Neurona
Vol 39 No 2 (2022): Vol 39 No 2 (2022)

LUARAN PASIEN STROKE ISKEMIK AKUT DENGAN INFEKSI COVID-19 DI JAKARTA

Wiwit Ida Chahyani (Departemen Neurologi, Fakultas Kedokteran dan Kesehatan, Universitas Muhammadiyah Jakarta)
Murni Sri Hastuti (Departemen Neurologi, Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta)
Malika Malika (Rumah Sakit Umum Daerah Pasar Minggu)
Izati Rahmi (Rumah Sakit Umum Daerah Pasar Minggu)
Maria Regina Rachmawati (Departemen Ilmu Kedokteran Fisik dan Rehabilitasi, Fakultas Kedokteran, Universitas Gunadarma)
Anwar Wardy Warongan (alm) (Departemen Neurologi, Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta)
Siti Airiza Ahmad (Departemen Neurologi, Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta)



Article Info

Publish Date
15 Mar 2022

Abstract

ABSTRACT Introduction: Ischemic stroke is a life-threatening neurological complication of coronavirus disease 19 (COVID-19). Research on the outcome of acute ischemic stroke patients with COVID-19 infection in Indonesia has not been widely reported. Aims: We investigated the outcome of acute ischemic stroke patients with COVID-19 infection and the factors that affect these outcomes at the Pasar Minggu Regional General Hospital, which is a special COVID-19 referral hospital in Jakarta, Indonesia. Methods: This was a cross sectional study based on the medical records of acute ischemic stroke patients with laboratory-confirmed COVID-19 infection of those ≥18 years of age, who were hospitalized at the Pasar Minggu Regional General Hospital between March 2020 and June 2021. Chi-squared test and unpaired t-test were used for statistical analyses. Results: Thirty-six patients were included in the study. The majority were ≥50 years old (69.4%), comprising of 58.3% women, and 52.8% revealed National Institute of Health Stroke Scale (NIHSS) score of ≤5. The mortality rate of acute ischemic stroke patients with COVID-19 infection was 16.7%, and in the survivors, the median modified Rankin scale score at discharge was 2(1–5). There was a significant association between the severity of COVID-19 and mortality in acute ischemic stroke patients infected with COVID-19 (P=0.019; Odds ratio 1.5 [95% confidence interval 1.08-2.08]). Discussion: The mortality of acute ischemic stroke patients with COVID-19 infection was high, and the factor of significant influence was COVID-19 disease severity. The majority of acute ischemic stroke patients with COVID-19 who survived had mild disabilities.Keywords: COVID-19, ischemic stroke, outcome.

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Journal Info

Abbrev

neurona

Publisher

Subject

Health Professions Medicine & Pharmacology Neuroscience

Description

Neurona merupakan satu-satunya jurnal yang memuat perkembangan penelitian dan kasus terbaru bidang neurosains oleh Perhimpunan Dokter Spesialis Saraf (PERDOSSI) Pusat di Indonesia. Jurnal ini diterbitkan bulan Maret, Juni, September dan Desember. Bidang studi cakupan NEURONA meliputi: Stroke dan ...