ASSOCIATION BETWEEN STROKE RISK FACTORS AND ACUTE ISCHEMIC STROKE PROGRESSION IN HAJI ADAM MALIK GENERAL HOSPITAL

Abstract

Background : Stroke is the leading cause of death and long-term disability in the world. Risk factors for stroke can affect the progression of acute ischemic stroke.

Objective : To determine the association between types of risk factors and the progression of acute ischemic stroke patients at Haji Adam Malik General Hospital Medan.

Research : This study uses a cross-sectional design in acute ischemic stroke patients at the General Hospital of Haji Adam Malik Medan. A non-contrast head scan was performed to diagnose acute ischemic stroke, the National Institute of Health Stroke Score of patients entered and the fifth day was calculated. Data analysis using chi square test and kruskal wallis test.

Results : The study involved 45 acute ischemic stroke patients consisting of 22 (48.9%) men and 23 (51.1%) women, with a median value of 59 years, and an age range of 20-84 years. There were 44 patients (97.8%) with a history of hypertension, 17 patients (37.8%) with diabetes mellitus, 38 patients (84.4%) with dyslipidemia, 6 patients (13.3%) with heart disease and 35 patients (77.8 %) with the frequency of first stroke. Statistical analysis showed a significant relationship between age (p value 0.002), hypertension (p value 0.036), dyslipidemia (p value 0.038) and heart disease (p value 0.033) with the progression of acute ischemic stroke

Conclusion : There is a significant associaton between risk factors and the progression of acute ischemic stroke in age, hypertension, dyslipidemia and heart disease.