The Risk Factor of Recurrence Stroke Among Stroke and Transient Ischemic Attack Patients in Indonesia
Background: Stroke described as a disruption of blood ﬂow in the brain which can lead to brain malfunction, neurological deﬁcits, and even death. Although with good management in acute period, the incidence of recurrent stroke still increasing every year.
Objectives: This study aimed to determine the dominant risk factor of stroke recurrence. Methods: This study was a cross sectional descriptive study with 274 strokes patients as samples. The samples were recruited from one of general hospital specialize in neurology disorders in Jakarta, Indonesia.
Results: The result indicated a signiﬁcant correlation between cardiovascular disorders, cholesterol, and activity with incidence of stroke recurrent (p<0.05). The dominant risk factor in this study was obesity event (OR = 0.616)
Conclusion: Besides the dominant factor, there were 3 factors that signiﬁcantly affect stroke recurrence; cardiovascular disorders, hypercholesterolemia, and physical activity. Nurses should be more aware that some patients may still have risk factors of stroke recurrence even they have discharged from hospital. With some efforts like health education and controlling the factors can help to reduce the risk of stroke recurrence.
 Black, JM, & Hawks, JH (2014). Medical Surgical Nursing: Clinical Management of Expected Results
 Bararah, T and Jauhar, M.. (2013). Nursing Care Complete Guide Becoming a Professional Nurse. Jakarta: Achievements Pustakaraya.
 Larry, GB (2011). Left atrial enlargement: A cause of stroke? CMAJ. https://doi.org/10.1503/cmaj.110617
 Laily, SR (2017). Relationship characteristics and Hypertension Patients with Ischemic Stroke Genesis. Periodic Journal of Epidemiology. https://doi.org/10.20473/jbe.v5i1.
 Riskesdas. (2018). Main results Riskesdas 2018. The Ministry of Health of the Republic of Indonesia. https://doi.org/1 December 2013
 Sinaga, J., & Sembiring, E. (2013). Recurrent Stroke Prevention Through, 143-150.
 Saengsuwan, J., & Suangpho, P. (2019). Self-Perceived and Actual Risk of Further Recurrent Stroke in Patients with Recurrent Stroke or Transient Ischemic Attack in Thailand. Journal of Stroke and Cerebrovascular Diseases. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.11.001
 Zheng, S., & Yao, B. (2019). Impact of risk factors for recurrence after the ﬁrst ischemic stroke in adults: A systematic review and meta-analysis. Journal of Clinical Neuroscience, 60, 24-30. https: //doi.org/10.1016/j.jocn.2018.10.026
 Mulyatsih, E. (2010). Stroke, Guidelines Post-Stroke Patient Care at Home. Jakarta: FKUI.
 Siswanto, Y. (2006). Some risk factors that affect the incidence of recurrent stroke (Case Study at Dr Kariadi Semarang). Stroke.
 Kristiyawati,SP(2008).AnalysisofRiskFactorsAssociatedwithStrokeincidenceinPantiWilasaCitarum Hospital Semarang.
 Koto, F. (2011). Risk Factors Stroke incidence in hospitals in 2011, (a risk factor for stroke), 1-24. Jurnal Untad.
 Wahyunah, MS (2016). Analysis of Factors Associated with Stroke incidence in hospitals Indramayu.
 Permatasari, I. (2015). factors related to the incidence of recurrent stroke in patients with post-stroke, 151, 10-17. https://doi.org/10.1145/3132847.3132886
 He,Q.,Wu,C.,Guo,W.,Wang,ZY,Zhao,YF,Lu,J.,...He,J.(2017).Hospital-BasedStudyoftheFrequency and Risk Factors of Stroke recurrence in Two Years in China. Journal of Stroke and Cerebrovascular Diseases, 26 (11), 2494-2500. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.05.026
 Alway,D&Cole,J.(2012).Stroke essential for Primary Service.(L.Jonathan&Indra,Ed.).Jakarta:EGC.
 Hillen, T.,... Wolfe, CDA (2003). Cause of stroke recurrence is multifactorial: patterns, risk factors, and outcomes of stroke recurrence in the South London Stroke Register. Stroke. https://doi.org/http://dx. doi.org/10.1161/01.STR.0000072985.24967.7F
 Li,F.,Yang,L.,Yang,R.,Xu,W.,Chen,FP,Li,N.,&Zhang,JB(2017).IschemicStrokeinYoungAdultsof NorthernChina:CharacteristicsandRiskFactorsforrecurrence.European Neurology,77(3-4),115-122. https://doi.org/10.1159/000455093
 Shou, J., Zhou, L., Zhu, S., & Zhang, X. (2015). Diabetes is an Independent Risk Factor for Stroke recurrence in Stroke Patients: A Meta-analysis. Journal of Stroke and Cerebrovascular Diseases, 24 (9), 1961-1968. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.004
 Irdelia,RR,TriJoko,A.,&Bebasari,E.(2014).ProﬁleModiﬁableRiskFactorsinRecurrentStrokeCases at Ariﬁn Achmad Hospital in Riau province. Jom FK.
 Wurtiningsih,B.(2012).FamilySupportinPatientswithStrokeinSpaceDr.KariadiNeuroscienceHospital in Semarang, 1.
 Frost.,D.,R.(2015).Self-careself-efﬁcacycorrelateswithindependenceinbasicactivitiesofdailyliving in individuals with chronic stroke. Journal of Stroke and Cerebrovascular Diseases.
 J. Mackay and Mensah G. (2008). The Atlas of Heart Disease and Stroke.