A RETROSPECTIVE STUDY ON CLINICAL PROFILE AND NEUTROPHIL LYMPHOCYTE RATIO IN STROKE PATIENTS IN A TERTIARY CARE CENTRE OF CENTRAL INDIA

Ashutosh Kumar; Apurva Khare; Shailendra Meena

Volume : VIII, Issue : II, February - 2019

A RETROSPECTIVE STUDY ON CLINICAL PROFILE AND NEUTROPHIL LYMPHOCYTE RATIO IN STROKE PATIENTS IN A TERTIARY CARE CENTRE OF CENTRAL INDIA

Ashutosh Kumar, Apurva Khare, Shailendra Meena

Abstract :

The commonly used prognostic markers of acute ischemic stroke as age, infarct volume and National Institute of Health Stroke Scale (NIHSS) score and described the use of Neutrophil lymphocyte ratio as inexpensive prognostic marker. . The study included patients of Stroke aged 18 years & more. All patients admitted in ED over one year period (01 December 2017 to 30 November 2018) with history and CT findings of Stroke. A total of 73(47 males, 26 females) cases admitted in emergency department during one year period. The patient age group divided into three groups viz., 18-44 years,45-65 years and >65 years, which respectively included 03(2 Males, 1 Female), 38(26 Males, 12 Females) and 32(19 Males, 13 Females). Elevated neutrophil to lmphocyte ratio(normal reference 0.78-3.53) was found in 37 males i.e., 50.68% and 20 females i.e., 27.39%. A thirty day mortality noted total 11deaths i.e.,15.06% (six bleed i.e., 8.21% and five infarct i.e.,6.84%). Statistically significant difference in survival as per the types of strokes (p=0.001). Lymphocyte count and Neutrophil to lymphocyte ratio among survived and dead patients was found to be statistically significant (p=0.022 and 0.032 respectively). Significant age difference among different types of stroke patients found (p=0.05). Statistically significant Neutrophil to lymphocyte ratio among different types of stroke patients noted(p=0.005).