Prehospital Factors Affecting the Intracerebral Hemorrhage Stroke Patient Outcomes in the Emergency Department of Saiful Anwar Hospital Malang

Abstract

Introduction: In 2001, intracerebral hemorrhage (ICH) incidence rate in Indonesia was 18.5%. Globally, the mortality rate in the first year was 55 % ^1,2,9. Th

is research was conducted to find out whether pre-hospital factors (age, initial prehospital treatment, GCS) affected ICH patient outcomes.

Methods: This is analytical observational research. After 3 months, the outcomes were assessed using the Glasgow Outcome Scale. 60 patients, who were the samples, were collected from August 2018 to January 2019 at Saiful Anwar Government General Hospital Malang.

Results: There was no significant relationship among age, prehospital initial treatment, and outcomes; there was a relationship between GCS and patient outcomes (p = 0.04).

Conclusion: Prehospital factors such as age and prehospital initial treatment did not affect ICH patient outcomes since they did not have a direct effect on reducing intracranial pressure. GCS was related to patient outcomes because it was a determining predictor of ICH patients’ mortality and morbidity.

Keywords: Prehospital factors, prehospital initial treatment, age, GCS, intracerebral hemorrhage (ICH), outcomes, Glasgow Outcome Scale.

DOI: 10.7176/JHMN/65-05

Publication date: August 31^st 2019