26.3 versus 15.9 hours, p<0.0001). ConclusionsDespite longer hospital stays and slightly higher EBL, abdominal sacrocolpopexy appears to have lower costs and higher reimbursement rates than robotic sacrocolpopexy, with a higher profit margin for the hospital.

Effect of Wrist-Ankle Acupuncture Point Stimulation on Preventing Postoperative Nausea and Vomiting in Female Patients Undergoing Orthopedic Surgery

PurposeTo observe the clinical effects of a preventive nursing intervention involving wrist-ankle acupuncture point stimulation on postoperative nausea and vomiting among female patients who underwent orthopedic surgery. DesignRandomized control trial. MethodsFemale patients who underwent lumbar open reduction, bone graft fusion, or internal fixation surgery in the operating room of a tertiary first-class hospital in Henan Province from October 2022 to June 2023 were selected as the research subjects. The patients were randomly divided into an experimental group and a control group via the random number table method. The experimental group (n = 38) received a wrist and ankle acupuncture point stimulation nursing intervention, whereas the control group (n = 38) received routine perioperative care. The serum concentrations of 5-hydroxytryptamine (5-HT) and gastrin, opioid usage, postoperative complications, and patient satisfaction were compared between the two groups. FindingsNo statistically significant difference (P > .05) was found between the two groups in terms of general information, such as age, weight, surgical time, opioid use, or preintervention gastrointestinal hormone levels. The serum concentrations of 5-HT and gastrin at T1 (before skin incision), T2 (after surgery), and T3 (24 hours after surgery) were significantly lower in the experimental group than in the control group (P < .05). The satisfaction of patients in the experimental group was significantly higher than that in the control group (P < .05). ConclusionsWrist-ankle acupuncture point stimulation can reduce the incidence of postoperative nausea and vomiting in female patients undergoing orthopedic surgery, reduce the serum concentrations of 5-HT and gastrin, reduce complications, and improve patient satisfaction while not impacting analgesic effects.

MOTIVATION OF NURSES IN PROVIDING FIRST AID TO PATIENTS EXPERIENCING CARDIAC ARREST

Introduction: Cardiac arrest is often found in patients in the inpatient room of Ibnu Sina Hospital, Gresik. Nurses as the first responders who find cardiac arrest in the treatment room must have high work motivation to provide first aid to patients before the code blue team arrives. The purpose of this study was to obtain a description of the work motivation of nurses in providing first aid to patients experiencing cardiac arrest in the inpatient room of Ibnu Sina Hospital, Gresik. Methods: This study used quantitative research with a descriptive approach. The sample of this study was some of the nurses in the inpatient room of Ibnu Sina Hospital, Gresik, which was taken using a purposive sampling technique of 55 respondents who had met the inclusion and exclusion criteria. The data collection instrument used a questionnaire. The data was processed using SPSS v.25 for frequency and percentage. Results: The results showed that most respondents had good work motivation, with 53 respondents (96.4%) providing first aid to patients experiencing cardiac arrest. Conclusions: Nurses are expected to maintain work motivation in providing first aid to patients experiencing cardiac arrest, especially in inpatient rooms, through good collaboration between teams, always receiving positive support in the form of recognition of achievements from colleagues, and increasing periodic certification training related to handling cardiac arrest patients because patient safety is the main priority.

Description of Ischemic Stroke Incident in the Intensive Care Room of Hospitals in Tanjungpinang City

Stroke is a non-communicable disease with the second highest incidence worldwide and the third leading cause of death. Globally, more than half are ischemic strokes. In Indonesia, especially Tanjungpinang City, the incidence of stroke is also increasing. Appropriate treatment needs to be carried out to prevent death and get a good prognosis. Results of field studies that have been carried out. A small number of ischemic strokes occur, but this number still results in quite high mortality and morbidity for patients. The aim of this study was to describe the incidence of stroke that occurred in the ICU Room at SE Hospital, Tanjungpinang City, Riau Islands. The method used is a retrospective study. Data collection was carried out using a Medical Record Study. The subjects of this research were all medical records of patients who had been treated in the ICU rooms of hospitals throughout Tanjungpinang City using purposive sampling. Research data processing was carried out using a simple approach. The results of this research showed that the majority were &gt;50 years old, 39 samples (65%), 36 samples (60%) were male., length of stay less than 3 days as much as 55%, GCS entered the ICU at number 3-6 as much as 35%, had pressure 36 samples (60%) had high blood pressure, and all subjects had SpO2 in the range of 96-100 when they entered the hospital, 50 samples (83.3%) and the prognosis for leaving the ICU was death for 36 samples (60%). From this study it can be concluded that the patient's hemodynamic condition when first admitted to the ICU was unstable with a poor prognosis. It is hoped that after this research further research can be carried out in the form of surgical interventions that can stabilize the hemodynamics of ischemic stroke patients being treated in the ICU.