AKSONA
Vol. 2 No. 1 (2022): JANUARY 2022

Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19

Ita Muharram Sari (National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia)
Iswandi Erwin (National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia)
Fiizhda Baqarizky (National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia)
Puspa Oktaviani (National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia)
Sardiana Salam (National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia)
Anna Mardiana Ritonga (National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia)



Article Info

Publish Date
31 Jan 2022

Abstract

Introduction: As COVID-19 has rapidly spread worldwide, it is an urgent health problem. Some evidence suggests that SARS-CoV-2 also affects the central nervous system. Stroke is the most common disease of the central nervous system. In contrast to ischemic stroke, which can occur due to the hypercoagulation effect of COVID-19, the study of Intracerebral Hemorrhage (ICH) associated with COVID-19 is still unclear. Objective: This paper investigated the characteristics of an inflammatory biomarker and compared the outcomes of ICH patients with COVID-19 and ICH patients without COVID-19. Methods: We conducted a retrospective, observational analysis case-control of patients (n = 42) admitted with ICH with positive COVID-19 and ICH with negative COVID-19 at the National Brain Center Hospital Prof.Dr.dr. Mahar Mardjono from March 2020 to August 2021. We took blood samples and COVID-19 swab PCR on the first day of admission, and GOS was measured when the patients were discharged. Results: There were 21 ICH patients with positive COVID-19 who had a significantly procalcitonin (p < 0.05) compared  to control patients. From Spearman’s correlational analysis, there is a significant value between early procalcitonin and the Barthel Index (rs = -0,374, p < 0.05), early CRP and GOS (rs =- 0.329, p < 0.05), which indicates weak-inverse correlation, and between early PCT and GOS (rs = -0.438, p < 0.05) which indicates moderate-inverse correlation. Conclusion: The level of procalcitonin was increased in ICH patients with COVID-19. Maybe PCT could be a predictor of outcome in ICH patients with COVID-19.

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Journal Info

Abbrev

aksona

Publisher

Subject

Medicine & Pharmacology Neuroscience

Description

AKSONA is a scientific journal published by the Department of Neurology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General Academic Hospital. AKSONA focuses on original research, case reports, and review articles on all aspects of neuroscience: Neurosurgery, Neuropsychology, Movement ...