Characteristics of Ischemic Stroke Patients Performed by DSA Actions at Chasbullah Abdul Madjid Bekasi Regional General Hospital

Abstract

Stroke has become the second leading cause of death and the third leading disability globally caused by several factors, such as hypertension, diabetes Mellitus, atrial fibrillation, and cholesterol. DSA (Digital Subtraction Angiography) has been the gold standard for diagnosing abnormalities in cerebrovascular, such as aneurysms and malformation artery and vena. Cerebral DSA is a safe procedure and has the advantage that intervention procedures such as stent insertion or thrombectomy can be performed immediately after angiography. This research is intended to find the characteristic of a stroke patient treated with Digital Subtraction Angiography. The design used in the study is retrospective with a medical record of a stroke ischemic patient who was treated with Digital Subtraction Angiography at RSUD CAM Bekasi from August 2020 - to June 2021. The sampling technique of this study was taken using total sampling techniques; namely, the entire population that the researcher had determined was a research sample. Forty-nine patients are used as the research sample according to the inclusive criteria. As a result, it has been found that the demographic in which Digital Subtraction Angiography has been utilized is 41-59 years old (61.2%), of which 65.3% of them are male patients. Based on their education, most of them come from strata 1, sitting at 61.2%, and their occupation is commercial workers, sitting at 26.5%. Risk factors that come with Digital Subtraction Angiography are hypertension (91.8%) and vertigo symptoms (55.1%). For motoric patients, 12.3% have seen improvements. Meanwhile, according to the National Institute of Health Stroke Scale, 46.9% have seen improvements. Digital Subtraction Angiography results show that 53.1% of ischemic stroke patients have improved. Key words: Stroke Ischemic, Digital Subtraction Angiography.