Improving the quality of care

Oct 13, 2025 by wbrum.org 71 views

Intracerebral Hemorrhage (ICH) Score Picture in Hemorrhagic Stroke Patients who are Hospitalized at H. Adam Malik Medan Hospital

Introduction

Stroke is a medical condition that has the potential to be life-threatening and has a significant impact on the risk of patient death. In Indonesia, the increasing prevalence of stroke, especially hemorrhagic stroke, demands more attention from medical parties and the community. This encourages the need for an effective clinical assessment model to measure and menstruate the risk of hemorrhagic stroke in a simple and reliable way. One of the methods used is intracerebral hemorrhage (ICH) score.

Background

Hemorrhagic stroke is a type of stroke that occurs when a blood vessel in the brain ruptures, causing bleeding in the brain. It is a medical emergency that requires immediate attention. The ICH score is a clinical assessment tool used to predict the outcome of patients with hemorrhagic stroke. It takes into account several factors, including the patient's age, Glasgow Coma Scale (GCS) score, and the volume of intracranial bleeding.

Methodology

This study used a descriptive design with a latitude cut approach. The data used in this study was taken from the medical record of the patient who was hospitalized, consisting of 50 patients in 2015 and 25 patients in 2016. All patients involved must meet the established inclusion and exclusion criteria.

Results

The results showed that the majority of hemorrhagic stroke patients who were hospitalized had an Ich Score of 2, which was 38.7%. In addition, the Glasgow Coma Scale (GCS) scores are largely in the range of 5 to 12, which covers 65.3% of the total patients. Another interesting thing is the volume of intracranial bleeding (ICH) ≥ 30 cm³ found in 58.7% of patients, while 61.3% of patients do not experience intraventricular bleeding. This study also noted that no patients experience infracentorial bleeding, with most patients under 80 years old (97.3%).

Discussion

The results of this study indicate that a hemorrhagic stroke patient treated at H. Adam Malik Medan Hospital has a relatively low Ich Score (≤ 2), with Ich Score 2 being the most often found. These results indicate that most patients may have better prognosis, but still require appropriate attention and treatment to reduce the risk of further complications.

Conclusion

With the increasing knowledge of the Ich Score picture in hemorrhagic stroke patients, it is expected to contribute to efforts to improve the quality of care and handling stroke patients in Indonesia. Through a good assessment model, medical personnel can take more appropriate steps in planning therapy and predict the possibility of the results of the treatment given. Further research also needs to be done to understand other factors that may affect the prognosis of hemorrhagic stroke patients and provide more comprehensive recommendations in handling them.

Recommendations

Based on the results of this study, the following recommendations are made:

Improving the quality of care: The results of this study indicate that most patients have a relatively low Ich Score, which suggests that they may have a better prognosis. However, it is still important to provide appropriate attention and treatment to reduce the risk of further complications.
Developing a good assessment model: A good assessment model is essential in planning therapy and predicting the possibility of the results of the treatment given. Medical personnel should use a reliable and valid assessment tool to evaluate the patient's condition.
Further research: Further research is needed to understand other factors that may affect the prognosis of hemorrhagic stroke patients and provide more comprehensive recommendations in handling them.

Limitations

This study has several limitations, including:

Small sample size: The sample size of this study is relatively small, which may limit the generalizability of the results.
Selection bias: The patients included in this study may not be representative of all hemorrhagic stroke patients.
Limited data: The data used in this study is limited to the medical record of the patient who was hospitalized, which may not provide a comprehensive picture of the patient's condition.

Future Directions

Future studies should aim to:

Increase the sample size: Future studies should aim to increase the sample size to improve the generalizability of the results.
Use a more comprehensive data set: Future studies should use a more comprehensive data set to provide a better understanding of the patient's condition.
Explore other factors: Future studies should explore other factors that may affect the prognosis of hemorrhagic stroke patients and provide more comprehensive recommendations in handling them.

Conclusion

In conclusion, this study provides valuable insights into the Ich Score picture in hemorrhagic stroke patients who are hospitalized at H. Adam Malik Medan Hospital. The results indicate that most patients have a relatively low Ich Score, which suggests that they may have a better prognosis. However, it is still important to provide appropriate attention and treatment to reduce the risk of further complications. Further research is needed to understand other factors that may affect the prognosis of hemorrhagic stroke patients and provide more comprehensive recommendations in handling them.
Frequently Asked Questions (FAQs) about Intracerebral Hemorrhage (ICH) Score in Hemorrhagic Stroke Patients

Q: What is Intracerebral Hemorrhage (ICH) Score?

A: ICH score is a clinical assessment tool used to predict the outcome of patients with hemorrhagic stroke. It takes into account several factors, including the patient's age, Glasgow Coma Scale (GCS) score, and the volume of intracranial bleeding.

Q: What is the purpose of ICH score?

A: The purpose of ICH score is to provide a simple and reliable way to measure and predict the risk of hemorrhagic stroke in patients. It helps medical personnel to plan therapy and predict the possibility of the results of the treatment given.

Q: What are the factors that affect ICH score?

A: The factors that affect ICH score include:

Patient's age
Glasgow Coma Scale (GCS) score
Volume of intracranial bleeding
Presence of intraventricular bleeding
Presence of infracentorial bleeding

Q: What is the significance of ICH score in hemorrhagic stroke patients?

A: ICH score is significant in hemorrhagic stroke patients because it helps to predict the outcome of the patient. A low ICH score indicates a better prognosis, while a high ICH score indicates a worse prognosis.

Q: What are the limitations of ICH score?

A: The limitations of ICH score include:

Small sample size
Selection bias
Limited data
Limited generalizability

Q: What are the recommendations for improving the quality of care in hemorrhagic stroke patients?

A: The recommendations for improving the quality of care in hemorrhagic stroke patients include:

Improving the quality of care
Developing a good assessment model
Further research to understand other factors that may affect the prognosis of hemorrhagic stroke patients

Q: What are the future directions for research in ICH score?

A: The future directions for research in ICH score include:

Increasing the sample size
Using a more comprehensive data set
Exploring other factors that may affect the prognosis of hemorrhagic stroke patients

Q: What are the implications of ICH score in clinical practice?

A: The implications of ICH score in clinical practice include:

Using ICH score as a tool to predict the outcome of patients with hemorrhagic stroke
Developing a good assessment model to evaluate the patient's condition
Providing appropriate attention and treatment to reduce the risk of further complications

Q: What are the potential applications of ICH score in other fields?

A: The potential applications of ICH score in other fields include:

Neurosurgery
Neurology
Emergency medicine
Critical care medicine

Q: What are the potential limitations of ICH score in other fields?

A: The potential limitations of ICH score in other fields include:

Limited generalizability
Limited applicability to other conditions
Limited availability of data

Conclusion

In conclusion, ICH score is a valuable tool in predicting the outcome of patients with hemorrhagic stroke. It provides a simple and reliable way to measure and predict the risk of hemorrhagic stroke in patients. However, it is essential to consider the limitations of ICH score and to develop a good assessment model to evaluate the patient's condition. Further research is needed to understand other factors that may affect the prognosis of hemorrhagic stroke patients and to provide more comprehensive recommendations in handling them.