Original Research Article
Year: 2023 | Month: February | Volume: 10 | Issue: 2 | Pages: 844-851
DOI: https://doi.org/10.52403/ijrr.202302100
Description of Hematologic Parameters at Arrival and When Pneumonia Occurred in Patients with Stroke Treated at Intensive Care Unit at Prof. I.G.N.G Ngoerah General Hospital Denpasar in from 2019 to 2021
Riris Marlina Siagian1, I Wayan Widyantara2, Anak Agung Ayu Putri Laksmidewi3, I Komang Arimbawa4, Ida Bagus Kusuma Putra5
1Neurology Resident, 2Departement of Neurology, 3Departement of Neurology,
4Departement of Neurology, 5Departement of Neurology
Udayana University/ Prof. I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
Corresponding Author: Riris Marlina Siagian
ABSTRACT
Stroke-associated pneumonia is one of the most common complications. Incidence 6.7 - 36.98 % can lead to prolonged hospitalization, poor functional outcomes, also high morbidity and mortality. Hematological results indicating the occurrence of a bacterial infection process are markers in stroke patients with pneumonia. 47 stroke patients with pneumonia. There were 40 male patients (85.1%) and 7 female patients (14.9%). Patients aged 50 years were 28 patients (59.6%). History of trauma occurred in 67 patients (69.7%) and 29 patients (30.2%). Increase in white blood cells in 35 patients (74.5%) at arrival and 41 patients (47.2%) at the onset of pneumonia, platelet 3 patients at arrival (6.4%) and 13 patients at the onset of pneumonia (27.7%), neutrophil 40 patients at arrival (85.1%) and 43 patients at the onset of pneumonia (91.5%), monocytes 7 patients at arrival (14.9%) and 11 patients (23.4%) at the onset of pneumonia, lymphocytes 16 patients (34.0%) at arrival and 22 patients (46.8%) at the onset of pneumonia. Decreased red blood cell values in 17 patients (36.2%) at arrival and 22 patients (46.8%) at the onset of pneumonia, Hb 15 patients (31.9%) at arrival and 27 patients (57.4%) at the onset of pneumonia, and Hematocrit 14 patients (29.8%) at arrival and 24 patients (51.1%) at the onset of pneumonia. There was an increase in blood hematology results from the results of white blood cells, neutrophils, lymphocytes, monocytes, and platelets and there was a decrease in blood results from red blood cells, hemoglobin, and hematocrits. While the neutrophil to lymphocyte ratio, Mean Corpuscular Volume, Mean Corpuscular Hemoglobin, Mean Corpuscular Hemoglobin Concentration, Red Cell Distribution Width, and eosinophil values did not find any significant changes at arrival and at the time of pneumonia in stroke patients who were treated at the Intensive Care Unit.
Keywords: Hematology, Stroke, Pneumonia
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