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Rusdi Lamsudin Rusdi Lamsudin
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Gadjah Mada stroke algorithm. Clinical strategy for distinguishing intracerebral haemorrhage from acute ischemic or infarction stroke Rusdi Lamsudin, Rusdi Lamsudin
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 29, No 01 (1997)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.071 KB)

Abstract

A Gadjah Mada Stroke Algorithm (GMSA) as a clinical strategy to distinguish intracerebral haemorrhage from acute ischaemic or infarction stroke after the onset of stroke has been developed and validated (internal validity) in 229 stroke patients. An observational-prospective study design was conducted to validate GMSA (external validity) from 350 acute stroke patients in Dr. Sardjito Hospital, Yogyakarta from 1st December 1992 to 30th June 1996. The scope of the study are as follows: (1) validity of multiple-parallel test against CT-Scan to define intracerebral haemorrhagic stroke diagnosis, (2) significance of correlation between 8 group-variables of GMSA and intracerebral haemorrhagic stroke diagnosis, and (3) the validity of every group-variable to define intracerebral haemorrhagic stroke. This study showed that the GMSA as a clinical strategy have a high validity (external validity) to distinguish intracerebral haemorrhagic stroke from acute ischaemic or infarction stroke.Key words : Gadjah Mada stroke algorithm - diagnostic test - intracerebral haemorrhagic stroke -acute ischaemic stroke - infarction stroke
Gadjah Mada Stroke Algorithm - Development and validity for distAngushing intracerebral hemorrhagic stroke with acute ischemic stroke or infarction stroke Rusdi Lamsudin, Rusdi Lamsudin
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 28, No 04 (1996)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.942 KB)

Abstract

A prospective study on 229 acute stroke patients was conducted to develop a Gadjah Mada Stroke Algorithm (GMSA). This algorithm was proposed as a clinical strategy for distinguishing intracerebral haemorrhage from acute ischaemic or infarction stroke after onset of stroke in 3 hospitals in Yogyakarta from 16th December 1989 until 15th November 1991. The following investigations have been made: (a) interobserver reliability for questionnaire and clinical examination of stroke patients, (b) interobserver reliability in the interpretation of CT-Scans of stroke patients, (c) validity of every clinical symptom against CT-Scans to define intracerebral haemorrhagic stroke, and (d) validity of seven multiple parallel tests against CT-Scans to define intracerebral haemorrhagic stroke. The GMSA was developed by one of seven multiparallel tests which has the highest validity. A multivariate statistical analysis and validate study showed that decreasing consciousness, headache, and Babinskis reflex at the onset are significantly related to intracerebral haemorrhagic stroke. This study showed that the GMSA was reliable and valid for distinguishing intracerebral haemorrhagic stroke from acute ischaemic or infarction stroke.Key words: Gadjah Mada stroke algorithm - diagnostic test - intracerebral haemorrhagic stroke
Gadjah Mada stroke algorithm. Clinical strategy for distinguishing intracerebral haemorrhage from acute ischemic or infarction stroke Rusdi Lamsudin Rusdi Lamsudin
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 29, No 01 (1997)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.071 KB)

Abstract

A Gadjah Mada Stroke Algorithm (GMSA) as a clinical strategy to distinguish intracerebral haemorrhage from acute ischaemic or infarction stroke after the onset of stroke has been developed and validated (internal validity) in 229 stroke patients. An observational-prospective study design was conducted to validate GMSA (external validity) from 350 acute stroke patients in Dr. Sardjito Hospital, Yogyakarta from 1st December 1992 to 30th June 1996. The scope of the study are as follows: (1) validity of multiple-parallel test against CT-Scan to define intracerebral haemorrhagic stroke diagnosis, (2) significance of correlation between 8 group-variables of GMSA and intracerebral haemorrhagic stroke diagnosis, and (3) the validity of every group-variable to define intracerebral haemorrhagic stroke. This study showed that the GMSA as a clinical strategy have a high validity (external validity) to distinguish intracerebral haemorrhagic stroke from acute ischaemic or infarction stroke.Key words : Gadjah Mada stroke algorithm - diagnostic test - intracerebral haemorrhagic stroke -acute ischaemic stroke - infarction stroke
Gadjah Mada Stroke Algorithm - Development and validity for distAngushing intracerebral hemorrhagic stroke with acute ischemic stroke or infarction stroke Rusdi Lamsudin Rusdi Lamsudin
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 28, No 04 (1996)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.942 KB)

Abstract

A prospective study on 229 acute stroke patients was conducted to develop a Gadjah Mada Stroke Algorithm (GMSA). This algorithm was proposed as a clinical strategy for distinguishing intracerebral haemorrhage from acute ischaemic or infarction stroke after onset of stroke in 3 hospitals in Yogyakarta from 16th December 1989 until 15th November 1991. The following investigations have been made: (a) interobserver reliability for questionnaire and clinical examination of stroke patients, (b) interobserver reliability in the interpretation of CT-Scans of stroke patients, (c) validity of every clinical symptom against CT-Scans to define intracerebral haemorrhagic stroke, and (d) validity of seven multiple parallel tests against CT-Scans to define intracerebral haemorrhagic stroke. The GMSA was developed by one of seven multiparallel tests which has the highest validity. A multivariate statistical analysis and validate study showed that decreasing consciousness, headache, and Babinski's reflex at the onset are significantly related to intracerebral haemorrhagic stroke. This study showed that the GMSA was reliable and valid for distinguishing intracerebral haemorrhagic stroke from acute ischaemic or infarction stroke.Key words: Gadjah Mada stroke algorithm - diagnostic test - intracerebral haemorrhagic stroke
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