| Summary: | Background: Stroke is still a health problem in the world and Indonesia because
it is the leading cause of death in developing conutries, high prevalence and
incidence, disability incurred, the cost to be incurred, and began shifting stroke at
a young age. This encourages efforts to improve the management of stroke
outcome. American Heart Association (AHA)/American Stroke Association
(ASA) has developed a program to improve the quality of management of stroke
\"Get With The Guidelines (GWTG) stroke\" which focused on the redesign of
systems of stroke care in the Hospital and has been adopted by many countries
including Indonesia (PERDOSSI, 2011). Although the recommendation is
widespread, clinical practice guidelines only a limited effect on changing
physician behavior, including the importance of guidelines on secondary
prevention of stroke.
Objective: This study aimed to evaluate the quality of care for secondary
prevention of stroke in patients with non-hemorrhagic stroke (ischemic stroke and
TIA) in clinical neurologist Muntilan Hospital Magelang regency.General
Hospital.
Methode: A cross-sectional survey of clinical audit with criteria and standards
modification criteria and standards of Chen, et al., (2011). Modification is based
on stroke guidelines PERDOSSI, 2011. Subjects were all patient records are
examined and diagnosed as non-hemorrhagic stroke in the period January 1
through December 31, 2012. Surveys using the checklist, whereas analysis and
improvement plan created by a team.
Result and Discussion: The results showed that in the case of detection of risk
factors for hypertension detection was optimal (100%). Deficiences found in the
detection of diabetes risk factors 61.88%, 10.83% dyslipidemia, smoking and
drinking alcohol 88.96%, and 83.75% physical activity. In terms of management,
deficiences found in 38.57% statin, and 83.75% in antiplatelet/anticoagulant
administration. Deficiences in control lifestyle modifications can not be assessed
because the data is not available. Deficiencies in secundary pevention of stroke
care target for the blood pressure 36.67% and 64.44% LDL-cholesterol.
Conclusion and Suggestion: The results show that the quality of secondary
prevention and secondary treatment target stroke has not been optimal. These
results indicate that efforts are needed to improve the quality of secondary
prevention of stroke by doctors and management in Muntilan General Hospital.
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