CORRELATION OF STROKE RISK FACTORS ON STROKE EVENTS IN PROF. DR. H. ALOEI SABOE GORONTALO HOSPITAL PERIOD MARCH - DECEMBER 2018

Abstract

Stroke is a health problem which has a high mortality rate that can cause long-term disability. In Gorontalo province, the prevalence of stroke based on diagnosis by health workers was 10.9%. Stroke risk factors are divided into two that can be modified and cannot be modified. This study aims to find out a description of the characteristics and an analysis of the factors that influence the incidence of stroke in Prof. dr. H. Aloei Saboe Gorontalo Hospital Period March - December 2018. The research design was descriptive analytic observational with a cross sectional retrospective approach. The sample in this study was all patients with ischemic stroke and hemorrhagic stroke who were treated in the neurology inpatient of Prof. dr. H. Aloei Saboe Hospital by using consecutive sampling techniques that fulfill the inclusion criteria. In this study, a sample of 115 patients was obtained, with the highest proportion is male (62.6%), age classification 56-65 years old (33%), elementary school certificate (40.9%), with onset <24 hours (33.9%). Based on risk factors, those with a history of hypertension (78,3) %, grade 2 hyper tension (32.2) %, and uncontrolled (72.2%). Total cholesterol ≥200 (59,1%), LDL <160 (68.7%), HDL ≥30 (98.3%), triglycerides ≤160 (73.9%), received dyslipidemia therapy (61.7%), heart disease (66,1%) and cardiomegaly (34,8%). History of diabetes mellitus 23,5%, with RPG <200mg / dL 73,9% and 67,8% never received diabetes therapy. In kidney disorders, it was only found 7,8%. Significant risk factors for stroke (p <0.005) are age (p <0.001), hypertension (p=0.044), heart disease (p=0.034), total cholesterol (p=0.047), LDL (p <0.001), HDL (<0.012) and triglycerides (p <0.038), whereas diabetes mellitus, and kidney disorders have no significant relationship with the incidence of stroke. It can be concluded that most stroke patients are found in the age criteria 56-65 years with male gender, elementary school certificate, and less than 24 hours of onset. The most common risk factors found was hypertension who are not controlled by the drug, dyslipidemia with a total cholesterol component >200mg/dL and cardiomegaly. There is a significant relationship between age, heart disease, hypertension, LDL, HDL, triglycerides and total cholesterol on the incidence of stroke