Analisis Faktor Risiko Penyakit Stroke Hemoragik Berdasarkan Rekam Medis di RSUD Dr. H. Koesnadi Bondowoso

Suci, Diah Ajeng Asmaraning (2025) Analisis Faktor Risiko Penyakit Stroke Hemoragik Berdasarkan Rekam Medis di RSUD Dr. H. Koesnadi Bondowoso. Undergraduate thesis, Politeknik Negeri Jember.

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Abstract

Hemorrhagic stroke is a condition caused by the rupture of an artery in the brain, leading to bleeding around the organ and resulting in reduced or disrupted blood flow to certain parts of the brain. In 2022 and 2023, hemorrhagic stroke mortality ranked first as the leading cause of death. This study aims to analyze the relationship between age, sex, history of previous stroke, history of hypertension, and history of diabetes with the occurrence of hemorrhagic stroke based on medical records at Dr. H. Koesnadi General Hospital Bondowoso. This research was an observational analytic study with a case-control design. The case population consisted of 155 patients, while the control population consisted of 2,942 patients. The research sample comprised 105 cases and 105 controls, selected using simple random sampling. Data were analyzed univariately and bivariately using the chi square test with SPSS software. The results showed a significant association with the occurrence of hemorrhagic stroke in variables of previous stroke history (p value = 0.043, OR = 3.568), hypertension history (p-value = 0.000, OR = 6.582), and diabetes history (p-value = 0.000). Meanwhile, variables that were not associated included age (p-value = 0.124) and sex (p-value = 0.333). The conclusion of this study is that patients with a history of previous stroke and hypertension are at higher risk of experiencing hemorrhagic stroke. It is suggested that Dr. H. Koesnadi General Hospital Bondowoso provide education to patients at risk of hemorrhagic stroke. For the community, routine blood pressure monitoring, regular use of antihypertensive medication, and reducing excessive salt intake are recommended. Future researchers are advised to include smoking habits and a history of chronic kidney disease as additional variables Keywords: risk factors, hemorrhagic stroke, hypertension, medical records

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