ORIGINAL ARTICLE

Clinical profile of patients with cerebrovascular disease at Stroke Unit, Sanglah General Hospital, Denpasar, Bali

Kumara Tini , I Dewa Putu Gde Purwa Samatra, Kadek Adit Wiryadana, I Gede Putu Supadmanaba

Kumara Tini
Neurology Department, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital. Email: [email protected]

I Dewa Putu Gde Purwa Samatra
Neurology Department, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital

Kadek Adit Wiryadana
Faculty of Medicine, Universitas Udayana

I Gede Putu Supadmanaba
Biochemistry Department, Faculty of Medicine, Udayana University
Online First: April 01, 2020 | Cite this Article
Tini, K., Samatra, I., Wiryadana, K., Supadmanaba, I. 2020. Clinical profile of patients with cerebrovascular disease at Stroke Unit, Sanglah General Hospital, Denpasar, Bali. Bali Medical Journal 9(1): 129-136. DOI:10.15562/bmj.v9i1.1665


Introduction. Stroke is the leading cause of disability and has a high mortality rate with most death occur in developing countries. Unfortunately, only a few informations available about strokes in developing countries, including Indonesia. Thus, this research aimed to provide a general overview of stroke patients from stroke unit in Bali, Indonesia.

Methods. A cross-sectional study was carried out in Sanglah General Hospital, Denpasar Bali between August 2017 – January 2018 evaluating newly admitted stroke patients. There was no age limit, both male and female were enrolled. Data related to socio-demographic, risk factors, clinical features, and imaging result were extracted from medical records.

Results. A total of 82 subjects were enrolled. Strokes were more common in males (61%) with most affected age group was 50-59 years (29.3%) and young stroke (age ≤45 years) accounted for 19.5% of the cases. Ischemic stroke (53.7%) was more common type encountered, and hypertension (76.8.3%) was leading risk factor. First-time stroke accounts for 80.5% while recurrent stroke accounts for 19.5% with 3.6% admitted for the ≥3 episodes. Overall, territories of middle cerebral artery including basal ganglia (25%) and internal capsule (20.5%) were frequently affected in ischemic stroke while lenticular-capsular (44.7) and lobar structure (18.4%) in hemorrhagic stroke. Typical chief clinical presentation was hemiparesis (42.7%) and altered consciousness (26.8%).

Conclusions. Stroke tends to affect late adult with male predominance and hypertension as leading risk factor. Ischemic stroke was the most common type. There were differences in clinical presentations and anatomic site preferences between hemorrhagic and ischemic stroke.

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