Derajat Hipertensi dengan Kejadian Stroke Iskemik Berulang pada Pasien yang Dirawat di Rumah Sakit

Q: What are the key findings of this study?

A history of hypertension was not significantly correlated with the severity of acute ischemic stroke as measured by the NIHSS (p=0.773).

Q: What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Ischemic Stroke (n=101). Intervention: Hypertension vs. No history of hypertension. Primary outcome: Ischemic stroke severity as measured by the National Institute of Health Stroke Scale (NIHSS) (p=0.773).

Q: What does this research mean for the field?

A higher degree of hypertension is significantly associated with an increased incidence of recurrent ischemic stroke. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Nur'ain Towalu; Muhammad Isman Jusuf; Ibrahim Suleman

doi:10.31539/ht40ph16

June 30, 2026Journal of Telenursing (JOTING)Open Access

Derajat Hipertensi dengan Kejadian Stroke Iskemik Berulang pada Pasien yang Dirawat di Rumah Sakit

View Full Paper

Ask AI

Bookmark

Share

Key result

History of hypertension shows no correlation with acute ischemic stroke severity by NIHSS.

P=0.773
n=101

Why the study?

The relationship between hypertension levels and the incidence of recurrent ischemic stroke in ischemic stroke patients was not well established.

Key Points

To determine the relationship between hypertension levels and the incidence of recurrent ischemic stroke among hospitalized ischemic stroke patients.
Quantitative observational analytic design with a cross-sectional approach.
Sample of 70 respondents selected by purposive sampling from a population of 225 ischemic stroke patients across two regional hospitals.
Data extracted from medical records using a checklist and analyzed with the Chi-Square test.
Grade 3 hypertension occurred in 38 respondents (54.3%), while recurrent ischemic stroke was documented in 39 respondents (55.7%).
Among the 39 respondents experiencing recurrent ischemic stroke, 28 respondents (71.8%) had grade 3 hypertension.
Chi-Square analysis identified a significant relationship between hypertension levels and recurrent ischemic stroke incidence (p=0.001).

Study Design

Type

Cross-Sectional (n=101)

Multicenter

No

Structured PICO

P

Population

101 patients with first-ever ischemic stroke admitted to Dr. Soetomo General Hospital in Indonesia, evaluated cross-sectionally for the association between hypertension and stroke severity.

E

Exposure

History of hypertension (systolic BP >140 mmHg and diastolic BP >90 mmHg based on JNC VII criteria)

C

Comparator

No history of hypertension

O

Outcome

Ischemic stroke severity measured by the National Institute of Health Stroke Scale (NIHSS)

Main Result

p-value: p=0.773

In this cohort of ischemic stroke patients, a prior history of hypertension did not significantly correlate with the severity of neurological deficits at admission as measured by the NIHSS.

Limitations

Lack of variation in stroke severity data, with the majority of the sample having mild strokes.
Did not investigate other factors affecting stroke outcomes such as stroke complications, heart disease, sleep apnea, or deep vein thrombosis.
Sample lacked variation, with unbalanced numbers among mild, moderate, and severe stroke categories
Did not examine other variables affecting stroke outcome such as complications, arrhythmias, infections, sleep apnea, or deep vein thrombosis
Did not analyze the effect of specific therapies given to the patients that could have controlled blood pressure and affected clinical outcomes

Implication

No link to acute stroke severity on NIHSS; leaves open hypertension grade as recurrence factor in cross-sectional data.

Abstract

This study aims to determine the relationship between hypertension levels and the incidence of recurrent ischemic stroke in ischemic stroke patients at Dr. M.M. Dunda Limboto Regional General Hospital and Hasri Ainun Habibie Regional General Hospital. The method used was quantitative with an observational analytical design and a cross-sectional approach. The study population consisted of 225 ischemic stroke patients, with a sample of 70 respondents selected using a purposive sampling technique. Data were obtained from medical records using a checklist and analyzed using the Chi-Square test. The results showed that the majority of respondents experienced grade 3 hypertension (38 respondents (54.3%), and recurrent ischemic stroke (39 respondents (55.7%). Of the 39 respondents who experienced recurrent ischemic stroke, 28 respondents (71.8%) were in the grade 3 hypertension category. The Chi-Square test results showed a p-value of 0.001 (p<0.05), indicating a significant relationship between hypertension levels and the incidence of recurrent ischemic stroke. In conclusion, the higher the degree of hypertension, the greater the risk of recurrent ischemic stroke. Blood pressure control is necessary to prevent stroke recurrence.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Towalu et al. (2026) conducted a cross-sectional in Ischemic Stroke (n=101). Hypertension vs. No history of hypertension was evaluated on Ischemic stroke severity as measured by the National Institute of Health Stroke Scale (NIHSS) (p=0.773). A history of hypertension was not significantly correlated with the severity of acute ischemic stroke as measured by the NIHSS (p=0.773).

synapsesocial.com/papers/6ac6e3c182aa59ee98b3fe5e https://doi.org/10.31539/ht40ph16

View Full Paper

Ask AI

Bookmark

Share

Derajat Hipertensi dengan Kejadian Stroke Iskemik Berulang pada Pasien yang Dirawat di Rumah Sakit

Key Points

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

Derajat Hipertensi dengan Kejadian Stroke Iskemik Berulang pada Pasien yang Dirawat di Rumah Sakit

Key Points

Study Design

Structured PICO

Main Result

Limitations

Implication

Abstract

Discussion

Cite This Study

Keep reading

More related papers

More from Journal of Telenursing (JOTING)

Keep reading

More related papers

More from Journal of Telenursing (JOTING)