A B S T R A C TBackground: Head injuries occur every 15 seconds worldwide, with patientsdying every 12 minutes. The value of the Neutrophil Lymphocyte Ratio (NLR) is afactor that influences the assessment and prognostic value of patients withintracranial hemorrhage and without intracranial hemorrhage in head injury.The aim of this study was to determine the relationship between increased NLRbased on the severity of head injury patients with or without intracranialhemorrhage. Methods: This study is a retrospective cross sectional study of headinjury patients with hemorrhage and without intracranial hemorrhage who weretreated at Dr. M. Djamil Hospital Padang in 2020 from May to December 2020.Data was collected in the Medical Records Department of Dr. M. Djamil HospitalPadang who met the inclusion and exclusion criteria. Results : A total of 92patients were included in the inclusion criteria for this study. The results showedthat the mean NLR value in head injury patients was 11.72 with a variation of7.31. The mean NLR level based on the severity of mild head injury was 10.15with a variation of 6.38. The mean NLR level of moderate head injury severity was12.70 with a variation of 7.09. The mean NLR level of severe head injury, was14.69 with a variation of 9.30. The results showed that there was no difference inthe mean of NLR levels in mild head injury patients with hemorrhage and withoutintracranial hemorrhage. The results showed that there was a significantrelationship between NLR levels in moderate head injury patients withhemorrhage (14.20) and without intracranial hemorrhage (7.20) (p value = 0.029),whereas in severe head injury it could not be assessed because there was nosample without hemorrhage. Conclusion: There is an association betweenincreased NLR and intracranial bleeding in moderate head injury patients
AbstrakCedera kepala merupakan penyebab kematian terbanyak dari keseluruhan angka kematian yang diakibatkan trauma. Epidural Hematoma (EDH) merupakan jenis yang paling banyak menjadi perhatian para klinisi dan peneliti karena frekwensi kejadiannya yang tinggi. Operasi EDH dianjurkan dilakukan sesegera mungkin setelah diagnosis ditegakkan. Operasi yang dilakukan sebelum waktu 4 jam, memberikan hasil perbaikan yang bermakna. Glasgow Coma Scale (GCS) dan waktu prehospital merupakan faktor terbesar yang mempengaruhi prognosa penderita EDH. Penilaian outcome suatu tindakan operasi dapat dinilai dengan Glassgow outcome scale (GOS). Penelitian ini bertujuan untuk menilai hubungan GSC dengan GOS berdasarkan lama waktu tunggu operasi pada pasien EDH di Instalasi Gawat Darurat RSUP Dr.M.Djamil Padang. Pada sampel dilakukan penilaian GCS dan GOS. Dari 10 sampel penelitian didapatkan penderita dengan jenis kelamin terbanyak laki-laki (60%), usia tertinggi 35-45 tahun (60%), GCS awal 9-12 (70 %), lama waktu tunggu terbanyak > 4 jam (80 %), skor GOS terbanyak adalah 4 (80%). Tidak terdapat hubungan yang bermakna antara GCS saat awal masuk dengan nilai GOS (p>0,05), tetapi terdapat hubungan yang bermakna antara lama waktu tunggu setelah cedera kepala sampai dilakukan operasi dengan GOS (p<0,05). Dr.M.Djamil General Hospital -Padang. The GCS and GOS Kata Kunci: Epidural hematoma, GCS, GOS, waktu tunggu operasi Abstract Head injury becomes the major cause of death in trauma. Epidural Haematoma (EDH) has become the major concern for the clinicians due to its high incidence. Surgical treatment was recommended to be done as soon as possible (less than 4 hours is suggested) after it was diagnosed to improve patient's outcome. Glasgow Coma Scale (GCS) and time interval are the most influencing factors of EDH patiens prognosis. Glassgow outcome scale (GOS) can be used to assess the outcomes of surgical treatment. This study aimed to assess the correlation between GCS and GOS of patients based on pre-operating time interval in Emergency installation of
Epidural Hematoma (EDH) is the most common emergency case in neurosurgery, mortality rate was higher than other country. To determine the factors that influence outcome of EDH patients with performed emergency craniotomy. This descriptive analytic was conducted at Dr. M. Djamil General Hospital, Padang, Indonesia, we review the medical record all of EDH patient in 2017. Some parameters were analyzed in our study, ages (p = 0.012), gender (p = 0.418), inisial GCS (p = 0.146), pupil abnormality (p = 0.973), onset (p = 0.883) and time delayedfor surgery (p = 0.146), the mortality rate was 7/26 patients. Age has a significant difference on the outcome of EDH patients who underwent emergency craniotomy. Whereas gender, initial GCS, pupil abnormality, onset trauma, delayed time are determinat factors that influence outcome but not significant. AbstrakEpidural Hematoma (EDH) merupakan kegawatdaruratan di bagian bedah saraf, angka kematian masih tinggi dibandingkan Negara lain. Mengetahui faktor-faktor yang mempengaruhi mortalitas pasien EDH yang menjalanii kraniotomi emergensi. Penelitian Deskriptif Analitik ini dilakukan di RSUP Dr. M. Djamil, Padang, Indonesia, dengan melihat status rekam medis pasien EDH yang menjalani operasi kraniotomi selama tahun 2017. Beberapa parameter dalam analisis ini menilai hubungannya terhadap mortalitas pasien EDH yang menjalani operasi kraniotomi emergensi yaitu usia (p = 0,012), Jenis kelamin (p = 0,418), GCS inisial (p = 0,146), abnormalitas pupil (p = 0,973), lama onset (p = 0,883) dan lama waktu tunggu (p = 0,146). Angka kematian 7 dari 26 pasien. Usia pasien yang menjalani kraniotomi emergensi berpengaruh secara signifikan terhadap mortalitas, sedangkan jenis kelamin, gcs inisial, abnormalitas pupil, lama onset trauma dan lama waktu tunggu berpengaruh tidak signifikan terhadap mortalitas.
Background: Head injuries occur evry 15 seconds worldwide, with patients dying every 12 minutes. The value of the Neutrophil Lymphocyte Ratio (NLR) is a factor that influences the assessment and prognostic value of patients with intracranial hemorrhage and without intracranial hemorrhage in head injury. Objective: The aim of this study was to determine the relationship between increased NLR based on severity of head injury patients with or without intracranial hemorrhage. Methods: This study is a retrospective cross sectional study of head injury patients with hemorrhage and without intracranial hemorrhage who were treated at Dr. M. Djamil Hospital Padang in 2020 from May to December 2020. Data was collected in the Medical Records Department of Dr. M. Djamil Hospital Padang who met the inclusion and exclusion criteria. Results: The results showed that there was a significant relationship between NLR levels in moderate head injury patients with hemorrhage (14,20) and without intracranial hemorrhage (7,20) (p value = 0.029), whereas in severe head injury it could not be assessed because there was no sample without hemorrhage. Conclusion:There is an association between increased NLR and intracranial bleeding in moderate head injury patients.
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