D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19

Background: Since WHO declared COVID-19 a pandemic, Indonesia, including RSUD Gambiran Kediri, has experienced a sharp increase in morbidity and mortality. The global incidence of acute stroke in COVID-19 patients is 1.4%, with symptoms varying from mild to severe, including death. Elevated serum D-...

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Main Authors: Moch Syahrial Pramudia Tarmidi, Nurul Fitria, Oryzasativa Giovanni, Akhdan Zharfan Puspito, Sintia Wahyu Arifah, Gibran Maulana Akbar
Format: Article
Language:English
Published: Universitas Muhammadiyah Malang 2024-12-01
Series:Saintika Medika
Online Access:https://ejournal.umm.ac.id/index.php/sainmed/article/view/33479
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author Moch Syahrial Pramudia Tarmidi
Nurul Fitria
Oryzasativa Giovanni
Akhdan Zharfan Puspito
Sintia Wahyu Arifah
Gibran Maulana Akbar
author_facet Moch Syahrial Pramudia Tarmidi
Nurul Fitria
Oryzasativa Giovanni
Akhdan Zharfan Puspito
Sintia Wahyu Arifah
Gibran Maulana Akbar
author_sort Moch Syahrial Pramudia Tarmidi
collection DOAJ
description Background: Since WHO declared COVID-19 a pandemic, Indonesia, including RSUD Gambiran Kediri, has experienced a sharp increase in morbidity and mortality. The global incidence of acute stroke in COVID-19 patients is 1.4%, with symptoms varying from mild to severe, including death. Elevated serum D-dimer in COVID-19 patients can be a biomarker to predict severe complications. Objective: This study aims to determine the relationship between elevated serum D-dimer levels (mild, moderate, severe) with mortality in acute stroke patients with COVID-19. Methods: Observational analytic study with a cross-sectional method using secondary data from medical records of patients admitted to RSUD Gambiran Kediri from March 2020 to June 2023. Patients were categorized based on serum D-dimer levels: normal (<0.5 mg/L), mild (<1 mg/L), moderate (1-2 mg/L), and severe (>2 mg/L). Results: Of 101 acute stroke patients with COVID-19, 52.48% were male. A total of 90 patients had elevated D-dimer levels, with 44 patients dying. Spearman correlation test and Chi-square test showed no significant association between D-dimer levels and mortality (p>0.005). Conclusion: There is no association between elevated serum D-dimer levels and mortality in acute stroke patients with COVID-19.
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spelling doaj-art-9cef7a1ca655476ba9d092bbb77cea892025-08-20T03:13:08ZengUniversitas Muhammadiyah MalangSaintika Medika0216-759X2614-476X2024-12-0120212713710.22219/sm.Vol20.SMUMM2.3347931377D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19Moch Syahrial Pramudia Tarmidi0Nurul FitriaOryzasativa Giovanni1Akhdan Zharfan Puspito2Sintia Wahyu Arifah3Gibran Maulana Akbar4Neurology Department Gambiran General Hospital, Kediri, East Java, IndonesiaFaculty of Medicine University of Muhammadiyah MalangFaculty of Medicine University of Muhammadiyah MalangFaculty of Medicine University of Muhammadiyah MalangFaculty of Medicine University of Muhammadiyah MalangBackground: Since WHO declared COVID-19 a pandemic, Indonesia, including RSUD Gambiran Kediri, has experienced a sharp increase in morbidity and mortality. The global incidence of acute stroke in COVID-19 patients is 1.4%, with symptoms varying from mild to severe, including death. Elevated serum D-dimer in COVID-19 patients can be a biomarker to predict severe complications. Objective: This study aims to determine the relationship between elevated serum D-dimer levels (mild, moderate, severe) with mortality in acute stroke patients with COVID-19. Methods: Observational analytic study with a cross-sectional method using secondary data from medical records of patients admitted to RSUD Gambiran Kediri from March 2020 to June 2023. Patients were categorized based on serum D-dimer levels: normal (<0.5 mg/L), mild (<1 mg/L), moderate (1-2 mg/L), and severe (>2 mg/L). Results: Of 101 acute stroke patients with COVID-19, 52.48% were male. A total of 90 patients had elevated D-dimer levels, with 44 patients dying. Spearman correlation test and Chi-square test showed no significant association between D-dimer levels and mortality (p>0.005). Conclusion: There is no association between elevated serum D-dimer levels and mortality in acute stroke patients with COVID-19.https://ejournal.umm.ac.id/index.php/sainmed/article/view/33479
spellingShingle Moch Syahrial Pramudia Tarmidi
Nurul Fitria
Oryzasativa Giovanni
Akhdan Zharfan Puspito
Sintia Wahyu Arifah
Gibran Maulana Akbar
D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19
Saintika Medika
title D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19
title_full D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19
title_fullStr D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19
title_full_unstemmed D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19
title_short D-Dimer Serum Level Association With Mortality In Acute Stroke Patiens With Covid-19
title_sort d dimer serum level association with mortality in acute stroke patiens with covid 19
url https://ejournal.umm.ac.id/index.php/sainmed/article/view/33479
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