STUDY OF MORTALITY RISK FACTORS IN PATIENTS WITH SUBARACHNOID HEMORRHAGE WITHIN INDONESIAN POPULATION
Published 2020-03-04
DOI:
https://doi.org/10.22452/jummec.vol23no1.9Keywords:
Clinical Predictor, Mortality, Prognosis, Subarachnoid HemorrhageAbstract
Background: Subarachnoid hemorrhage is a devastating type of stroke with high mortality rate. The understanding of factors that contribute to mortality in patient with subarachnoid hemorrhage can help clinicians in further management of the patients.
Aim: The aim of this study is to identify mortality risk factors in patients with subarachnoid hemorrhage (SH).
Methods: This study is a retrospective cohort study. Data were obtained from the stroke registry and medical records of patients at Bethesda Hospital Yogyakarta. Data were analyzed using univariate, bivariate and multivariate logistic regression analysis.
Results: Data were obtained from 80 subarachnoid hemorrhage patients consisting of 40 males (50%) and 40 females (50%). Result of multivariate analysis show that there are significant associations between mortality in SAH patient with loss of consciousness (OR: 19.722, 95% CI: 1.788- 217.521, p: 0.015), elevated systolic blood pressure (OR: 157.4, 95%CI: 2.068- 11990.9, p: 0.022), high random blood glucose (OR: 12.457, 95%CI: 2.305- 67.322, p: 0.03) and presence of medical complication (OR: 30.539, CI95%: 2.685- 347.377, p: 0.006).
Conclusion: This study demonstrated that loss of consciousness, elevated systolic blood pressure, high blood glucose, and presence of medical complication has significant association with mortality of SAH patient.
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