The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke
Authors
Abstract
Introduction: Early Neurological Deterioration (END) is a worsening of symptoms within a few hours or days after an acute stroke which occurs in around 25,5% of patients with intracerebral hemorrhage. Dehydration is one of the conditions that is widely observed as a non-neurological cause of END in acute ischemic stroke, but in hemorrhagic stroke the correlation is still unclear. The aim of this study was to determine the correlation between dehydration and END in acute hemorrhagic stroke.
Method: In this cross-sectional study, we assessed acute hemorrhagic stroke patients within 72 hours of onset at Haji Adam Malik General Hospital Medan, Indonesia, from April to October 2023. Patients are categorized as dehydrated if BUN/Cr ≥15 and urine specific gravity >1,010. END was defined as an increase in National Institutes of Health Stroke Scale (NIHSS) score of ≥ 2 points on the total score, or ≥ 1 point on motor items. Bivariate analysis was carried out to determine the correlation between dehydration and END in acute hemorrhagic stroke using the contingency correlation test.
Results: A total of 30 subjects were included, with a mean age of 56,47 ± 12,75 years and 53,3% women. In this study, END was identified in 11 (36,7%) patients and dehydration was detected in 13 (43,3%) patients. The results of statistical analysis found no significant correlation between dehydration and END in acute hemorrhagic stroke (p=0,88 and r=0,298).
Conclusion: There was no significant correlation between dehydration and END in acute hemorrhagic stroke.
Similar Articles
- Maulana Taufik, Dadik Wahyu Wijaya, Andriamuri Primaputra Lubis, The Relationship Between The Characteristics of COVID-19 Patients To Predict Mortality in The COVID-19 ICU Special Care , Journal of Society Medicine: Vol. 1 No. 3 (2022): December
- Mufti Muhammad, Netty DL, Chairil AB, Relationship between Hypertension and Aorta Arch Calcification on Chest X-Ray Photos of Ischemic Stroke Patients at The General Hospital Haji Adam Malik Medan 2022 , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
- Dadang Mulyawan, Osmond M. Pison, Management of Peripartum Cardiomyopathy in Severe Preeclampsia Patients in ICU , Journal of Society Medicine: Vol. 3 No. 2 (2024): February
- Rikki Oktrian Putra, Yudhisman Imran, Mulia Rahmansyah, Triasti Khusfiani, Mustika Anggiane Putri, Ainaya Az zahra, Case Report of Management of Increased Intracranial Pressure in Epidural Hematoma , Journal of Society Medicine: Vol. 3 No. 3 (2024): March
- Tasrif Hamdi, Transversus Abdominis Plane (TAP) Steroid Block for Chronic Abdominal Pain Caused by Chronic Postoperative Pain , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
- Junius F. A. Simarmata, Kiking Ritarwan, Rabies Encephalitis: Fatal Yet Neglected, A Case Report , Journal of Society Medicine: Vol. 3 No. 2 (2024): February
- Sharanjit Dhillon, Aida Fithrie, Chairil Amin Batubara, The Association between Waist Hip Ratio and Severity of Diabetic Peripheral Neuropaty in Diabetes Melitus Type 2 by Using Toronto Clinical Scoring System , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
- Primta Bangun, Suwarman Suwarman, Weaning Difficulty in Patient with End Stage Renal Disease Acute with Respiratory Failure due to Pulmonary Edema and Pneumonia , Journal of Society Medicine: Vol. 2 No. 2 (2023): February
- Hendra Wahyudi, Diagnosis of Tuberculosis infection in HIV: A Review , Journal of Society Medicine: Vol. 2 No. 2 (2023): February
- Olivia Monica Deneuve, Andika Pradana, Amira P Tarigan, The Relationship Between ICS LABA Administration and Blood Eosinophil Levels in COPD Patient at USU General Hospital , Journal of Society Medicine: Vol. 3 No. 12 (2024): December
You may also start an advanced similarity search for this article.