Comparison of Lymphocyte Neutrophil Ratio in Head Injury Patients with Blood and without Intracranial Bleeding in Dr. M. Djamil Hospital

• Main Authors: Muhammad Zaki Abdul Hafiz, Syaiful Saanin, Hesty Lidya Ningsih
• Format: Article
• Language: English
• Published: Faculty of Medicine Universitas Sriwijaya 2021-02-01
• Series: Biomedical Journal of Indonesia
• Subjects: head injury; nlr; intracranial hemorrhage
• Online Access: https://jurnalkedokteranunsri.id/index.php/BJI/article/view/275

A B S T R A C T Background: Head injuries occur every 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. The aim of this study was to determine the relationship between increased NLR based on the 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 : A total of 92 patients were included in the inclusion criteria for this study. The results showed that the mean NLR value in head injury patients was 11.72 with a variation of 7.31. The mean NLR level based on the severity of mild head injury was 10.15 with a variation of 6.38. The mean NLR level of moderate head injury severity was 12.70 with a variation of 7.09. The mean NLR level of severe head injury, was 14.69 with a variation of 9.30. The results showed that there was no difference in the mean of NLR levels in mild head injury patients with hemorrhage and without intracranial hemorrhage. 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