Spontaneous subarachnoid haemorrhage patients hemogram neutrophil / lymphocyte ratio investigation of the effect on mortality

ABSTRACT Pathological view which occurs in bleeding into the subaraknoid distance of brain, cerebellum and spinal cord is called subaraknoid hemorrhage (SAH). There are a lot of studies searching parameters and markers which are effective on prognosis and mortality in subaraknoid hemorrhage. But there aren't any studies about the effectiveness of neutrofil lenfosit rate (NLR) on mortality. In our study , former informations of one hundred and thirty one patients who applying for varied complaints to our emergency service between January 2010 and April 2013 and diagnosed subaraknoid hemorrhage was analysed back and worked on study. All patients was evaluated and diagnosed in emergency service, and then they were hospitalised in intensive care, department of neurology and brain surgery. Patients' demographic features, hemogram, computed tomography scans of the brain and neurologic conditions were examined in the course of applying. The average of our patients' ages was 52.88 ± 14.79. The most frequent designated complaint was headache ( % 51.1). Anterior comminican artery anevrism was the most seen (% 28.2) and the most mortal (%38.8) developed anevrism in subaraknoid hemorrhage. The conditions of patients who were unconscious in the course of applying developed more mortal. Neutrofil lenfosit rate was found 7.71 ± 6.59 among survivor patients ; 16.23 ± 12.68 among dead patients. Neutrofil lenfosit rate was found considerably high among dead patients compared to survivor patients.( p:<0.001). In consequence, compared to other parameters Neutrofil lenfosit rate can be used as a simple, easy, and cheap parameter to guess short term prognosis and mortality. Doing more comprehensive and more studies will guide for the reason of high rates in NLR and the treatment of it. Key words: Subaraknoid hemorrhage, Neutrofil Lenfosit Rate, Mortality.