Analisis Survival Pada Pasien Stroke di RSU Haji

Sahudi, Mochammad Fajar Shidiq Sujana (2024) Analisis Survival Pada Pasien Stroke di RSU Haji. Other thesis, Institut Teknologi Sepuluh Nopember.

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Abstract

Stroke merupakan salah satu penyakit paling mematikan. Stroke adalah kerusakan pada otak yang muncul mendadak, progresif, dan cepat akibat gangguan peredaran darah otak non traumatik. Di Indonesia, prevalensi kasus stroke pada tahun 2018 mencapai 10,9% atau diperkirakan mencapai 2.120.362 kasus menempatkan stroke menjadi penyakit penyebab kematian tertinggi secara nasional. Tujuan penelitian ini adalah untuk mengetahui karakteristik faktor-faktor yang mempengaruhi ketahanan pasien stroke serta pemodelannya menggunakan regresi Cox Proportional Hazard. Penelitian dilakukan terhadap data rekam medis dari 214 pasien stroke rawat inap di RSU Haji Surabaya di bulan Januari sampai November 2023. Hasil dari penelitian diketahui bahwa waktu survival pasien stroke iskemik dan hemoragik, pasien dengan riwayat hipertensi dan tanpa riwayat hipertensi berbeda antara kategori. Sedangkan waktu survival pasien berusia < 60 tahun dan ≥ 60 tahun, pasien laki-laki dan perempuan, pasien stroke pertama dan stroke berulang, pasien dengan riwayat diabetes melitus dan tanpa riwayat diabetes melitus, pasien perokok aktif dan bukan perokok aktif, serta pasien dengan obesitas dan tanpa obesitas tidak berbeda antara kategori. Kemudian didapatkan faktor yang mempengaruhi laju ketahanan pasien stroke secara signifikan adalah riwayat hipertensi. Pasien stroke dengan riwayat hipertensi memiliki risiko meninggal 3 kali lebih besar daripada pasien stroke tanpa riwayat hipertensi.
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Stroke is one of the most deadly diseases. Stroke is a sudden, progressive, and rapid damage to the brain due to non-traumatic disruptions in cerebral blood circulation. In Indonesia, the prevalence of stroke cases in 2018 reached 10.9%, or estimated 2,120,362 cases, making stroke the leading cause of death nationally. The aim of this research is to identify the characteristics of factors influencing the resilience of stroke patients and model them using Cox Proportional Hazard regression. The study was conducted on medical record data from 214 inpatient stroke patients at RSU Haji Surabaya from January to November 2023. The results of the study revealed that the survival time of ischemic and hemorrhagic stroke patients, patients with a history of hypertension and those without, differs between categories. Meanwhile, the survival time of patients < 60 years old and ≥ 60 years old , male and female patients, first-time stroke patients and recurrent stroke patients, patients with a history of diabetes mellitus and those without, active smokers and non-active smokers, as well as patients with and without obesity did not differ between categories. It was then identified that the factor significantly influencing the resilience rate of stroke patients is a history of hypertension. Stroke patients with a history of hypertension have a 3 times greater risk of death compared to stroke patients without a history of hypertension.

Item Type: Thesis (Other)
Uncontrolled Keywords: Cox Regression, Stroke, Survival Rate, Laju Ketahanan, Regresi Cox, Stroke
Subjects: R Medicine > R Medicine (General) > R853.S7 Survival analysis (Biometry)
Divisions: Faculty of Science and Data Analytics (SCIENTICS) > Statistics > 49201-(S1) Undergraduate Thesis
Depositing User: Mochammad Fajar Shidiq Sujana Sahudi
Date Deposited: 22 Feb 2024 01:05
Last Modified: 22 Feb 2024 01:05
URI: http://repository.its.ac.id/id/eprint/107652

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