Complications as poor prognostic factors in patients with hemorrhagic stroke: A hospital-based stroke registry

Abstract

Introduction. Stroke patients commonly experience various medical complications during their rehabilitation stay. Understanding complications in hemorrhagic stroke patients can determine the patients prognosis. Aim. This study aimed to explore complications as prognostic factors among patients with hemorrhagic stroke. Methods. This was an observational analytic study with retrospective design. We analyzed the medical records of 480 patients admitted with hemorrhagic stroke between 2017 and 2018 at Bethesda Hospital, Indonesia. Disability, mortality, and length of stay (LoS) were assessed as clinical outcomes for this study. Multivariate logistic regression was used to analyze the data results. The data were obtained from 480 patients with hemorrhagic stroke that majority of males (58.5%), with < 60 years old (52.3%), stroke onset > 3 hours (87.5%), and had stroke for the first time (82.9%). The most common complications was GI tract bleeding (19.8%), whereas the least was decubitus ulcer (1.5%). There were 25.8% patients died during hospitalization period. Among 356 survivors, there were no significant prognosis factors of disability in subjects. Logistic regression found stroke onset > 3 hours (OR: 0.34; 95%CI: 0.19-0.59; p < 0.001) and GI tract bleeding (OR: 30.8; 95%CI: 16.93-55.88; p < 0.001) to be an independent predictors of mortality in hemorrhagic stroke, whereas GI tract bleeding (OR: 0.54; 95%CI: 0.31-0.95; p = 0.03) and UTI (OR: 4.73; 95%CI: 1.11-20.1; p = 0.04) were also an independent predictors of prolonged length of stay in hemorrhagic stroke. conclusion. This study identify complications as prognostic factors in hemorrhagic stoke patients. Stroke onset > 3 hours, GI tract bleeding, and UTI were independent predictors of poor prognosis in hemorrhagic stroke. There were no prognosis factor that affects disability in subjects.

Case fatality rate and its determinants among admitted stroke patients in public referral hospitals, Northwest, Ethiopia: A prospective cohort study

“…This prospective cohort study was conducted among stroke patients in Northwest Ethiopia to identify the 28 days follow-up case fatality rate and its determinants among admitted stroke patient. On a 28-day follow-up, 27.08% of patients have died which was comparable with a studies from Ethiopia (29.3%) (30.1%), and Uganda (26.8%) (15,19,20). However, the rate was…”

Association between the frequency of stroke recurrence and cognitive function: a cross-sectional study

“…Research by Ramdani (2018) shows that the first recurrence in the >12 months period was 45.2%, in the 7-12 months period 41.1%, and 31.7% of respondents experienced a recurrence <6 months. Another study confirmed that 1 out of 10 stroke survivors had stroke recurrence within 6-12 months of the first stroke (Pinzon and Vijaya, 2020). The results of our study show that there is an association between the prevalence of stroke recurrence and cognitive function.…”

“…The majority of respondents experienced the first recurrence, with the largest type of stroke being ischemic. According to a prior study, patients with ischemic stroke (63.3%) experience recurrence more frequently than those with hemorrhagic stroke (Pinzon and Vijaya, 2020). According to a systematic review, stroke survivors had a higher prevalence of stroke recurrence (33%) than those with hemorrhagic stroke (26.3%) (Rao et al, 2016).…”

Faktor –Faktor Yang Berhubungan Dengan Lama Perawatan Rawat Inap Pasien Stroke Di Rumah Sakit Atma Jaya

“…[22,23] Sementara itu, pasien dengan stroke hemoragik cenderung untuk mengalami komplikasi berupa perdarahan saluran cerna. [24] Komplikasi yang terjadi di rumah sakit dapat berupa infeksi maupun non infeksi. Komplikasi terkait infeksi dapat berupa pneumonia dan infeksi saluran kemih.…”

“…[25] Peningkatan tekanan intrakranial dapat menginduksi hiperaktivitas dari vagus yang berakibat pada iskemia dari mukosa serta peningkatan asam lambung, hal tersebut dapat menyebabkan komplikasi berupa perdarahan saluran cerna atau stress ulcer. [24] Hasil analisis menunjukkan bahwa terdapat hubungan antara jenis stroke terhadap lama perawatan rawat inap pada pasien stroke. Analisis multivariat juga menunjukkan hal serupa, stroke hemoragik merupakan faktor risiko lama perawatan rawat inap >7 hari.…”