Characteristics and Risk Factors of Patients with Acute Ischemic Stroke in Dr. Hasan Sadikin General Hospital Bandung, Indonesia

Nesyia Tara Restikasari, Uni Gamayani, Lisda Amalia, Sofiati Dian, Aih Cahyani

Abstract


Background: Stroke is the second most common cause of death globally and the third most common cause of disability. The prevalence of stroke is increasing despite managing various stroke risk factors that have improved considerably. Ischemic stroke is the most prevalent type, and about 90% of stroke events are attributable to modifiable risk factors. This study aimed to explore the characteristics and risk factors of patients with acute ischemic stroke in Dr. Hasan Sadikin General Hospital.

Methods: A descriptive cross-sectional study was conducted retrospectively in October 2020, using a total sampling method on medical records of acute ischemic stroke patients in Dr. Hasan Sadikin General Hospital year 2019. Medical records with incomplete and missing data were excluded. Demographic and known risk factors data were collected and presented in the table.

Results: Of the 355 subjects, male patients (n=69, 76.7%) were predominant, with the age range of 55–64 years old (36.1%). The majority of the subjects had an ischemic stroke of large-artery atherosclerosis (68.2%) with carotid system involvement (93.2%). As much as 305 subjects (85.9%) had hypertension as the risk factor, followed by dyslipidemia (47.3%), heart disease (39.4%), previous stroke history (33.8%), smoking (25.6%), diabetes mellitus (24.5%), hyperuricemia (12.1%), and blood disorders (2.3%).

Conclusions: Males in the older age group have a higher risk of getting acute ischemic stroke with ischemic stroke of large-artery atherosclerosis and carotid system involvement, and hypertension has the highest prevalence.


Keywords


Acute ischemic stroke, characteristics, hypertension, risk factors

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References


  1. Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A, et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American heart association/American stroke association. Stroke. 2013;44(7):2064–89.
  2. WHO. Leading causes of death and disability 2000-2019: A visual summary [Internet]. [cited 2021 Jan 29]. Available from: https://www.who.int/data/stories/leading-causes-of-death-and-disability-2000-2019-a-visual-summary
  3. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Laporan hasil riset kesehatan dasar (Riskesdas) Indonesia tahun 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia; 2013.
  4. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Laporan hasil riset kesehatan dasar (Riskesdas) Indonesia tahun 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia; 2018. .
  5. Suwanwela N, Poungvarin N, Asian Stroke Advisory Panel. Stroke burden and stroke care system in Asia. Neurol India. 2016;64 Suppl:S46–51.
  6. Yudiarto F, Machfoed M, Darwin A, Ong A, Karyana M, Siswanto S. Indonesia Stroke Registry (S12.003). Neurology. 2014;82(10 Supplement):S12.003.
  7. Setyopranoto I, Bayuangga HF, Panggabean AS, Alifaningdyah S, Lazuardi L, Dewi FST, et al. Prevalence of stroke and associated risk factors in Sleman District of Yogyakarta Special Region, Indonesia. Stroke Res Treat. 2019;2019:2642458.
  8. Ghani L, Mihardja LK, Delima D. Faktor risiko dominan penderita stroke di Indonesia. Buletin Penelitian Kesehatan. 2016;44(1):49–58.
  9. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics—2020 update: a report from the American Heart Association. Circulation. 2020;141(9):e139–596.
  10. Kesuma NMTS, Dharmawan DK, Fatmawati H. Gambaran faktor risiko dan tingkat risiko stroke iskemik berdasarkan stroke risk scorecard di RSUD Klungkung. Intisari Sains Medis. 2019;10(3):720–9.
  11. Barker-Collo S, Bennett DA, Krishnamurthi RV., Parmar P, Feigin VL, Naghavi M, et al. Sex differences in stroke incidence, prevalence, mortality and disability-adjusted life years: results from the global burden of disease study 2013. Neuroepidemiology. 2015;45(3):203–14.
  12. Zafar A, Al-Khamis F, Al-Bakr A, Alsulaiman A, Msmar A. Risk factors and subtypes of acute ischemic stroke. A study at King Fahd Hospital of the University. Neurosciences (Riyadh). 2016;21(3):246–51.
  13. Kabi GYCR, Tumewah R, Kembuan MAHN. Gambaran faktor risiko pada penderita stroke iskemik yang dirawat inap neurologi RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2012–Juni 2013. e-CliniC. 2015;3(1):457–62.
  14. Samai AA, Martin-Schild S. Sex differences in predictors of ischemic stroke: current perspectives. Vasc Health Risk Manag. 2015;11:427–36.
  15. Montaner J, Perea-Gainza M, Delgado P, Ribó M, Chacón P, Rosell A, et al. Etiologic diagnosis of ischemic stroke subtypes with plasma biomarkers. Stroke. 2008;39(8):2280–7.
  16. Harris S, Sungkar S, Rasyid A, Kurniawan M, Mesiano T, Hidayat R. TOAST subtypes of ischemic stroke and its risk factors: a hospital-based study at Cipto Mangunkusumo Hospital, Indonesia. Stroke Res Treat. 2018;2018:9589831.
  17. Chung J, Park SH, Kim N, Kim W, Park JH, Ko Y, et al. Trial of ORG 10172 in Acute Stroke Treatment (TOAST) classification and vascular territory of ischemic stroke lesions diagnosed by diffusion-weighted imaging. J Am Heart Assoc. 2014;3(4):e001119.
  18. Soliman RH, Oraby MI, Fathy M, Essam AM. Risk factors of acute ischemic stroke in patients presented to Beni-Suef University Hospital: prevalence and relation to stroke severity at presentation. Egypt J Neurol Psychiatry Neurosurg. 2018;54(1):8.
  19. Johansson BB. Hypertension mechanisms causing stroke. Clin Exp Pharmacol Physiol. 1999;26(7):563–5.
  20. Hisham NF, Bayraktutan U. Epidemiology, pathophysiology, and treatment of hypertension in ischaemic stroke patients. J Stroke Cerebrovasc Dis. 2013;22(7):e4–14.




DOI: https://doi.org/10.15850/amj.v9n4.2362

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