Overview of Cerebral Angiography Results in Young Stroke Patients at Pelni Hospital

Background and purpose: The average age of stroke patients is decreasing, with the majority of cases currently comprising young individuals. However, there are still limited cerebral angiography results in young stroke patients, both in terms of the number of studies and the scope of data. Therefore, this study aimed to determine the overview of cerebral angiography results and determinants influencing cerebral angiography results in young stroke patients at Pelni Hospital, Jakarta. Methode: A retrospective cross-sectional study was conducted using medical record data at Pelni Hospital, Jakarta. The samples used were patients with stroke diagnoses that met the eligibility criteria. Meanwhile, the exclusion criteria were patients with incomplete medical records. Result: This study consisted of 196 stroke patients aged 18-45 years at Pelni Hospital, Jakarta from April 2024 to January 2025. A total of 184 patients (93.9%) were categorized as having abnormal cerebral angiography status, while 12 (6.1%) had normal cerebral angiography status. There was a significant relationship between age and cerebral angiography status (p=0.021). Furthermore, patients in the 36-45 years age group had a tendency to find abnormal cerebral angiography 4.571 times greater than those aged 18-35 years (95% CI; 1.322-15.807). The results showed that patients with stroke risk factors ≥ 2 had a tendency to find abnormal cerebral angiography status 1.089 times compared to those with <2 stroke risk factors (p=0.04). Conclusion: The incidence of abnormal cerebral angiography in young stroke patients was 93.9%. Age and multiple risk factors (≥ 2 stroke risk factors) were independently correlated with the incidence of abnormal cerebral angiography. After controlling by other variables, age 36-45 years was the dominant factor for the incidence of abnormal cerebral angiography in young stroke patients. Keywords: Cerebral angiography, Stroke, Young Age, Multiple Risk Factors