The Effect of Platelets Lymphocyte Ratio and Intracerebral Hemorrhage Score on the Outcome of Intracerebral Hemorrhage Patients in the ICU

Abstract

Intracerebral hemorrhage (ICH) can be caused by hypertension, head trauma, aneurysm, or blood clotting disorders, all of which are related to the inflammatory and coagulation processes. The ICH score is a scoring system used to predict prognosis in ICH patients. The ICH score results correlate with the mortality rate, where a higher score indicates a greater risk of death. The ratio of platelets to lymphocytes is known as the platelet-to-lymphocyte ratio (PLR), and it serves as a diagnostic for systemic inflammation. Data from routine complete blood counts can be used to rapidly and efficiently do the calculation. From January 1 to December 31, 2024, 155 patients with an ICH diagnosis received treatment in the intensive care unit of Dr. Ramelan Hospital in Surabaya, had data taken from medical records, including name, age, diagnosis, vital signs, ICH volume, ICH site, and routine laboratory results. Then, PLR numbers and the ICH score were computed. The ICH score had a significant effect on the mortality of ICH patients (p <0.05). Clarity, the PLR ​​score from the analysis results showed no significant effect on ICH patient mortality (p>0.05). When using an ICH score cutoff of 2 and statistical testing of the PLR ​​score on ICH patient mortality, a significant effect was found (p<0.05). The patient's ICH score significantly influenced the outcome of ICH patients. The chance of mortality increases with the patient's ICH score.