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All Journal Syntax Literate: Jurnal Ilmiah Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Buletin Kedokteran dan Kesehatan Prima
Harahap, Alvin Abrar
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Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Syntax Literate: Jurnal Ilmiah Indonesia

 1 
Hubungan World Federation of Neurosurgical Societies (WFNS) Subarachnoid Hemorrhage (SAH) Grading Scale dan Mortalitas Pada Pasien Cedera Kepala dengan Perdarahan Subaraknoid di RS Royal Prima Medan Damanik, Agnes Marwaty; Harahap, Alvin Abrar; Bangun, Primta
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i11.62394

Abstract

Head injuries are one of the leading causes of morbidity and mortality in the world, with Subarachnoid Hemorrhage (SAH) being one of the most frequent complications that can increase the risk of death. The World Federation of Neurosurgical Societies (WFNS) Subarachnoid Hemorrhage (SAH) Grading Scale is used to assess the severity of SAH patients and predict their prognosis. This study aims to determine the relationship between WFNS SAH Grading Scale and mortality in head injury patients with SAH at Royal Prima Hospital Medan. The research method used an analytical observational approach with a cross-sectional design. The research sample amounted to 47 patients who met the inclusion criteria, using medical record data for the period January 2023 to August 2025. Data analysis was carried out using the Chi-Square test. The results showed that the majority of patients were in Grade I (38.3%) and Grade IV (27.7%), with a mortality rate of 23.4%. Statistical tests showed a value of p = 0.001 which means that there is a significant relationship between the WFNS SAH Grading Scale and the mortality of SAH patients. The lower the patient awareness level (GCS), the higher the risk of death. This study emphasizes the importance of using the WFNS SAH Grading Scale in assessing prognosis and determining the priority management of SAH patients in hospitals.
Hubungan Antara Skor Intracerebral Hemorragahe (ICH) dengan Mortalitas Pasien Perdarahan Intracerebral di RSU Royal Prima Medan Sari, Dian Puspita; Harahap, Alvin Abrar; Bangun, Primta
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i11.62527

Abstract

Intracerebral hemorrhage (ICH) is a form of hemorrhagic stroke with a high mortality rate. Assessment of severity using the ICH score is crucial for predicting prognosis and determining patient treatment priorities in hospitals. This study aims to determine the distribution of ICH patients based on the Glasgow Coma Scale (GCS) score, ICH volume, the presence of intraventricular hemorrhage (IVH), age, and location of the hemorrhage, and to analyze the relationship between ICH scores and patient mortality at Royal Prima Medan Hospital. This study used an observational-analytical design with a cross-sectional approach. The study population was all patients diagnosed with ICH during the study period, while a sample of 96 patients was obtained using the Lameshow formula. Data were collected through medical records and analyzed univariately and bivariately using the Chi-Square test. The results showed that most patients had a mild GCS score (53.1%), mild ICH volume (33.3%), and no intraventricular hemorrhage (52.1%). The largest age group was >60 years (56.3%), with the most common bleeding location being the right parietal (13.5%). The mortality rate reached 50%. Statistical tests showed no significant association between ICH score and mortality (p = 0.101), although clinically there was a trend towards an increased risk of death as the ICH score increased. Most patients presented with mild clinical conditions, but mortality remained high in more severe ICH scores. This study recommends improved early detection, more comprehensive radiological recording, and routine application of the ICH score as a prognostic tool in the management of patients with intracerebral hemorrhage.
Co-Authors Bangun, Primta Damanik, Agnes Marwaty DEWI SARTIKA Dian Puspita Sari Holan Dianju Melva Meinaria Sitanggang irza Haicha Pratama Israknur, Israknur Johannes Bastira Ginting Lister, Clarissa Putri, Lenni Dianna Rahma, Arinda Aulia Santy Deasy Siregar Suhaila, Alzira Wahyudi, Dwi Sukma