The use of Syiah Kuala stroke scale in stroke patients as a fast and accurate diagnosis method

Abstract

Background: The computed tomography scan image is a consistent golden standard in determining diagnosis the kind of stroke (ischemic and hemorrhage). The computed tomography scan facility at he Zainoel Abidin Public Hospital is only available very recently, while health delivery facilities in the districts and townships in the province of Aceh do not yet have such an important facility. Therefore, there is a need to have a diagnosis guideline such as an accurate and fast stroke scale representative for the provincial condition need currently, so that it helps the health service personnel to establish diagnosis and kind of stroke fast and accurately like the results of the computed tomography scan. The diagnosis and determining the kind of stroke fast and accurately is the key to the successful treatment management of stroke patients. Objective: This study is aimed to create a clinical guideline in the form of stroke scale which can help health personal to establish the diagnosis and the kind of stroke fast and accurately Method: This is a cross-sectional study which is followed by creating a stroke scale to establish a diagnosis and the kind of stroke. This procedure is followed by diagnostic test to see the capability of the scale in diagnosing the kind of stroke and comparing to the golden standardized computed tomography scan result of the brain. Result: The independent predictor on the kind of stroke are the Glasgow Coma Scale (p = 0.0013), headache (p = 0.22), vomiting (p = 0.014), and diastolic pressure (p = 0.024). The predictor of the kind of stroke is the total value of each component. The total score of the subject is 0, 1, 2, 3, 4, 5 each has hemorrhage stroke probability 1.3%, 9.2-13.16%, 52.7-63.5%, 92.5-95.1% and 93%. Conclusion: A stroke scale was found consisting of four components. The probability of the kind of stroke is comparable to the increase of total score found.