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dc.contributor.advisorRambe, Aldy Safruddin
dc.contributor.authorLona, Andre
dc.date.accessioned2020-06-09T03:46:15Z
dc.date.available2020-06-09T03:46:15Z
dc.date.issued2019
dc.identifier.urihttp://repositori.usu.ac.id/handle/123456789/25954
dc.description106 Halamanen_US
dc.description.abstractBackground: Stroke is a leading cause of mortality and disability worldwide. Changes in Partial Presure of Carbon Dioxide (PaCO2) in acute ischemic stroke patients can worsen the ischemic condition in the cerebral and clinical oucome. Objective: To determine the relationship between PaCO2 levels and clinical outcomes of acute ischemic stroke patients with decreased awareness. Research Methods: This study uses a cross-sectional design. Sampling was conducted at H. Adam Malik General Hospital Medan. The research sample was taken as many as 46 subjects. The independent variable of the study is the level of PaCO2 and the dependent variable is the clinical outcome. Data analysis using the Spearman trial. Results: The demographic characteristics of the study subjects were female, at 56,5%, age range more than 50-60 years at 50%, Batak ethnicity at 33%, high school education level at 43,5%, non-work at 54,3%, and elevated PaCO2 levels at 45,7%. The PaCO2 levels of all study subjects had a mean value of 37.39 mmHg ± 8.04. The median value of mRS within 7 days of tratment is 4 (2-6). The most categorized incoming mRS disability category is severe disability of 52.2%, while the most outgoing mRS disability category is moderate disability of 28.3% and slight disability of 23.9%. There is a significant relationship between PaCO2 and an increase in mRS within 7 days of tratment and the strength of correlation is moderate. (p = 0.001; r 0.499). Conclusion: Significant relationship between PaCO2 with an increase in mRS within 7 days of tratmenten_US
dc.description.abstractLatar belakang: Stroke merupakan penyebab utama mortalitas dan kecacatan di seluruh dunia. Perubahan Partial Presure of Carbon Dioxide (PaCO2) pada pasien stroke iskemik akut dapat memperburuk kondisi iskemik pada serebral dan oucome klinis. Tujuan: Untuk mengetahui hubungan antara kadar PaCO2 dengan outcome klinis pasien stroke iskemik akut dengan penurunan kesadaran. Metode Penelitian: Penelitian ini menggunakan desain potong lintang. Pengambilan sampel dilakukan di RSUP H. Adam Malik Medan. Sampel penelitian diambil sebanyak 46 subjek secara konsekutif. Variabel independen penelitian adalah kadar PaCO2 dan variabel dependen adalah outcome klinis. Analisis data menggunakan uji korelasi spearman. Hasil Penelitian: karakteristik demografi subjek penelitian adalah perempuan sebanyak 56,5%, rentang usia > 50-60 tahun sebanyak 50%, suku batak sebanyak 33%, tingkat pendidikan SMA sebanyak 43,5%, tidak bekerja sebanyak 54,3%,dan kadar PaCO2 menurun sebanyak 45,7%. Kadar PaCO2 seluruh subjek penelitian memiliki nilai rerata 37,39 mmhg ± 8,04. Nilai median mRS dalam 7 hari rawatan sebesar 4(2-6). Kategori disabilitas mRS dalam 7 hari rawatan paling banyak adalah disabilitas sedang berat sebesar 28,3% dan disabilitas ringan sebanyak 23,9%. Terdapat hubungan yang signifikan antara PaCO2 dengan peningkatan nilai mRS dalam 7 hari rawatan dan besar kekuatan korelasinya tergolong sedang. (p = 0,001; r 0,499). Kesimpulan: terdapat hubungan yang signifikan antra PaCO2 dengan peningkatan nilai mRS dalam 7 hari rawatan.en_US
dc.language.isoiden_US
dc.publisherUniversitas Sumatera Utaraen_US
dc.subjectstroke iskemik akuten_US
dc.subjectPaCO2en_US
dc.subjectOutcomeen_US
dc.titleHubungan Antara Kadar Paco2 Terhadap Outcome Pasien Stroke Iskemik Akut Dengan Penurunan Kesadaran di Rsup H. Adam Malik Medanen_US
dc.typeTesis Magisteren_US
dc.identifier.nimnipnik167041139


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