Relationship Between Random Glucose Levels and Stroke Severity Using The National Institutes of Health Stroke Scale (NIHSS) in Acut Ischemic Stroke Patiens at dr. Harjono S Ponorogo Hospital Saiful Nurhidayat (a*), Sulistyo Andarmoyo (b), Wiwik Widiyati (c), Dian Laila Purwaningroom (d)
Fakultas Ilmu Kesehatan
Universitas Muhammadiyah Ponorogo
Abstract
Increased glucose levels are a common condition found in acut stroke. Elevated glucose levels not only reflect the initial volume of infarcted brain tissue, but are also factors that determine the initial extent of infarction, functional ability, and mortality in stroke patients. The National Institutes of Health Stroke Scale (NIHSS) is one of the instruments used to measure the level of functional impairment or neurological deficits due to acute stroke. This study is an observational analytic study with a cross-sectional design to determine the relationship between random glucose levels and stroke severity using the National Institutes of Health Stroke Scale (NIHSS) in acute ischemic stroke patients at RSUD Dr. Harjono S Ponorogo. This type of research is non-experimental research. The research was conducted in the stroke patient room. Sampling uses consecutive sampling, instrument used medical records to look at respondent^s baseline data, random blood sugar results and their medical diagnosis and NIHSS to assess neurological deficits. The entire data analysis process was carried out using the SPSS 25.0 windows application program. Correlation analysis using the spearman test between random glucose levels and NIHSS values obtained the results of the analysis of p = 0,253 (>0.05), these results of showed no correlation between random glucose levels and stroke severity. Based on the results of this study, it can be concluded that there is not enough evidence that random glucose levels can be used as a good predictor for determining the clinical outcome of acute ischemic stroke patients. Other examination indicators are needed that are better in predicting the clinical outcome of ischemic stroke patients in the acute phase.
Keywords: Acute ischemic stroke, random glucose levels, NIHSS
