Mortality rate of spontaneous subarachnoid hemorrhage and related factors in Pasar Minggu Regional General Hospital

Chahyani, W.; Rinaldy, M.I.; Hastuti, Murni Sri; Wahyuni, Tavip Dwi

doi:10.1016/j.jns.2019.10.558

Cited by 3 publications

(3 citation statements)

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“…SAH is widely known as the most devastating type of stroke with high mortality and morbidity. Previous studies suggested higher mortality rates of SAH in Indonesia [2][3][4] compared with studies in other Southeast Asian countries [5,6] and worldwide [10]. Several factors that may contrib-ute to this figure include (1) sociodemographic factors, namely, low awareness of health issues and hesitancy to conduct routine medical check-up if no symptoms are present [11][12][13]; (2) diagnostic and treatment delay due to the cultural belief to self-medicate and disparities in healthcare facility and personnel across this archipelago nation [14,15]; and (3) study design and location, as our hospital is the tertiary health care and referral centres for eastern Indonesia region and most of the SAH patients usually admitted with severe disease progression and other complications that could not be handled in primary or secondary health centres.…”

Section: Discussionmentioning

confidence: 99%

“…If left untreated, IA could evolve into subarachnoid haemorrhage (SAH) which poses significant mortality and morbidity [1]. According to several studies in Indonesia, ruptured aneurysmal SAH has a mortality rate of 20.8-53.1% [2][3][4], which is significantly higher compared to other Southeast Asian countries [5,6]. Recently, the fast development of technological advances could significantly reduce the mortality and morbidity level of ruptured IA through early and aggressive treatment.…”

Section: Introductionmentioning

confidence: 99%

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What Are the Predictors of Intracranial Aneurysm Rupture in Indonesian Population Based on Angiographic Findings? Insight from Intracranial Aneurysm Registry on Three Comprehensive Stroke Centres in Indonesia

Swatan

Sani

Kurniawan

et al. 2022

Stroke Research and Treatment

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Objectives. What are the Predictors of Intracranial Aneurysm (IA) Rupture based on angiographic findings among patients in Indonesia’s Population Based on Angiographic Findings. Materials and Methods. We conducted a cross-sectional study on subjects with IA not caused by congenital aetiologies or other vascular malformations with cerebral angiography performed from January 2017 to January 2021. Demographic data and aneurysm profile, which include aneurysm count, size, location, and rupture event, were collected. The correlation between risk factors and IA rupture events was determined using bivariate and multivariate analysis. Results. From 100 angiography data (33 males and 67 females), the mean subject age is 51.94 ± 10.78 . We observe a total of 121 IAs from all subjects. Most of the IAs are in the anterior circulation (104 aneurysms, 85.96%), have small size (77 aneurysms, 63.64%), and are found in ruptured conditions (90 aneurysms, 74.38%). Males have a greater aneurysm count ( 1.36 ± 0.74 vs. 1.13 ± 0.55 , p = 0.036 ) and larger aneurysm size ( p = 0.002 ). Aneurysm size is significantly correlated with its location ( p = 0.008 ). Medium size ( p = 0.019 ; OR 2.62, 95% CI 1.08-6.36) and location other than the internal carotid artery are associated with increased rupture event. Multivariate analysis revealed that gender ( p = 0.031 ; aOR 5.37, 95% CI 1.17-24.70) is a significant risk factor of IA rupture event. Conclusion. IA profiling will enable clinicians to determine the risk of rupture and treatment plans for the Indonesian population. Further studies with a larger sample size are required to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What Are the Predictors of Intracranial Aneurysm Rupture in Indonesian Population Based on Angiographic Findings? Insight from Intracranial Aneurysm Registry on Three Comprehensive Stroke Centres in Indonesia

Swatan

Sani

Kurniawan

et al. 2022

Stroke Research and Treatment

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“…2,3 In Indonesia, the prevalence of aSAH patients reaches 4.2%, with a mortality rate of up to 80%, a gure which continues to increase. 4 Treatment of aSAH is very complex, inevitably requiring more time and incurring more cost. At the same time, a longer length of stay (LOS) in the hospital increases patients' propensity towards contracting nosocomial infections, resulting in higher complication rate or even mortality.…”

Section: Introductionmentioning

confidence: 99%

Clinical prediction score for prolonged length of hospital stay in aneurysmal subarachnoid hemorrhage

Prasetyo¹,

Kurniawan²,

Rilianto³

et al. 2023

Preprint

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Background: Length of stay (LOS) is an important indicator for optimizing health services and hospital financing efficiency in aneurysmal subarachnoid hemorrhage (aSAH) patients. The purpose of this study was to develop a scoring model to predict the LOS of aSAH. Method: The clinical scoring was developed based on retrospectively-collected data from the cerebral aneurysm registry of the National Brain Center Hospital, Jakarta, from January 2019 to June 2022. Multivariate logistic regression was used to determine the odds ratio for risk-adjusted prolonged LOS. LOS’ predictors were obtained based on the regression coefficients and converted into a point score model. Results: Of the 209 aSAH patients observed, 117 patients had prolonged LOS (>14 days of hospital stay). A clinical score was developed with a range of 0-7 points. Four variables were chosen as predictors of prolonged LOS: presence of high-grade aSAH (1 point), aneurysm treatment (endovascular coiling: 1 point; surgical clipping: 2 points), cardiovascular comorbidities (1 point), and hospital-acquired pneumonia (3 points). The score showed good discrimination with an area under the receiving operating characteristics curve (AUC) of 0.8183 (SE 0.0278) and p-value for the Hosmer–Lemeshow (HL) goodness-of-fit of 0.9322. Conclusion: This simple clinical score reliably predicted prolonged LOS in aneurysmal subarachnoid hemorrhage cases and may aid clinicians in improving patient outcomes and decreasing healthcare costs.

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Clinical prediction score for prolonged length of hospital stay in aneurysmal subarachnoid hemorrhage

et al. 2023

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Background Length of stay (LOS) is an important indicator of the optimization of health services and hospital financing efficiency in aneurysmal subarachnoid hemorrhage (aSAH) patients. The purpose of this study was to develop a scoring model to predict the LOS of patients with aSAH. Method A clinical scoring was developed based on retrospectively collected data from the cerebral aneurysm registry of the National Brain Center Hospital, Jakarta, from January 2019 to June 2022. Multivariate logistic regression was used to determine the odds ratio for risk-adjusted prolonged LOS. LOS predictors were obtained based on the regression coefficients and converted into a point score model. Results Of the 209 aSAH patients observed, 117 patients had prolonged LOS (> 14 days of hospital stay). A clinical score was developed with a range of 0–7 points. Four variables were chosen as predictors of prolonged LOS: the presence of high-grade aSAH (1 point), aneurysm treatment (endovascular coiling: 1 point; surgical clipping: 2 points), cardiovascular comorbidities (1 point), and hospital-acquired pneumonia (3 points). The score showed good discrimination with an area under the receiving operating characteristics curve (AUC) of 0.8183 (SE 0.0278) and a p-value for the Hosmer–Lemeshow (HL) goodness-of-fit of 0.9322. Conclusion This simple clinical score reliably predicted prolonged LOS in aneurysmal subarachnoid hemorrhage cases and may aid clinicians in improving patient outcomes and decreasing healthcare costs.

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Mortality rate of spontaneous subarachnoid hemorrhage and related factors in Pasar Minggu Regional General Hospital

Cited by 3 publications

References 0 publications

What Are the Predictors of Intracranial Aneurysm Rupture in Indonesian Population Based on Angiographic Findings? Insight from Intracranial Aneurysm Registry on Three Comprehensive Stroke Centres in Indonesia

What Are the Predictors of Intracranial Aneurysm Rupture in Indonesian Population Based on Angiographic Findings? Insight from Intracranial Aneurysm Registry on Three Comprehensive Stroke Centres in Indonesia

Clinical prediction score for prolonged length of hospital stay in aneurysmal subarachnoid hemorrhage

Clinical prediction score for prolonged length of hospital stay in aneurysmal subarachnoid hemorrhage

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