Kurniawati, Nita, Supit, Alexander Paulus and Erwin, Ferdinand (2024) Analysis of Stroke Risk Factors on the Frequency of Recurrent Stroke Events in Acute Ischemic Stroke Patients. Journal Widya Medika, 10 (2). pp. 76-89. ISSN eISSN 2623-2723, pISSN 2338-0373
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Abstract
Introduction: Ischemic strokes making up over three quarters of all cases are a major global cause of disability and mortality. Survivors face a 15% risk of recurrence within two years, with recurrent strokes often resulting in more severe neurological damage and increasing the risk of death and long-term disability. Methods: This retrospective cross-sectional study analyzed medical records from Gotong Royong Hospital in Surabaya from January 2023 to June 2024, selecting patients with acute ischemic stroke and a history of prior strokes. The data were descriptively analyzed and further examined using bivariate analysis to identify correlations with recurrent stroke episodes, followed by a multivariate regression analysis. Results: The study recruited 87 participants, predominantly male (64.4%), with an average age of 63.2 years and varying medical histories, including hypertension (79.3%), diabetes mellitus (46%), and dyslipidemia (31%). Bivariate analysis revealed no significant correlations between hypertension, diabetes, dyslipidemia, random blood glucose, HbA1C, and the number of previous strokes, although significant positive correlations were found between systolic and diastolic blood pressures, LDL cholesterol, and triglycerides with the number of previous strokes. The multivariate analysis showed that while systolic and diastolic blood pressures, LDL, and triglyceride levels collectively predicted the number of previous strokes (F-value of 6.851 and a p-value < 0.01), only the initial systolic (t = 3.887, p < 0.01) and diastolic blood pressures (t = 2.029, p = 0.046) were independently correlated with an increased number of strokes. Conclusions: Systolic and diastolic blood pressures were independently associated with frequency of recurrent stroke.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Ischemic Stroke, Recurrent Stroke, Hypertension, yslipidemia, Diabetes Melitus |
| Subjects: | Medicine |
| Divisions: | Journal Publication |
| Depositing User: | F.X. Hadi |
| Date Deposited: | 25 Jul 2025 03:14 |
| Last Modified: | 13 Aug 2025 03:44 |
| URI: | https://repositori.ukwms.ac.id/id/eprint/44233 |
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