Hubungan antara Aritmia dan Tatalaksananya dengan Outcome Stroke di Rumah Sakit Angkatan Laut (RSAL) Dr. Mintohardjo Periode 2019 – 2021

Septalyna, Ester (2023) Hubungan antara Aritmia dan Tatalaksananya dengan Outcome Stroke di Rumah Sakit Angkatan Laut (RSAL) Dr. Mintohardjo Periode 2019 – 2021. S1 thesis, Universitas Kristen Indonesia.

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Abstract

Aritmia adalah salah satu faktor risiko terjadinya stroke. Di Rumah Sakit Angkatan Laut (RSAL) Dr. Mintohardjo belum pernah dilakukan penelitian mengenai aritmia sebagai faktor risiko stroke, penelitian ini akan membahas mengenai hubungan antara aritmia dan tatalaksananya dengan outcome pasien stroke periode 2019 – 2021. Penelitian ini merupakan penelitian retrospektif dan akan diuji dengan uji Chi Square dan uji Independent Sample T-test. Dari 5.296 pasien stroke ditemukan 21 pasien memiliki faktor risiko aritmia dengan 13 (61,9%) pasien laki-laki dan 8 (38,1%) pasien perempuan. Tipe aritmia didominasi oleh 13 (61,9%) pasien mengalami atrial fibrilasi dan 8 (38,1%) pasien lainnya mengalami non-atrial fibrilasi. Sebanyak 14 pasien mendapatkan tatalaksana antiaritmia dan 7 pasien lainnya mendapatkan antiaritmia disertai antikoagulan. Dari seluruh populasi didapatkan 20 pasien mengalami stroke iskemik dan 1 pasien mengalami stroke hemoragik. Dari hasil uji Chi Square tidak didapatkan hubungan yang bermakna antara kedua jenis aritmia dan skor mRS pasien stroke, p = 0,233. Perbedaan skor mRS antara kedua jenis aritmia dibandingkan dan diuji dengan Independent Sample T-test, didapatkan p = 0,302 atau tidak ditemukan perbedaan yang bermakna. Chi Square mengenai hubungan antara aritmia dan tatalaksananya dengan outcome pasien stroke adalah positif, p = 0,039. Korelasi antara tipe aritmia dengan tatalaksana antiaritmia menghasilkan outcome pasien stroke yang baik. Kata Kunci: aritmia, outcome, stroke, tatalaksana. / Arrhythmias are one of many risk factors for stroke. In Rumah Sakit Angkatan Laut (RSAL) Dr. Mintohardjo has never had a study about arrhythmia as risk factors for stroke. This study will discuss the correlation between arrhythmias and its treatment and the outcome of stroke patients in the 2019 - 2021 period. This study is a retrospective study and will be tested with Chi Square tests and Independent Sample T-tests. Amongst 5,296 stroke patients found 21 patients with arrhythmia as risk factors with 13 (61,9%) male patients and 8 (38,1%) female patients. Arrhythmia type was dominated by 13 (61,9%) patients with atrial fibrillation and 8 (38,1%) other patients with non-atrial fibrillation. A total of 14 patients received antiarrhythmic treatment and 7 other patients received antiarrhythmic with anticoagulant. Of the entire population, 20 patients had stroke ischemic and 1 patient had stroke haemorrhagic. The Chi Square tests resulted in no significant correlation between two types of arrhythmias and the mRS score of stroke patients, p = 0,233. The difference between the mRS score between two types of arrhythmias is being compared and tested with an Independent Sample T-test, p = 0,302 or there is no significant difference. The Chi Square tests were also used to find the correlation between arrhythmia, its treatment and the stroke patient’s outcome. The results were positive with p = 0,039. The correlation between two types of arrhythmia and antiarrhythmic treatment results in a good outcome for stroke patients. Keywords: arrhythmia, outcome, stroke, management.

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