Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19

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 hypercoa...

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Main Authors: Ita Muharram Sari, Iswandi Erwin, Fiizhda Baqarizky, Puspa Oktaviani, Sardiana Salam, Anna Mardiana Ritonga
Format: Article
Language:English
Published: Universitas Airlangga 2022-01-01
Series:Aksona
Subjects:
Online Access:https://e-journal.unair.ac.id/aksona/article/view/35330
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author Ita Muharram Sari
Iswandi Erwin
Fiizhda Baqarizky
Puspa Oktaviani
Sardiana Salam
Anna Mardiana Ritonga
author_facet Ita Muharram Sari
Iswandi Erwin
Fiizhda Baqarizky
Puspa Oktaviani
Sardiana Salam
Anna Mardiana Ritonga
author_sort Ita Muharram Sari
collection DOAJ
description 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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spelling doaj.art-121d42af345c4efba8097cddbee2a86e2023-11-29T05:12:30ZengUniversitas AirlanggaAksona2807-79702022-01-0121182310.20473/aksona.v2i1.21933347Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19Ita Muharram Sari0https://orcid.org/0000-0003-2221-1207Iswandi Erwin1https://orcid.org/0000-0001-6515-3380Fiizhda Baqarizky2https://orcid.org/0000-0001-5054-6050Puspa Oktaviani3Sardiana Salam4Anna Mardiana Ritonga5National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, IndonesiaNational Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, IndonesiaNational Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, IndonesiaNational Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, IndonesiaNational Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, IndonesiaNational Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, IndonesiaIntroduction: 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.https://e-journal.unair.ac.id/aksona/article/view/35330corona virus diseaseichcorona virus disease, ich, procalcitonin
spellingShingle Ita Muharram Sari
Iswandi Erwin
Fiizhda Baqarizky
Puspa Oktaviani
Sardiana Salam
Anna Mardiana Ritonga
Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19
Aksona
corona virus disease
ich
corona virus disease, ich, procalcitonin
title Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19
title_full Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19
title_fullStr Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19
title_full_unstemmed Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19
title_short Role of Procalcitonin in Intracerebral Hemorrhage Stroke with COVID-19
title_sort role of procalcitonin in intracerebral hemorrhage stroke with covid 19
topic corona virus disease
ich
corona virus disease, ich, procalcitonin
url https://e-journal.unair.ac.id/aksona/article/view/35330
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