HUBUNGAN KADAR NATRIUM SERUM SAAT MASUK DENGAN KELUARAN MOTORIK PASIEN STROKE ISKEMIK

Abstract

Background : Motor impairment commonly found in stroke patient. Sodium disorders in the acute phase of ischemic stroke known to be associated with poorer patient outcome. The correlation between serum sodium levels and motoric outcome in ischemic stroke patient has not been studied. Aim : To determine the correlation between serum sodium levels on admission and motoric outcome of ischemic stroke patients. Methods : This analytic observational study used cross sectional design. 33 ischemic stroke patients matching with inclusion and exclusion criteria were included consecutively in this study. Motoric outcome was evaluated using motor assessment score (MAS) on 7th days of hospitalization or on discharge, whereas serum sodium levels was obtained from medical records. Statistics test used One Way ANOVA test and Spearman Correlation test. Results : This study found no significant correlation between serum sodium levels and MAS score in ischemic stroke patients (p=0,938). Serum sodium levels had weak negative correlation to MAS score (r=-0,01). MAS scores between hyponatremia, normonatremia, and hypernatremia ischemic stroke patients was not significantly different (p=0,073). Mean of MAS scores in hyponatremia (24,80) and hypernatremia (13,76) was lower than normonatremia ischemic stroke patients (28,44). Conclusion : Hyponatremia or hypernatremia ischemic stroke patients MAS score was poorer than normonatremia ischemic stroke patients. There was no significant correlation between serum sodium levels on admission and MAS score in ischemic stroke patients. Key Words : ischemic stroke, sodium, stroke motoric outcome, motor assessment scale