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Characteristics of Emergency Calls (Rhesus Call) in the case of neuroemergence at the Emergency Department at Sanglah General Hospital Period January 2016 to January 2018

Wayan Widyantara, Ni Luh Putu Dirasandhi Semedi Putri, Anak Agung Ayu Dwi Adelia Yasmin, I Gusti Agung Gede Ariswanda, I Putu Eka Widyadharma.

Abstract
Objective: To determine the characteristics of neurology cases in the ER Sanglah Hospital who underwent an emergency call period from January 2016 to 2018. Material and Methods: This research is a descriptive cross-sectional study using secondary data. This study is total sampling method. The study used a questionnaire, data obtained from all cases of neurology who underwent an emergency call within the study period recorded in the emergency call register. Descriptive analysis using SPSS 21.00 for windows. Results: Samples obtained in 76 cases. The majority of cases in this study were men (n=40, 52.6%) and the mean age of all cases was 55.05 ( 15.23). The major cases are reported hemorrhagic stroke (n=40, 52.6%), intracranial infection (n=10, 13.2%), ischemic stroke (n=9, 11.8%), epilepsy (n=3, 3.9%), and malignancy (n=3, 3.9%). Most cases had a secondary diagnosis that accompanied the primary diagnosis (n=54, 71.1%). The mean duration of treatment in the emergency room before an emergency call (pre rhesus call) was 308 ( 629.99) minutes. The mean duration of treatment in the emergency department after an emergency call (post rhesus call) was 540 ( 766.1) minutes. The dominant case outcome was death (n = 68, 89.5%). Conclusion: The most common cases undergoing emergency calls are a hemorrhagic stroke, intracranial infection, ischemic stroke, epilepsy, and malignancy. The majority of clinical outcomes in each case were deaths. Analytical research needs to be done to find out which variables can influence clinical outcomes.

Key words: rhesus call, emergency, intracranial, outcomes


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