Perbandingan antara Tindakan Dekompresi Hemikraniektomi Evakuasi dengan Kraniotomi Evakuasi terhadap Hasil Luaran Pasien Perdarahan Intraserebral Spontan dengan Glasgow Coma Scale < 9

Abstract

Background and Objective:Indonesian stroke prevalence based upon 2013 Indonesian Health Ministry database that was diagnosed by health professionals was 12.1/mil. West Java was ranked 13 out of 33 provinces with a stroke prevalence of 6.6%. Coma patients with ICH are a special condition because of the high mortality rate and improper therapy. The aim of this study was to analyze the comparison between evacuative hemicraniectomy decompression and craniotomy evacuation upon spontaneous ICH patients with GCS < 9. Subject and Method:This research was done during February-July 2016. The research used analytical cohort study with comparative analysis design. Employed statistical analysis was unpaired t-test with normal distribution or Mann Whitney if it was abnormal using SPSS ver. 17. Result:There were 16 samples that met research inclusion criteria. The results of postoperative NIHS score comparison between decompressive hemicraniectomy and craniotomy showed significant difference with p = 0.021 (p<0.05). Meanwhile for postoperative midline shift and less than 30 days mortality didn’t demonstrate significant difference with respective were p = 0.328 and p = 1.00. Conclusion: Evacuative hemicraniectomy decompression gave better outcome compared with craniotomy evacuation upon spontaneous basal ganglia ICH patients with GCS < 9 using NIHS score assessment