I. Data Pribadi - Penyebab Mortalitas Pada Pasien Stroke Fase Akut Di Rumah Sakit Umum Pusat Haji Adam Malik Medan Januari 2011 – Desember 2011.
LAMPIRAN 1 DAFTAR RIWAYAT HIDUP I. Data Pribadi
Nama : Rio Nurdiansyah Batubara Tempat/ Tanggal Lahir : Padangsidimpuan / 26 Januari 1991 Agama : Islam Alamat : Jalan Sisingamangaraja No. 253A Medan Telepon : 061-7853820 II.
Riwayat Pendidikan
1. Tahun 1997-2003 : SD Negeri 142431 / 15 Padangsidimpuan
2. Tahun 2003-2006 : SMP Negeri 1 Padangsidimpuan
3. Tahun 2006-2009 : SMA Negeri 1 Padangsidimpuan III.
Riwayat Pelatihan - IV. Riwayat Organisasi 1. Tahun 2007-2008 : Anggota OSIS SMA Negeri 1 Padangsidimpuan.
2. Tahun 2008-2009 : Ketua Majelis Perwakilan Kelas (MPK) SMA Negeri 1 Padangsidimpuan.
LAMPIRAN 2
LEMBAR PENGUMPULAN DATA Data Pasien :
1. Nama :
2. Umur :
3. Jenis Kelamin :
4. Jenis Stroke :
5. Lama Perawatan :
6. Penyebab Kematian : a. Hidrosefalus
b. Edema Serebri
c. Kelainan Jantung
d. Pneumonia Aspirasi dan/atau Infeksi
e. Pulmonary Embolism
f. DVT
7. Nomor Rekam Medik :
Penyeba Jenis Lama Kelom Nomor
Na Tangga Jenis b Um Kelami Peraw pok Rekam ma l Lahir Stroke Kematia ur n atan Umur Medik n
Stroke 27/09/1 Laki- Edema
00.48.8 SR Hemoragi 46 40-49 965 Laki Serebri 1.38 k
Stroke 10/09/1 Laki- Edema
00.48.6 MS Hemoragi 78 70-79 933 Laki Serebri 1.22 k
Stroke 26/09/1 Perem Edema
00.48.8 E Hemoragi
1 57 50-59 954 puan Serebri 1.21 k
Stroke 11/11/1 Laki- Edema
00.48.5 M Hemoragi
1 43 40-49 967 Laki Serebri 0.71 k
Stroke 12/10/1 Perem Edema
00.46.6 Y Hemoragi
3 60 60-69 950 puan Serebri 7.92 k
Stroke 11/06/1 Perem Edema
00.46.5 S Hemoragi
3 70 70-79 940 puan Serebri 4.18 k
Stroke 01/07/1 Perem Edema
00.46.8 N Hemoragi
3 67 60-69 943 puan Serebri 4.10 k
Stroke 02/12/1 Laki- Edema
00.46.3 A Hemoragi
1 40 40-49 970 Laki Serebri 4.61 k
Stroke NS 08/09/1 Laki- Edema
00.49.3 Hemoragi 42 40-49 P 969 Laki Serebri
8.51 k Stroke Shock
SA 17/08/1 Perem
00.49.1 Hemoragi Hipovol 0,2 <10 R 911 puan
1.50 k emik Stroke
TB 05/10/1 Perem Edema
00.48.9 Hemoragi
1 51 50-59 B 960 puan Serebri
2.77 k Stroke
31/12/1 Perem Edema
00.48.1 A Hemoragi
1 70 70-79 940 puan Serebri 5.54 k
Stroke 30/09/1 Laki- Edema
00.48.1 SJS Hemoragi
2 73 70-79 937 Laki Serebri 0.69 k
Stroke Pneumo PH 31/12/1 Perem
00.48.1 Hemoragi 2 nia 72 70-79 dan/atau Infeksi
Pneumo Stroke nia
04/02/1 Perem
00.47.2 LP Hemoragi
3 Aspirasi 43 40-49 968 puan 1.60 k dan/atau
Infeksi Stroke
05/12/1 Laki- Edema
00.47.7 RT Hemoragi 52 50-59 958 Laki Serebri 8.14 k
Pneumo Stroke nia
SB 25/02/1 Perem
00.46.9 Hemoragi
3 Aspirasi 85 80-89 K 926 puan
4.71 k dan/atau Infeksi
Stroke 21/01/1 Perem Edema
00.46.0 Z Hemoragi
1 68 60-69 943 puan Serebri 1.94 k
Stroke 12/02/1 Laki- Edema
00.46.1 J Hemoragi
2 57 50-59 954 Laki Serebri 8.96 k
Stroke 10/05/1 Perem Edema
00.47.4 SM Hemoragi
1 53 50-59 958 puan Serebri 3.21 k
Stroke
IK 02/07/1 Perem Edema
00.47.7 Hemoragi 51 50-59 N 960 puan Serebri
5.07 k Stroke
10/10/1 Laki- Cardiac
00.47.7 T Hemoragi
3 52 50-59 958 Laki Arrest 6.19 k
Stroke 19/09/1 Laki- Edema
00.47.1 I Hemoragi
3 54 50-59 956 Laki Serebri 2.39 k
Stroke 01/05/1 Laki- Edema
00.47.0 GG Hemoragi
7 80 80-89 931 Laki Serebri 4.73 k
Stroke 27/12/1 Perem Edema
00.49.8 PB Hemoragi
2 70 70-79 941 puan Serebri 7.96 k
Stroke 19/11/1 Laki- Edema
00.49.4 BS Hemoragi 64 60-69 947 Laki Serebri 6.41 k
Stroke RB 06/06/1 Perem Edema
00.47.4 Hemoragi
2 68 60-69 G 943 puan Serebri
3.90 S 17/12/1
955 Perem puan
31/12/1 950
942 Laki-
Laki Stroke
Yang Tidak
Terdefeni sikan
1 Chronic Heart
Failure 69 60-69
00.45.3
1.64 AM 31/12/1
973 Laki-
Laki Stroke
Hemoragi k
4 Edema Serebri 38 30-39
00.48.0
0.35 SB G
Perem puan Stroke
00.46.9
Hemoragi k Edema Serebri 60 60-69
00.47.5
1.01 T 31/12/1
939 Perem puan
Stroke Hemoragi k
5 Pneumo nia Aspirasi dan/atau
Infeksi 71 70-79
00.47.5
2.11 RS 03/11/1
951 Perem puan
Stroke Hemoragi k
5 Pneumo nia Aspirasi dan/atau
Infeksi 59 50-59
00.47.5
0.26 R 16/04/1
1 Edema Serebri 48 40-49
Stroke Hemoragi k
7.06 H 01/01/1
1 Edema Serebri 65 60-69
00.49.8
3.58 DB T
31/12/1 955
Perem puan Stroke
Hemoragi k
7 Pneumo nia Aspirasi dan/atau
Infeksi 55 50-59
00.49.4
0.07 Y 14/12/1
959 Perem puan
Stroke Hemoragi k
2 Edema Serebri 51 50-59
00.48.7
961 Laki-
Stroke Hemoragi k
Laki Stroke
Hemoragi k
3 Pulmona ry Embolis m
50 50-59
00.46.6
9.38 AB 03/06/1
970 Laki-
Laki Stroke
Hemoragi k
8 Pneumo nia Aspirasi dan/atau
Infeksi 40 40-49
00.46.8
0.36 S 31/12/1
962 Perem puan
2.19 Pneumo Stroke nia
05/06/1 Laki-
00.47.3 RL Hemoragi Aspirasi 64 60-69 946 Laki 8.89 k dan/atau
Infeksi Stroke
PB 06/06/1 Perem Cardiac
00.47.4 Hemoragi
1 76 70-79 P 935 puan Arrest
4.64 k Stroke Pneumo
Yang nia 06/07/1 Laki-
00.44.9 JG Tidak
3 Aspirasi 55 50-59 956 Laki
4.52 Terdefeni dan/atau sikan Infeksi Pneumo nia
SP 06/06/1 Laki- Stroke
00.48.9
1 Aspirasi 42 40-49 L 969 Laki Iskemik
3.99 dan/atau Infeksi
Pulmona Stroke
TM 23/10/1 Laki- ry
00.38.6 Hemoragi
4 56 50-59 P 954 Laki Embolis
1.59 k m
Pneumo Stroke nia
10/12/1 Laki-
00.17.7 HR Hemoragi
2 Aspirasi 48 40-49 961 Laki 0.81 k dan/atau
Infeksi Pneumo nia
LB 30/12/1 Perem Stroke
00.25.3
1 Aspirasi 70 70-79 H 940 puan Iskemik
0.85 dan/atau Infeksi
Stroke 01/03/1 Laki- Edema
00.47.6 AS Hemoragi
1 63 60-69 948 Laki Serebri 2.32 k
Stroke 31/12/1 Perem Edema
00.47.2 P Hemoragi
1 65 60-69 945 puan Serebri 0.73 k
Pulmona Stroke
01/11/1 Laki- ry
00.47.1 J Hemoragi
1 30 30-39 980 Laki Embolis 1.81 k m
Stroke Pneumo 12/12/1 Laki- Yang nia
00.47.0 S
2 53 50-59 958 Laki Tidak Aspirasi
3.12 sikan Infeksi Stroke
31/12/1 Perem Edema
00.47.0 A Hemoragi
4 78 70-79 932 puan Serebri 2.12 k
Stroke 31/12/1 Laki- Cardiac
00.46.9 AS Hemoragi
4 50 50-59 960 Laki Arrest 6.97 k
Stroke 19/08/1 Perem Cardiac
00.48.4 Y Hemoragi
7 69 60-69 942 puan Arrest 0.28 k
Stroke 05/03/1 Perem Edema
00.48.4 N Hemoragi
5 15 10-19 996 puan Serebri 0.01 k
Stroke 31/12/1 Perem Edema
00.48.0 S Hemoragi
2 59 50-59 951 puan Serebri 6.24 k
Stroke 18/07/1 Perem Edema
00.47.4 JST Hemoragi
3 61 60-69 949 puan Serebri 5.43 k
Stroke 01/01/1 Perem Edema
00.47.2 JM Hemoragi
4 54 50-59 957 puan Serebri 8.49 k
01/01/1 Perem Stroke Cardiac
00.47.1 M 54 50-59 957 puan Iskemik Arrest
5.62 Stroke 17/05/1 Perem Edema
00.49.6 B Hemoragi
4 55 50-59 956 puan Serebri 3.78 k
Stroke 03/11/1 Perem Edema
00.49.6 R Hemoragi
8 41 40-49 970 puan Serebri 0.92 k
Pneumo Stroke nia
28/07/1 Laki-
00.49.1 SC Hemoragi
3 Aspirasi 60 60-69 951 Laki 5.14 k dan/atau
Infeksi Pneumo
Stroke nia 11/05/1 Laki-
00.49.7 S Hemoragi
2 Aspirasi 46 40-49 965 Laki 8.71 k dan/atau
Infeksi Pneumo
Stroke 07/02/1 Laki- nia
00.49.0 SN Hemoragi
3 61 60-69 950 Laki Aspirasi 4.59 k
Infeksi Pulmona
Stroke EL 05/05/1 Perem ry
00.47.1 Hemoragi
6 69 60-69 G 942 puan Embolis
1.60 k m
Pneumo nia MR 01/01/1 Laki- Stroke
00.47.2
3 Aspirasi 56 50-59 S 955 Laki Iskemik
1.87 dan/atau Infeksi
Stroke 24/12/1 Perem Edema
00.48.1 S Hemoragi
2 63 60-69 948 puan Serebri 2.18 k
Stroke 16/09/1 Laki- Edema
00.48.7 M Hemoragi
1 55 50-59 956 Laki Serebri 9.58 k
Stroke 12/12/1 Laki- Edema
00.48.6 S Hemoragi
1 43 40-49 968 Laki Serebri 8.49 k
Stroke 08/11/1 Laki- Edema
00.45.8 N Hemoragi
2 16 10-19 994 Laki Serebri 7.49 k
Stroke 20/02/1 Laki- Edema
00.48.9 MS Hemoragi
3 51 50-59 960 Laki Serebri 8.29 k
31/12/1 Laki- Stroke Edema
00.48.0 BM
1 59 50-59 951 Laki Iskemik Serebri
8.87 Stroke SB 21/08/1 Perem Edema
00.48.4 Hemoragi
1 65 60-69 S 946 puan Serebri
1.42 k Stroke
AA 08/08/1 Laki- Edema
00.49.6 Hemoragi
3 45 40-49 M 966 Laki Serebri
4.35 k Stroke
31/12/1 Perem Edema
00.49.6 LS Hemoragi
1 77 70-79 933 puan Serebri 4.43 k
Stroke 25/11/1 Perem Edema
00.49.7 S Hemoragi
2 51 50-59 960 puan Serebri 1.67 k
Stroke 01/07/1 Perem Edema
00.48.0 S Hemoragi
2 48 40-49 963 puan Serebri 8.69 k
BB 31/12/1 Perem Stroke Pulmona
00.40.5 68 60-69 Embolis m AR S
15/08/1 958
1.29 ST 01/07/1
3 Pneumo nia Aspirasi dan/atau
Infeksi 12 10-19
00.48.5
0.27 YY 04/05/1
971 Perem puan
Stroke Hemoragi k
7 Edema Serebri 40 40-49
00.48.6
9.26 I 19/09/1
937 Perem puan
Stroke Hemoragi k
4 Edema Serebri 74 70-79
00.48.7
959 Perem puan
Laki Stroke
Stroke Hemoragi k
Edema Serebri 52 50-59
00.48.8
1.37 P 08/08/1
951 Perem puan
Stroke Hemoragi k
Edema Serebri 60 60-69
00.48.9
6.51 AM 31/12/1
973 Laki-
Laki Stroke
Hemoragi k
3 Edema Serebri 38 30-39
00.48.0
Hemoragi k
998 Laki-
Laki- Laki
Laki- Laki
Stroke Yang
Tidak Terdefeni sikan
8 Cardiac Arrest 53 50-59
00.49.0
5.76 M 25/06/1
947 Laki-
Laki Stroke
Yang Tidak
Terdefeni sikan
1 Pulmona ry Embolis m
64 60-69
00.48.9
6.60 MR .X
01/01/1 951
Stroke Hemoragi k
0.15 H 31/12/1
1 Edema Serebri 60 60-69
00.49.6
2.17 L 19/08/1
980 Perem puan
Stroke Hemoragi k
8 Pneumo nia Aspirasi dan/atau
Infeksi 31 30-39
00.48.4
0.25 R 10/06/1
961 Perem puan
Stroke Hemoragi k
4 Pneumo nia Aspirasi dan/atau
Infeksi 50 50-59
00.48.5
0.35
965 puan Hemoragi k Serebri
3.84
LAMPIRAN 4
TABEL DISTRIBUSI FREKUENSI DAN STATISTIK
Penyebab KematianFrequency Percent Valid Percent Cumulative Percent Valid Edema Serebri
54 61,4 61,4 61,4 Cardiac Arrest 6 6,8 6,8 68,2 Pneumonia Aspirasi dan/atau Infeksi 20 22,7 22,7 90,9 Pulmonary Embolism 6 6,8 6,8 97,7 Shock Hipovolemik
1 1,1 1,1 98,9 Chronic Heart Failure 1 1,1 1,1 100,0 Total
88 100,0 100,0 Jenis Stroke
Frequency Percent Valid Percent Cumulative Percent Valid Stroke Hemoragik
77 87,5 87,5 87,5 Stroke Iskemik 6 6,8 6,8 94,3 Stroke Yang Tidak
Terdefenisikan 5 5,7 5,7 100,0 Total 88 100,0 100,0
Jenis Kelamin Frequency Percent Valid Percent Cumulative Percent
Valid Laki-Laki 40 45,5 45,5 45,5 Perempuan 48 54,5 54,5 100,0 Total 88 100,0 100,0
Kelompok Umur Frequency Percent Valid Percent Cumulative Percent
<10 1 1,1 1,1 1,1 10-19 3 3,4 3,4 4,5 30-39 4 4,5 4,5 9,1 40-49
16 18,2 18,2 27,3 Valid 50-59 28 31,8 31,8 59,1 60-69 22 25,0 25,0 84,1 70-79 12 13,6 13,6 97,7 80-89
2 2,3 2,3 100,0 Total 88 100,0 100,0
Lama Perawatan (Hari) Frequency Percent Valid Percent Cumulative Percent
13 14,8 14,8 14,8
1 23 26,1 26,1 40,9
2 14 15,9 15,9 56,8
3 17 19,3 19,3 76,1
4 8 9,1 9,1 85,2 Valid 5 3 3,4 3,4 88,6
6 1 1,1 1,1 89,8
7 5 5,7 5,7 95,5
8 4 4,5 4,5 100,0 Total 88 100,0 100,0