MORTALITY RISK IN INFARCTION STROKE PATIENTS BASED ON INFARCTION LOCATION, BLOOD PROFILE AND HISTORY OF HEART DISEASE: COMPARATIVE STUDY IN REGIONAL HOSPITALS IN CENTRAL JAVA AND THE SPECIAL REGION OF YOGYAKARTA
DOI:
https://doi.org/10.32584/jpi.v8i1.2473Abstract
Abstract
Background: Stroke case identification was developed to recognize the signs of stroke
and recognize the risk of mortality in infarction stroke patients. Biomarker examination
is directed at looking for markers of brain tissue damage, markers of vascular endothelial
inflammation and coagulation or thrombosis factors. Objective: To determine differences
in the risk of infarction stroke mortality. Research methodology: Mixed method
explanation sequential method design. Research at one regional hospital in Central Java
and one regional hospital in the Special Region of Yogyakarta. The sample size was 120
respondents divided into case and control groups. The results showed that the
characteristics of respondents in both RSUDs were the same (> 60 years, male, history of
cardiovascular disease, history of recurrent stroke, most locations in the parietal area).
Routine blood profile (hemoglobin, leukocyte count, platelet count) showed no difference.
Inflammatory markers seen as neutrophil lymphocyte ratio (NLR) were not different.
Analysis of factors triggering mortality in the two hospitals from leukocyte counts (p
value 0.02 and 0.035 with OR 1.818 and 2). The risk of mortality in Central Java Regional
Hospital was from NLR (p value 0.033 with OR 1.316) and in DIY Regional Hospital from
cardiovascular history (p value 0.00 with OR 15). Conclusion: The characteristics of
stroke infarction patients in the two hospitals are not different. Leukocyte count is the
same risk factor for mortality in both hospitals and cardiovascular history and NLR count
are different risk factors for mortality.
Keywords: Blood profile, Heart disease, Infarction stroke, Infarction Location, Mortality,
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