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Desiana Desiana, Desiana
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Journal : Narra J

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Plasma interleukin 6 as an outcome predictor of traumatic brain injury patients Ichwan, Khairunnisa; Gazali, Syahrul; Suherman, Suherman; Desiana, Desiana; Nurjannah, Nurjannah
Narra J Vol. 3 No. 3 (2023): December 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i3.234

Abstract

Traumatic brain injury is one of the leading causes of death and disability in young adults. Previous studies have suggested that neuroinflammatory process involves the overexpression of interleukin 6 (IL-6); however, data on the predictive ability of IL-6 is limited and conflicting in traumatic head injury patients. The aim of this study was to assess the ability of plasma IL-6 as a predictor of outcome in head injury patients. A cross-sectional study was conducted between June and December 2020 among traumatic head injury patients admitted to Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia. Demographic, clinical data, and IL-6 level were collected and measured on admission. The outcome was assessed by the Glasgow outcome scale extended (GOSE) in the first- and third-month of post-injury. A total of 50 traumatic brain injury patients were recruited of which 54% were male, 64% had mild head injury, 82% had leukocytosis, and 60% had non-bleeding head CT scan. The mean of IL-6 level was 79.32 pg/mL while the GOSE scores ranged from 1 (death) to 8 (upper good recovery). Early IL-6 level (<24 hours post-injury) was significantly correlated with worse outcome in traumatic head injury, though the correlation strength was moderate (p<0.001; r=-0.42). As a predictor, IL-6 yielded the area under curve (AUC) value of 93.5% (p<0.001) and a cut-off point of 46.33 pg/mL. The sensitivity and specificity of this predictor were 87.5% and 95.24%, respectively. In conclusion, early IL-6 level can be used as a predictor for traumatic head injury. Nevertheless, further multi-center study with a bigger sample size is needed to confirm this finding.
Neutrophil-to-lymphocyte ratio and stenosis severity in ischemic stroke: Digital subtraction angiography evaluation and implications for inflammation-based risk stratification in the Indonesian population Fiqri, Aidil; Musadir, Nasrul; Imran, Imran; Desiana, Desiana; Hastuti, Sri
Narra J Vol. 5 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i3.2959

Abstract

Neutrophil-to-lymphocyte ratio (NLR), an accessible biomarker derived from routine blood counts, has been associated with stroke severity and outcomes. However, its association with angiographically confirmed stenosis has not been fully established. The aim of this study was to investigate the correlation and association between the NLR and the severity of intracranial arterial stenosis assessed by digital subtraction angiography (DSA). An observational analytic study with a cross-sectional design was conducted. Patients with acute ischemic stroke who underwent DSA were included using a total sampling method. Eligible patients were aged >18 years, had ischemic stroke onset <14 days, and had no prior thrombolysis, endovascular treatment, or surgery for cerebral stenosis. Those with infection, hematological disorders, malignancy, or immunosuppression were excluded. NLR was calculated from complete blood count results at admission, while stenosis severity was quantified using the Warfarin–Aspirin Symptomatic Intracranial Disease (WASID) method. A total of 44 ischemic stroke patients who underwent DSA were included. Pearson correlation test revealed a strong positive correlation between NLR and the severity of intracranial arterial stenosis (r=0.671; p<0.001). In subgroup analysis, NLR showed a strong positive correlation with stenosis severity in the cerebral arteries (r=0.707; p<0.001), but not in the carotid arteries (r=0.434; p=0.182). One-way ANOVA revealed significant differences in NLR across stenosis severity groups (p<0.0001), with higher NLR in moderate and severe stenosis compared with mild stenosis (p=0.017 and p=0.0003, respectively). These findings suggest that NLR reflects the inflammatory burden contributing to vascular narrowing and may serve as a simple and widely available biomarker for identifying ischemic stroke patients with a higher burden of intracranial arterial stenosis, particularly in settings where access to advanced imaging is limited.
Co-Authors Adi Pranoto, Adi Adinda, Charisma Afdhal Afdhal Agus Jatmiko Agus Pahrudin Ainal Mardhiah Andriani, Rd. Neneng Rina Angga, Prayogi Dwina Apriza Apriza, Apriza Asbath, Asbath Ashari, Annisa Diyah Azhar Azhar Aziz, Nur Jannah Abdi Badruzaman, Jajang Bintari, Vivi Indah Bustami Bustami Bustami, Alek Wissalam Bustami, Yuserizal Chairul Anwar Dede Sri Rahayu Dermawan, Wildan Dwi Desiana Merawati Dimas, Dimas Eka Putra Endah Sri Wahyuni Erjati Abas Erlangga, Ade Erlinawati Erlinawati, Erlinawati Farid, Ahmad Salman Fiqri, Aidil Fitria, Sri Fitriani agustina Futra, Sandy Gazali, Syahrul Ghifari, Dimas Al Hafifatul Mukarohmah, Ayun Hanis, Nonong Harahap, Samsul Bahry Hasibuan, Rial Sukma Hasibuan, Susanti Helfenta, Helfenta Hendi Hendra Cipta Hendra Lardiman Hermansyah, Iwan Ichwan, Khairunnisa Imran Imran Irianti , Evi Jamni, Teuku Jiao, Deng Koderi Kusnandar, Deasy Lestary Lathifah Hanum, Lathifah Latifah Hanum Layana, Ratti Linaci, Ahmad Novta Sebad Lolita Sary Luthfia Nanda, Ulfa Mappadang, Adelaide Auwike Mardhiah , Ainal Mar’atun Jannah, Imrawati, Muzakkir Baitz, Melani, Zahaqi Mi Iswari, Dela Mochammad Imron Awalludin Mu’arrif, Zul Ihsan Munazar Munazar Mustofa, Ihsan Mu’arrif, Zul Ihsan Nanang Arianto Nanda, Ulfa Luthfia Nilda, Elvi Niswah Niswah Nora Usrina Novianto, Wawan Nurhayati Nurhayati Nurhayati, Nurhayati Nurjannah Nurjannah Nurliani Nurliani Oktabina, Rizki Wan Olivia Andiana Patimah, Hj. Siti Patrisia, Nelly Putri, Nopela Rahmad Julianto Rahmadani, Mirna Rahman, Rani Ramadani, Dinda Fitria Ramadhani, Indi Ratu Vina Rohmatika, Ratu Vina Rimadeni, Yeni Ritawati Ritawati Rizki Wan Okta Bina Rosi Novita, Rosi Rosidah, Euis Rumadani Sagala Rustendi, Tedi S. Sugiharto Salsabila, Raddine Sefdina, Lesa Dara Silamma, Angel Zwita Della Sitio, Roma Sofiati, Irwani Sofyan Sufri Sri Hastuti Sugiarti, Rubi'ah Suherman, Suherman Sukriani Kursia, Sukriani Sumanti, Eva Sumantri Sumantri Supriyanti Supriyanti Suwardi Suwardi Syaiful Anwar Syamsarina, Syamsarina Syarif, Dafiar syukrawati, syukrawati Tajudin, Nilawati Taufiq, Said Tiara, Tiara Utami, Vida Wira Wahid, Nisa Noor Wantia, Natasya Werdyaningsih , Endang Wildan Dwi Dermawan Wirda Hayati Wiyan Mailindra, Wiyan