Ramadhanty, Mutiara Sari Rizky (2025) Analisis Hubungan Onset dengan Tingkat Keparahan Berdasarkan Skor NIHSS pada Pasien Stroke Iskemik di RSUD Banten. S1 thesis, Universitas Sultan Ageng Tirtayasa.
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Abstract
Stroke is the main cause of disability and the second most common cause of death in the world. Based on SKI, the prevalence of stroke was recorded at 8.3%, including Banten at 7.3%. One important approach in stroke management is early detection through onset time, which is the duration between the appearance of the first symptoms until the patient receives medical care. Rapid onset time is crucial because it can determine the degree of brain damage and the success of therapeutic interventions. Assessment of stroke severity is usually done using the National Institutes of Health Stroke Scale (NIHSS) score which assesses the degree of neurological deficit. This study used an observational analytic cross-sectional design with consecutive sampling of data from the medical records of ischemic stroke patients at Banten Hospital during 2023-2024. The total sample of 78 patients met the inclusion and exclusion criteria. Data on stroke onset and severity based on NIHSS score were analyzed using chi-square test. The majority of patients had onset <48 hours (74.4%) and belonged to the mild severity category (70.5%). However, statistical test results showed no significant relationship between onset and severity of ischemic stroke (p=0.53). There was no statistically significant relationship between time of onset and severity of ischemic stroke based on NIHSS score at Banten Regional Hospital.
| Item Type: | Thesis (S1) | |||||||||
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| Additional Information: | Stroke merupakan pencetus utama dari keterbatasan dan pencetus kematian nomor dua paling banyak di dunia. Berdasarkan Survei Kesehatan Indonesia (SKI) 2023, prevalensi stroke tercatat sebesar 8,3%, diantaranya Banten sebesar 7,3%. Salah satu pendekatan penting dalam penanganan stroke adalah deteksi dini melalui waktu onset, yaitu durasi antara munculnya gejala pertama hingga pasien mendapatkan perawatan medis. Waktu onset yang cepat sangat krusial karena dapat menentukan derajat kerusakan otak dan keberhasilan intervensi terapi. Penilaian tingkat keparahan stroke biasanya dilakukan dengan menggunakan skor National Institutes of Health Stroke Scale (NIHSS) yang menilai derajat defisit neurologis. Penelitian ini menggunakan desain cross-sectional analitik observasional dengan pengambilan data secara consecutive sampling dari rekam medis pasien stroke iskemik di RSUD Banten selama tahun 2023–2024. Total sampel sebanyak 78 pasien memenuhi kriteria inklusi dan eksklusi. Data onset dan tingkat keparahan stroke berdasarkan skor NIHSS dianalisis menggunakan uji chi-square. Mayoritas pasien memiliki onset <48 jam (74,4%) dan tergolong dalam kategori tingkat keparahan ringan (70,5%). Akan tetapi, hasil uji statistik menunjukkan tidak terdapat hubungan yang signifikan antara onset dan tingkat keparahan stroke iskemik (p=0,53). Tidak ditemukan hubungan yang signifikan secara statistik antara waktu onset dengan tingkat keparahan stroke iskemik berdasarkan skor NIHSS di RSUD Banten. | |||||||||
| Uncontrolled Keywords: | Ischemic stroke; onset; NIHSS; severity; treatment time; neurological severity, golden period; RSUD Banten. Stroke iskemik; onset; NIHSS; derajat keparahan; waktu penanganan; keparahan neurologis, golden period; RSUD Banten. | |||||||||
| Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | |||||||||
| Divisions: | 07-Fakultas Kedokteran > 11201-Prodi Kedokteran 07-Fakultas Kedokteran |
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| Depositing User: | Mutiara Sari Rizky Ramadhanty | |||||||||
| Date Deposited: | 20 Aug 2025 05:01 | |||||||||
| Last Modified: | 20 Aug 2025 05:01 | |||||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/52233 |
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