Perbandingan Kadar Profil Lipid Pasien Stroke Iskemik dan Hemoragik di RSUD Sultan Imanuddin Kotawaringin Barat

Abstrak

Stroke is the third leading non-communicable cause of death worldwide, with a prevalence in Indonesia reaching 10.9% of cases per year. One of the causes of stroke is dyslipidemia, a condition characterized by abnormal lipid levels in the bloodstream, which poses a significant risk factor for cardiovascular diseases. This study aims to compare total cholesterol, triglycerides, LDL, and HDL levels in patients with hemorrhagic and ischemic stroke at Sultan Imanuddin Regional General Hospital, Pangkalan Bun, using a quantitative analytical research design with a cross-sectional approach. Data were collected using purposive sampling from secondary data in the form of medical records of hemorrhagic and ischemic stroke patients at Sultan Imanuddin Regional General Hospital, Kotawaringin Barat, Pangkalan Bun, for the period of January–December 2023. Homogeneity testing was conducted using the Levene test, while data normality was assessed using the Kolmogorov-Smirnov method. Data analysis was performed using a non-parametric statistical test, specifically the Mann-Whitney test. The study results showed that the mean levels of total cholesterol, triglycerides, LDL, and HDL were 198±48, 130±69, 129±45, and 41±15 mg/dL in ischemic stroke patients, and 189±60, 105±55, 119±54, and 47±13 mg/dL in hemorrhagic stroke patients. The results of the Mann-Whitney test showed a significant difference in lipid profile levels in patients with ischemic stroke and hemorrhagic stroke. The results of the binary logistic regression test showed that in LDL and HDL levels there was a significant difference in ischemic and hemorrhagic stroke patients, while there was no difference between total cholesterol and triglyceride levels in ischemic and hemorrhagic stroke patients. In conclusion, lipid profile levels play an important role in distinguishing between hemorrhagic and ischemic stroke and can serve as an indicator for stroke risk assessment