Korelasi antara Skor Intracerebral Hemorrhage (ICH) dengan Mortalitas Pasien Perdarahan Intraserebral di RSUD Ulin Banjarmasin

Marini Awanis, Kenanga Marwan Sikumbang, Asnawati Asnawati

Abstract


Latar Belakang dan Tujuan: Perdarahan intraserebral (PIS) merupakan kejadian medis yang meningkatkan angka kematian dan kecacatan tinggi. Secara teori, mortalitas PIS dapat diprediksi dengan menggunakan komponen skor Intracerebral Hemorrhage (ICH). Tujuan penelitian ini untuk mengetahui bagaimana korelasi antara skor ICH dengan mortalitas pasien PIS di RSUD Ulin Banjarmasin.
Subjek dan Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Sebanyak 53 sampel didapatkan secara consecutive sampling. Data hasil penelitian diuji dengan uji Regresi Logistik.
Hasil: Dalam penelitian ini pasien skor ICH 0 meninggal sebanyak 15%, 36% skor ICH 1, 71% skor ICH 2, 86% skor ICH 3 dan 100% skor ICH 4 dan 5. Hasil analisis data penelitian ini, diperoleh OR = 0,02; 0,06; 0,3 untuk masing-masing skor ICH 1, 2 dan ≥3; dengan p=0,001.
Simpulan: Terdapat korelasi yang sangat signifikan dan hubungan positif antara skor ICH dengan mortalitas pasien PIS di RSUD Ulin Banjarmasin, sebagai prediktor independen.

 

Correlation between ICH Score with ICH Patient’s Mortality at Ulin General Hospital Banjarmasin

Abstract

Background and Objective: Intracerebral hemorrhage (ICH) is the medical events that increases the mortality and disability. Theoretically, mortality can be predict by ICH score’s components. The purpose of this study is to determine the correlation between ICH scores and mortality of ICH patients in Ulin General Hospital Banjarmasin.
Subject and Method: This research is an analytic observational with cross sectional approach. A total of 53 samples were obtained by consecutive. Data analysis of this study used the Logistic Regression test.
Result: In this study, it was found that patients with ICH score 0 died 15%, 36% score 1, 71% score 2, 86% score 3 and 100% score 4 and 5. Data analysis of this study showing OR= 0,02; 0,06; 0,3 for ICH score 1, 2 and ≥3 respectively; with p=0,001.
Conclusion: There is a very significant correlation and enough positive relationship between the ICH score and mortality of ICH patients in Ulin General Hospital Banjarmasin, as independent predictor.


Keywords


perdarahan intraserebral; skor ich; prediktor; mortalitas; intracerebral hemorrhage; ICH score; predictor; mortality

Full Text:

PDF

References


An SJ, Kim TJ, Yoon B-W. Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update. J Stroke. 2017;19(1):3–10.

Hadi J. Pengaruh koagulopati terhadap glasgow outcome scale penderita cedera kepala berat yang tidak mempunyai indikasi operasi [Skripsi]. FK UNAND. Universitas Andalas; 2014.

Christensen B. Glasgow outcome scale [Internet]. Medscape. 2014 [cited 2019 Apr 15]. Available from: https://emedicine.medscape.com/article/2172503-overview

Qureshi AI, Mendelow AD, Hanley DF. Intracerebral haemorrhage. Lancet. 2011;373(9675):1632–44.

Aguilar MI, Brott TG. Update in intracerebral hemorrhage. The Neurohospitalist. 2011;1(3):148–59.

Gupta VP, Garton A LA, Sisti JA, Christophe BR, Lord AS, Lewis AK, et al. Prognosticating functional outcome following intracerebral hemorrhage: The ICHOP score. World Neurosurg. 2017;19(2):65–73.

Tjoumakaris SI. Intracerebral hemorrhage (ICH) score [Internet]. Medscape. 2014 [cited 2019 Apr 15]. Available from: https://emedicine.medscape.com/article/2172479-overview

Aysenne AM, Albright KC, Mathias T, CHang TR, Boehme AK, Beasler TM, et al. 24-Hour ICH score is a better predictor of outcome than admission ICH score. 2017;263(2):219–27.

Hsieh JT, Ang BT, Ng YP, Allen JC, King NKK. Comparison of gender differences in intracerebral hemorrhage in a multi-ethnic Asian population. PLoS One. 2016;11(4):1–10.

Delcourt C, Sato S, Zhang S, Sandset EC, Zheng D, Chen X, et al. Intracerebral hemorrhage location and outcome among interact participants. Neurology. 2017;88(15):1408–14.

Ivone J, Supantini D, Haliem HC. Gambaran Penderita Stroke Akibat Perdarahan Intraserebral Di RSUD Prof. Dr. Margono Soekarjo Purwokerto Tahun 2013 [Skripsi]. FK Maranatha. Universitas Kristen Maranatha; 2013.

Hegde A, Menon G. Modifying the intracerebral hemorrhage score to suit the needs of the developing world. Ann Indian Acad Neurol. 2018;21(4):270–4.

Sunjaya W. Gambaran Intracerebral Hemorrhage (ICH) Score pada Pasien Stroke Hemoragik yang Dirawat Inap di RSUP H. Adam Malik Medan [Skripsi]. FK USU. Universitas Sumatera Utara; 2016.

Arifin I, Kaelan Ch, AKbar M, Muis A, Tammasse J, Ganda IJ. Mortalitas pasien strok perdarahan intraserebral menggunakan skor intracerebral hemorrhage (skor ICH) di Makassar [Disertasi]. FK UNHAS. Universitas Hasanuddin; 2014.

Rizal A, Faisal A, Dwidanarti SR. Correlation of volume and intracerebral site with hemorrhagic stroke mortality based on CT scan. Acad Hosp J. 2018;1(1).

Chan E, Anderson CS, Wang X, Arima H, Saxena A, Moullaali TJ, et al. Significance of intraventricular hemorrhage in acute intracerebral hemorrhage intensive blood pressure reduction in acute cerebral hemorrhage trial results. Stroke. 2015;46(3):653–8.

Statistik BP. Data Kalimantan Selatan 2018 (metode baru) [Internet]. Direktorat Analisis dan Pengembangan Statistik. 2019 [cited 2019 Nov 22]. Available from: https://ipm.bps.go.id/data/provinsi/metode/baru/6300

Putra F, Frida M, Ahmad B. Hubungan ICH score dengan outcome fungsional (setelah 3 Bulan). J Kesehat Andalas. 2018;7(Supplement 2):21–5.

Wali AR, Porras K, Abraham P, Brandel MG, Dieppa DS, Steinberg J, et al. Surgical management of intracerebral hemorrhage. IntechOpen. 2017;13.




DOI: https://doi.org/10.24244/jni.v10i1.266

Refbacks

  • There are currently no refbacks.


                                    

 

JNI is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License