HUBUNGAN ANTARA TEKANAN INTRAKRANIAL BERDASARKAN GAMBARAN CT-SCAN DENGAN KADAR GULA DARAH SEWAKTU PADA PASIEN CEDERA KEPALA DI RSDK

Abstract

Background: Raised intracranial pressure (RICP) is the main cause of death in head injury patient. Raised intracranial pressure can be observed from the CT-scan imaging by finding the compression of sulcus and cisterna, and midline shifting. Raised intracranial pressure can increase blood glucose level indirectly by the activation of hypothalamus-pituitari-adrenal axis (HPA-axis). This study aimed to prove the correlation between intracranial pressure based on CT-scan imaging and blood glucose level in head injury patient. Methods: This study is a retrospective cohort study using head injury patient data in Karyadi hospital as sample. A total of 99 samples that meet the criteria were divided into two groups. Diffuse injury patients grade I and II are grouped into patients without RICP. Diffuse injury patients grade III and IV are grouped into patients with RICP. Patient with another intracranial injury were divided based on the compression of sulcus and cisterna, and midline shifting. This study use Spearman correlation test with SPSS for Windows 15. Results: The mean number of blood glucose level in head injury patien without RICP is 126,46mg/dl; in head injury patient with RICP is 180,42mg/dl. Spearman correlation test shows that p=0,0001, r=0,73. Conclusion: There was strong correlation between intracranial pressure based on the CT-Scan with the blood glucose level in head injury patient. The blood glucose level in head injury patient with RICP is higher than in head injury patient without RICP. Keywords: intracranial pressure, blood glucose level, diffuse injury, hypothalamus-pituitary-adrenal axis.