Luaran Perdarahan Intra Serebral Spontan Supratentorial yang Dilakukan Operasi Evakuasi Hematom di Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo Menggunakan Modified Rankin Scale Periode Januari 2013Agustus 2014 = Outcome of Surgical Treatment in Spontaneous Supratentorial Intracerebral Haemorrhage Based on modified Rankin Scale in Neurosurgery Department, RSUPN Dr. Cipto Mangunkusumo, January 2013-August 2014.
| Main Author: | Ade Wirdayanto |
|---|---|
| Format: | Book xvi, 41 hlm.; 20 x 29 cm |
| Bahasa: | ind |
| Terbitan: |
Program Studi Ilmu Bedah Saraf
, 2016
|
| Subjects: | |
| Online Access: |
http://perpustakaan.fk.ui.ac.id/new-opac/index.php?p=show_detail&id=20390 |
| ctrlnum |
slims-20390 |
|---|---|
| fullrecord |
<?xml version="1.0"?>
<dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><title>Luaran Perdarahan Intra Serebral Spontan Supratentorial yang Dilakukan Operasi Evakuasi Hematom di Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo Menggunakan Modified Rankin Scale Periode Januari 2013Agustus 2014 = Outcome of Surgical Treatment in Spontaneous Supratentorial Intracerebral Haemorrhage Based on modified Rankin Scale in Neurosurgery Department, RSUPN Dr. Cipto Mangunkusumo, January 2013-August 2014.</title><creator>Ade Wirdayanto</creator><publisher>Program Studi Ilmu Bedah Saraf</publisher><date>2016</date><language>ind</language><type>Book:Book</type><identifier>http://perpustakaan.fk.ui.ac.id/new-opac/index.php?p=show_detail&id=20390</identifier><identifier>T 16 002 FK</identifier><description>Latar Belakang Perdarahan intraserebral spontan (PISS) berkaitan dengan luaran yang buruk dibandingkan dengan infark serebral, dapat menyebabkan disabilitas berat, yaitu menyebabkan kecacatan fisik, psikologis, dan fungsi sosial. Pada pasien yang secara CT scan terbukti terdapat hematom intraserebral supratentorial, pembedahan dan perawatan neurointensif mengurangi angka kematian atau kecacatan dibandingkan hanya dengan terapi medis saja. Pembedahan yang dilakukan dapat meningkatkan luaran pasien dengan PISS yang selektif. Tujuan Menilai luaran 6 bulan pasca operasi penderita perdarahan intraserebral spontan supratentorial yang di kelola Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2013-Agustus 2014 serta faktor-faktor yang mempengaruhi luaran tersebut. Metode Penelitian ini merupakan penelitian potong lintang terhadap pasien perdarahan intra serebral spontan supratentorial yang dilakukan operasi evakuasi hematom di Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2013-Agustus 2014 menggunakan modified Rankin Scale (mRS). Data penelitian ini diperoleh melalui catatan rekam medis. Hasil Luaran 6 bulan setelah dilakukan operasi didapatkan luaran independent 7 pasien (38,9%) dan dependent 11 pasien (61,1%). Tidak didapatkan pasien meninggal selama follow up 6 bulan setelah operasi dari data ini. Berdasarkan lokasi perdarahan supratentorial, perdarahan lobar dengan luaran lebih baik dimana luaran independent 50% dibandingkan perdarahan deep seated dengan luaran independent 16,7%. Faktor faktor yang mempengaruhi seperti jenis kelamin,GCS, volume hematom, komorbiditas hipertensi serta diabetes melitus dan jenis tindakan tidak dapat dilakukan uji kemaknaan karena jumlah sampel yang sedikit. Kesimpulan Luaran 6 bulan PISS supratentorial pasca operasi evakuasi hematom secara keseluruhan didapatkan lebih banyak dependent dibandingkan independent, dimana pasien perdarahan intraserebral spontan supratentorial lobar lebih baik dibandingkan dengan deep seated. Kata Kunci : Perdarahan intraserebral spontan supratentorial, modified Rankin ScaleBackground Spontaneous intracerebral hemorrhage associated with poor outcomes compared with cerebral infarction, can cause severe disability, that causes physical disability, psychological, and social functioning. In patients who are the CT scan proved there supratentorial intracerebral hematoma, surgery and neurointensive care reduce mortality or disability compared only with medical therapy alone. Surgery can improve the outcome of patients with selective spontaneous intracerebral hemorrhage. Purpose Assessing outcomes 6 months postoperatively supratentorial spontaneous intracerebral hemorrhage patients who managed the Department of Neurosurgery Dr. Cipto Mangunkusumo Hospital, the period January 2013-August 2014 and the factors that affect these outcomes. Method A cross sectional study on patients with supratentorial spontaneous intracerebral hemorrhage and evacuation operation conducted in the Department of Neurosurgery Dr. Cipto Mangunkusumo Hospital the period January 2013-August 2014. Evaluate outcomes using the modified Rankin Scale (mRS). The research data was obtained through medical record. Result Outcome 6 months after surgery obtained independent outcomes 7 patients (38.9%) and dependent 11 patients (61.1%). There were no patients died during the follow-up 6 months after surgery of this data. Based on the location supratentorial hemorrhage, lobar hemorrhage with better outcomes in which the outcome of the independent 50% compared to the deep-seated bleeding with independent outputs of 16.7%. Factors influencing such as sex, GCS, hematoma volume, comorbid hypertension and diabetes mellitus and type of action can not be performed because of the significance of test sample size slightly.Conclusion Outputs 6 months postoperatively PISS supratentorial hematoma evacuation as a whole gained more dependent than independent, which supratentorial spontaneous intracerebral hemorrhage patients with lobar better than the deep-seated.Keywords : Spontaneous intracerebral hemorrhage, modified Rankin Scale</description><coverage>Jakarta</coverage><type>Other:xvi, 41 hlm.; 20 x 29 cm</type><subject>NONE</subject><image>http://perpustakaan.fk.ui.ac.id/new-opac/images/default/image.png</image><recordID>slims-20390</recordID></dc>
|
| language |
ind |
| format |
Book:Book Book Other:xvi, 41 hlm.; 20 x 29 cm Other |
| author |
Ade Wirdayanto |
| title |
Luaran Perdarahan Intra Serebral Spontan Supratentorial yang Dilakukan Operasi Evakuasi Hematom di Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo Menggunakan Modified Rankin Scale Periode Januari 2013Agustus 2014 = Outcome of Surgical Treatment in Spontaneous Supratentorial Intracerebral Haemorrhage Based on modified Rankin Scale in Neurosurgery Department, RSUPN Dr. Cipto Mangunkusumo, January 2013-August 2014. |
| publisher |
Program Studi Ilmu Bedah Saraf |
| publishDate |
2016 |
| topic |
NONE |
| url |
http://perpustakaan.fk.ui.ac.id/new-opac/index.php?p=show_detail&id=20390 |
| contents |
Latar Belakang Perdarahan intraserebral spontan (PISS) berkaitan dengan luaran yang buruk dibandingkan dengan infark serebral, dapat menyebabkan disabilitas berat, yaitu menyebabkan kecacatan fisik, psikologis, dan fungsi sosial. Pada pasien yang secara CT scan terbukti terdapat hematom intraserebral supratentorial, pembedahan dan perawatan neurointensif mengurangi angka kematian atau kecacatan dibandingkan hanya dengan terapi medis saja. Pembedahan yang dilakukan dapat meningkatkan luaran pasien dengan PISS yang selektif. Tujuan Menilai luaran 6 bulan pasca operasi penderita perdarahan intraserebral spontan supratentorial yang di kelola Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2013-Agustus 2014 serta faktor-faktor yang mempengaruhi luaran tersebut. Metode Penelitian ini merupakan penelitian potong lintang terhadap pasien perdarahan intra serebral spontan supratentorial yang dilakukan operasi evakuasi hematom di Departemen Bedah Saraf RSUPN Dr. Cipto Mangunkusumo periode Januari 2013-Agustus 2014 menggunakan modified Rankin Scale (mRS). Data penelitian ini diperoleh melalui catatan rekam medis. Hasil Luaran 6 bulan setelah dilakukan operasi didapatkan luaran independent 7 pasien (38,9%) dan dependent 11 pasien (61,1%). Tidak didapatkan pasien meninggal selama follow up 6 bulan setelah operasi dari data ini. Berdasarkan lokasi perdarahan supratentorial, perdarahan lobar dengan luaran lebih baik dimana luaran independent 50% dibandingkan perdarahan deep seated dengan luaran independent 16,7%. Faktor faktor yang mempengaruhi seperti jenis kelamin,GCS, volume hematom, komorbiditas hipertensi serta diabetes melitus dan jenis tindakan tidak dapat dilakukan uji kemaknaan karena jumlah sampel yang sedikit. Kesimpulan Luaran 6 bulan PISS supratentorial pasca operasi evakuasi hematom secara keseluruhan didapatkan lebih banyak dependent dibandingkan independent, dimana pasien perdarahan intraserebral spontan supratentorial lobar lebih baik dibandingkan dengan deep seated. Kata Kunci : Perdarahan intraserebral spontan supratentorial, modified Rankin ScaleBackground Spontaneous intracerebral hemorrhage associated with poor outcomes compared with cerebral infarction, can cause severe disability, that causes physical disability, psychological, and social functioning. In patients who are the CT scan proved there supratentorial intracerebral hematoma, surgery and neurointensive care reduce mortality or disability compared only with medical therapy alone. Surgery can improve the outcome of patients with selective spontaneous intracerebral hemorrhage. Purpose Assessing outcomes 6 months postoperatively supratentorial spontaneous intracerebral hemorrhage patients who managed the Department of Neurosurgery Dr. Cipto Mangunkusumo Hospital, the period January 2013-August 2014 and the factors that affect these outcomes. Method A cross sectional study on patients with supratentorial spontaneous intracerebral hemorrhage and evacuation operation conducted in the Department of Neurosurgery Dr. Cipto Mangunkusumo Hospital the period January 2013-August 2014. Evaluate outcomes using the modified Rankin Scale (mRS). The research data was obtained through medical record. Result Outcome 6 months after surgery obtained independent outcomes 7 patients (38.9%) and dependent 11 patients (61.1%). There were no patients died during the follow-up 6 months after surgery of this data. Based on the location supratentorial hemorrhage, lobar hemorrhage with better outcomes in which the outcome of the independent 50% compared to the deep-seated bleeding with independent outputs of 16.7%. Factors influencing such as sex, GCS, hematoma volume, comorbid hypertension and diabetes mellitus and type of action can not be performed because of the significance of test sample size slightly.Conclusion Outputs 6 months postoperatively PISS supratentorial hematoma evacuation as a whole gained more dependent than independent, which supratentorial spontaneous intracerebral hemorrhage patients with lobar better than the deep-seated.Keywords : Spontaneous intracerebral hemorrhage, modified Rankin Scale |
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