Electronic Theses and Dissertation

Stroke merupakan gangguan neurologis yang paling banyak dijumpai dan termasuk penyebab utama mortalitas serta disabilitas di dunia. Stroke terbagi menjadi dua jenis, yaitu iskemik dan hemoragik yang dapat diidentifikasi melalui pemeriksaaan CT Scan kepala sebagai Gold Standard. CT Scan kepala yang dilakukan segera setelah timbulnya gejala dengan hasil berupa oklusi salah satu pembuluh darah utama otak yaitu arteri cerebri media, dapat dilakukan penilaian ASPECT Score. ASPECT Score merupakan penilaian sepuluh area yang divaskularisasi arteri cerebri media, bila £3 area mengalami oklusi maka skor baik. Sebaliknya bila 37 area mengalami oklusi maka skor buruk. Sementara itu terdapat tool lain yaitu Indeks Barthel yang dinilai saat awal masuk dan saat pulang setelah menjalani perawatan, sehingga dapat digunakan untuk memprediksi outcome pasien stroke. Berdasarkan uraian tersebut maka penulis tertarik meneliti mengenai korelasi ASPECT Score dengan outcome pasien yang dinilai menggunakan indeks barthel. Jenis penelitian ini adalah analitik observasional dengan design cross sectional. Pengambilan data dilakukan pada bulan Agustus 2023, subjek penelitian adalah pasien stroke iskemik bulan Oktober-Desember 2022 di RSUD dr.Zainoel Abidin Banda Aceh yang berjumlah 52 pasien. Hasil analisis data menggunakan uji Spearman rank didapatkan kesimpulan bahwa terdapat hubungan yang signifikan dengan kekuatan hubungan sedang atau moderate dan arah hubungan positif antara gambaran CT Scan kepala dengan outcome pasien stroke iskemik karena didapatkan nilai r = 0,368 dan nilai P value = 0,007. Kesimpulan yang dapat diambil berdasarkan uji korelasi spearman adalah terdapat hubungan yang signifikan antara gambaran CT Scan kepala dengan outcome pada pasien stroke iskemik dengan hubungan yang sedang dan arah hubungan positif, yang artinya semakin tinggi Aspect score maka semakin tinggi skor Barthel Indeks.
Kata Kunci: Stroke iskemik, CT Scan kepala, Aspect Score, Barthel Indeks.

Stroke is the most common neurological disorder and is the main cause of mortality and disability in the world. Stroke is divided into two types, ischemic and hemorrhagic which can be identified through a CT scan of the head as Gold Standard. A CT scan of the head carried out immediately after the onset of symptoms with results in the form of occlusion of one of the main blood vessels of the brain, namely the middle cerebral artery, can be assessed by the ASPECT Score. ASPECT Score is an assessment of ten areas vascularized by the middle cerebral artery, if £3 areas are occluded then the score is good. Conversely, if 37 areas experience occlusion then the score is bad. Meanwhile, there is another tool, namely the Barthel Index, which is assessed at initial admission and at discharge after undergoing treatment, so it can be used to predict the outcome of stroke patients. Based on this description, the author is interested in researching the correlation of the ASPECT Score with patient outcomes assessed using the Barthel index. This type of research is observational analityc with cross sectional design. Data collection was carried out on August 2023, the research subjects were ischemic stroke patients in October-December 2022 at dr. Zainoel Abidin Hospital Banda Aceh, totaling 52 patients. The results of analysis using the spearman rank test concluded that there was a significant relationship with the strength of the relationship being or moderate and the direction of the positive relationship between the head CT Scan and ischemic stroke outcomes because the calculated r = 0,368 and the value of p = 0,007 . The conclusion that can be drawn is based on the spearman correlation test, there is a significant relationship between head CT Scan images and outcomes in ischemic stroke patients with moderate relationship and the direction of the relationship is positive, which means that the higher the Aspect Score, the higher the Barthel Index score. Keywords: Ischemic stroke, head CT Scan, Aspects Score, Barthel Index.