R Relationship between Prehospital Delay and Severity in Stroke Patients at Banjarmasin Hospital


  • Julianto Julianto Universitas Muhammadiyah Banjarmasin
  • Solikin Universitas Muhammadiyah Banjarmasin
  • Muhammad Firdaus Universitas Muhammadiyah Banjarmasin




Prehospital Delay, Severity, Stroke


Background: Stroke patients need golden time in treatment ±3 hours which means that in the first 3 hours after having a stroke the patient must get complete and optimal care.

Objective: To determine the relationship between prehospital delay and severity in stroke patients in Banjarmasin city hospitals.

Method: This research is a quantitative study using a correlational descriptive research design with a retrospective approach. Sampling was carried out using purposive sampling techniques, the sample in this study was 124 respondents. Data collection using prehospital observation of stroke patients with Spearman Rank statistical test.

Results: The results of statistical tests in this study obtained a p-value of 0.000 < 0.05 and it can be stated that there is a significant relationship between prehospital delay and the severity of stroke patients at Banjarmasin City Hospital. The relationship between these two variables indicates in the direction of a negative correlation with the Spearman Rank value - 0.948 which means that the relationship between the two variables has perfect relationship.

Conclusion: There is a significant relationship between prehospital delay and the severity of stroke patients at Banjarmasin City Hospital.


Download data is not yet available.


American Stroke Association. (2015). Complications After Stroke. American Heart Association.

Asgedom, S. W., Gidey, K., Gidey, K., Niriayo, Y. L., Desta, D. M., & Atey, T. M. (2020). Medical complications and mortality of hospitalized stroke patients. Journal of Stroke and Cerebrovascular Diseases, 29(8), 104990. https://doi.org/10.1016/J.JSTROKECEREBROVASDIS.2020.104990

Astina. (2020). Hubungan Antara Waktu Rujukan Dengan Tingkat Defisit Neurologis Pada Pasien Stroke Di RSUD Sultan Imanuddin Pangkalan Bun Tahun 2020. Repositori STIKES Borneo Cendekia Medika. http://repository.stikesbcm.ac.id/id/eprint/135/

Bahnasy, W. S., Ragab, O. A. A., & Elhassanien, M. E. (2019). Stroke onset to needle delay: Where these golden hours are lost? An Egyptian center experience. ENeurologicalSci, 14, 68. https://doi.org/10.1016/J.ENSCI.2019.01.003

Barahama, D. v, Tangkudung, G., & Kembuan, M. A. H. N. (2019). Faktor-Faktor Yang Berhubungan Dengan Keterlambatan kedatangan pasien Stroke di RSUP Prof. Dr. RD Kandou Manado. Jurnal E-Clinic (ECI), 7(1). https://ejournal.unsrat.ac.id/index.php/eclinic/article/view/22177

Boulanger, J. M., Lindsay, M. P., Gubitz, G., Smith, E. E., Stotts, G., Foley, N., Bhogal, S., Boyle, K., Braun, L., Goddard, T., Heran, M. K. S., Kanya-Forster, N., Lang, E., Lavoie, P., McClelland, M., O’Kelly, C., Pageau, P., Pettersen, J., Purvis, H., … Butcher, K. (2018). Canadian Stroke Best Practice Recommendations for Acute Stroke Management: Prehospital, Emergency Department, and Acute Inpatient Stroke Care, 6th Edition, Update 2018. Https://Doi.Org/10.1177/1747493018786616, 13(9), 949–984. https://doi.org/10.1177/1747493018786616

Chohan, S. A., Venkatesh, P. K., & How, C. H. (2019). Long-term complications of stroke and secondary prevention: an overview for primary care physicians. Singapore Medical Journal, 60(12), 616. https://doi.org/10.11622/SMEDJ.2019158

Damon, M. A. S., Basse, A. M., Sow, A. D., Bassole, P. R., Diop-Sene, M. S., Banzouzi, F. L., Santos, M. M. D., & Toure, K. (2022). Pre-hospital delay in patients with ischemic stroke in the Fann Teaching Hospital, Dakar, Senegal in 2020. The Pan African Medical Journal, 41. https://doi.org/10.11604/PAMJ.2022.41.79.30191

Dinkes Kalsel. (2021). Data Penderita Stroke kalimantan Selatan.

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): global stroke fact sheet 2022. Journals.Sagepub.Com, 17(1), 18–29. https://doi.org/10.1177/17474930211065917

Hakiki, S., & Kosasih, C. (2021). Studi Literatur: Scoping Review Gambaran Faktor Dalam Prehospital Delay Pada Pasien Stroke. Jurnal Perawat. http://journal.ppnijateng.org/index.php/jpi/article/view/869

Huang, Y., Xu, S., Hua, J., Zhu, D., Liu, C., Hu, Y., Liu, T., & Xu, D. (2015). Association between job strain and risk of incident stroke: A meta-analysis. Neurology, 85(19), 1648–1654. https://doi.org/10.1212/WNL.0000000000002098

Ishariani, L., & Rachmania, D. (2021). Hubungan Respon Time Keluarga dalam Membawa Pasien Stroke ke Pelayanan Kesehatan dengan Tingkat Keparahan Pasien Stroke. The Indonesian Journal of Health Science, 13(1). http://jurnal.unmuhjember.ac.id/index.php/TIJHS/article/view/5274

Kemenkes RI. (2018). Laporan Nasional Riset Kesehatan Dasar 2018. In www.litbang.kemkes.go.id. /laporan-riset-kesehatan-dasar-riskesdas/

Langhorne, P., Stott, D. J., Robertson, L., MacDonald, J., Jones, L., McAlpine, C., Dick, F., Taylor, G. S., & Murray, G. (2000). Medical Complications After Stroke. Stroke, 31(6), 1223–1229. https://doi.org/10.1161/01.STR.31.6.1223

Mkoma, G. F., Norredam, M., Iversen, H. K., Andersen, G., & Johnsen, S. P. (2022). Use of reperfusion therapy and time delay in patients with ischaemic stroke by immigration status: A register-based cohort study in Denmark. European Journal of Neurology, 29(7), 1952–1962. https://doi.org/10.1111/ENE.15303

Mohtar, M. S. (2019). Duration Relationship Help Damage Of Patients With Stroke Neorological In Ulin Hospital Banjarmasin. Ojs.Dinamikakesehatan.Unism.Ac.Id, 10(1), 2549–4058. https://doi.org/10.33859/dksm.v10i1

Rachmawati, D., Andarini, S., Ningsih, D. K., Studi, P., Blitar, K., Kesehatan, P., Malang, K., Fakultas, J. K., Universitas, K., & Malang, B. (2017). Pengetahuan Keluarga Berperan terhadap Keterlambatan Kedatangan Pasien Stroke Iskemik Akut di Instalasi Gawat Darurat. Jurnal Kedokteran Brawijaya, 29(4), 369–376. https://doi.org/10.21776/UB.JKB.2017.029.04.15

Rexrode, K. M., Madsen, T. E., Yu, A. Y. X., Carcel, C., Lichtman, J. H., & Miller, E. C. (2022). The Impact of Sex and Gender on Stroke. Circulation Research, 130(4), 512–528. https://doi.org/10.1161/CIRCRESAHA.121.319915

Roy-O’Reilly, M., & McCullough, L. D. (2018). Age and Sex Are Critical Factors in Ischemic Stroke Pathology. Endocrinology, 159(8), 3120–3131. https://doi.org/10.1210/EN.2018-00465

Sacco, R. L., Kasner, S. E., Broderick, J. P., Caplan, L. R., Connors, J. J., Culebras, A., Elkind, M. S. V., George, M. G., Hamdan, A. D., Higashida, R. T., Hoh, B. L., Janis, L. S., Kase, C. S., Kleindorfer, D. O., Lee, J. M., Moseley, M. E., Peterson, E. D., Turan, T. N., Valderrama, A. L., & Vinters, H. v. (2013). An Updated Definition of Stroke for the 21st Century. Stroke, 44(7), 2064–2089. https://doi.org/10.1161/STR.0B013E318296AECA

Saudin, D., Agoes, A., & Rini, I. S. (2016). Analisis Faktor Yang Mempengaruhi Keterlambatan Dalam Mengatasi Pasien Stroke Saat Merujuk Ke RSUD Jombang. Jurnal Kesehatan Hesti Wira Sakti, 4(2), 1–12. https://jurnal.poltekkes-soepraoen.ac.id/index.php/HWS/article/view/137

Saver, J. L., Smith, E. E., Fonarow, G. C., Reeves, M. J., Zhao, X., Olson, D. M., & Schwamm, L. H. (2010). The “Golden Hour” and Acute Brain Ischemia. Stroke, 41(7), 1431–1439. https://doi.org/10.1161/STROKEAHA.110.583815

Silviantri, F., An, A., & Rahmayanti, S. (2016). Hubungan Skor Glasgow Coma Scale Saat Masuk Rumah Sakit Dengan Mortalitas Pada Pasien Stroke Non Hemoragik Di RSUD Dokter Abdul Aziz Singkawang. Jurnal Untan.

Singh, D. P. K. (2021, October 28). World Stroke Day. World Health Organization. https://www.who.int/southeastasia/news/detail/28-10-2021-world-stroke-day

Waziry, R., Heshmatollah, A., Bos, D., Chibnik, L. B., Ikram, M. A., Hofman, A., & Ikram, M. K. (2020). Time trends in survival following first hemorrhagic or ischemic stroke between 1991 and 2015 in the Rotterdam Study. Stroke, 824–829. https://doi.org/10.1161/STROKEAHA.119.027198

World Health Organization. (2021, October 29). World Stroke Day 2021 launches the Precious Time Campaign. https://www.who.int/srilanka/news/detail/29-10-2021-world-stroke-day-2021-launches-the-precious-time-campaign




How to Cite

Julianto, J., Solikin, & Firdaus, M. (2023). R Relationship between Prehospital Delay and Severity in Stroke Patients at Banjarmasin Hospital. Journal of Nursing Invention, 3(2), 108–116. https://doi.org/10.33859/jni.v3i2.274