FAKTOR-FAKTOR YG MEMPENGARUHI KEJADIAN STROKE BERULANG PADA PASIEN DI POLIKLINIK RSPUR BANDA ACEH

Abstract

Stroke is the third ranking cause of death, with an overall mortality rate of 18 – 37% for the first stroke and of 62% for subsequent stroke. The incidence for recurrent stroke was different, it was approximately 25% people survive from stroke and it will become recurrent stroke for 5 years later. Recurrent stroke related to their own risk factors, especially if they are not treated well. The purpose of this research is to obtain risk factors that related to recurrent stroke. Case control study. The case were patients treated in Poliklinik Rspur Banda Aceh with recurrent stroke based on their health history, the neurological examination and Head CT scan examination that administered from january 2024, while control was that the patients suffered from first stroke. The sample of case and control were 50 patients each, it was taken by consequtive sampling. Risk factors were independently related to recurrent stroke were systolic blood pressure, diastolic blood pressure, a pointed blood glucose level, the blood glucose level 2 hours post-prandial, heart diseases, and regularility treatment. Multivariate analysis showed that risk factors related to recurrent stroke : systolic blood pressure ≥ 140 mmHg (OR = 7,04; 95% CI = 2,101 – 23,628), a pointed blood glucose level > 200 mg/dl (OR= 5,56; 95% CI = 1,437 – 21,546), heart diseases (OR = 4,62; 95% CI = 1,239 – 17,295), and irregularility treatment (OR = 4,39; 95% CI = 1,623 – 11,886). There were four risk factors related to recurrent stroke, i.e systolic blood pressure ≥ 140 mmHg, a pointed blood glucose level > 200 mg/dl, abnormality heart, and irregularly treatment. Participate the treatment program regularly and giving information of risk factors of the recurrent stroke and its management.