In-Hospital Complications are Associated with Prolonged Length of Stay in Acute Ischemic Stroke Patients

Lisda Amalia

Abstract


Background and Objective: Stroke is an economic and health burden for patients, society, and health services; and one is the length of stay hospitalization. Ischemic stroke patients with hospitalization <7 days indicate the quality of hospital stroke services. This study aimed to compare the clinical characteristics of ischemic stroke patients during hospitalization at Dr. Hasan Sadikin Hospital Bandung, Indonesia.
Subject and Method: This study was cross-sectional, with a sample research subjects of all ischemic stroke patients from January to April 2023 at Dr. Hasan Sadikin General Hospital Bandung, Indonesia were divided into 2 groups, namely the ≤ 7 days and the > 7 days group. The indicators characteristics were age, onset, National Institute of Health of Stroke Scale (NIHSS), Neutrophyl-to-Lymphocyte Ratio (NLR), and complications obtained through medical records. Statistical analysis was calculated using the Mann-Whitney and Fisher correlation tests.
Results: A total of 59 subjects, there are no significance difference (p>0.05) on variables of age (median 58 vs 63 years), onset (median 11 vs 7 hours), NIHSS (median 6 vs 8), and NLR (median 3.22 vs 4.41). In-hospital complications such as infection and hyponatremia, was significantly different between two groups (p<0.05). Conclusion: In-hospital complications are associated with prolonged length of stay in patients with acute ischemic stroke. This can be the basis for developing strategies to increase the indicators management of stroke services by reducing the complication ischemic stroke during hospitalization.


Keywords


In-hospital complication, ischemic stroke, length of stay

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References


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DOI: https://doi.org/10.24244/jni.v15i2.767

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