The Relationship Between Hematoma Volume and Lesion Location with the Level of Consciousness in Hemorrhagic Stroke Patients at Gunung Jati Regional Hospital, Cirebon, in 2024
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A stroke is defined as an acute clinical manifestation of neurological dysfunction that persists for ? 24 hours. WHO states that in 2018, there were an estimated 50 million stroke patients worldwide, and every year, there are an additional 13.7 million stroke cases. Intracerebral Hemorrhage (ICH) is one of the most severe and fatal subtypes of cerebrovascular haemorrhage. The volume of bleeding and the location of the hematoma lesion are two things that can affect patient mortality. To analyze the relationship between the volume and location of hematoma lesions with the level of consciousness of hemorrhagic stroke patients at Gunung Jati Regional Hospital Cirebon in 2024. This study is an analytic observational study with a cross-sectional approach. Data collection using total sampling in accordance with the inclusion criteria of as many as 40 samples. The population in this study consists of hemorrhagic stroke patients at Gunung Jati Regional Hospital Cirebon in 2024. The data that has been collected is processed using univariate and bivariate analysis. Bivariate analysis using the Spearman test. The hematoma volume was ? 30 mL and the lesion location was in the parietal lobe. The results of the analysis of the volume of hematoma with the level of consciousness obtained a p-value of 0.000 (? 0.05) with an R-value of 0.529, showing a significant relationship with fairly strong strength and positive relationship direction. As for the location of the hematoma lesion with the level of consciousness, the p-value is 0.007 (? 0.05) with an R-value of 0.422, indicating a relationship with fairly strong strength and negative relationship direction. There is a significant relationship between the volume and location of hematoma lesions and the level of consciousness of hemorrhagic stroke patients.
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