Assessment of serum glucose potassium ratio as a predictor for mortality of acute ischemic stroke

Abstract

Aim: The study aims to demonstrate the effect of changes in serum glucose/potassium ratio (GPR) which were performed in patients with acute ischemic stroke (AIS) and patient management is performed more quickly and effectively. Material and Methods: The hemogram and biochemical parameters of patients undergoing mechanical thrombectomy (MT) for AIS have been retrospectively reviewed. Patients were divided into two groups non-survivors and survivors. The GPR was calculated, and their ability to predict mortality was statistically evaluated between the groups. Results: A total of 173 patients, of which 131 in the survivor group and 42 in the non-survivor group, were examined. In the non-survivor group Glucose and GPR were statistically higher than the survivor group (p<0.05). Moreover, the sensitivity and specificity of the serum GPR were found to be 97.6% and 50.4%, respectively. Conclusion: These findings suggest that GPR could serve as a useful parameter for predicting mortality in AIS patients undergoing mechanical thrombectomy.

Keywords

• glucose-potassium ratio
• acute ischemic stroke
• mortality
• mechanical thrombectomy

Akut iskemik inme mortalitesinin bir belirleyicisi olarak serum glukoz potasyum oranının değerlendirilmesi

Abstract

Amaç: Bu çalışma, akut iskemik inme (AIS) hastalarında yapılan serum glukoz/potasyum oranındaki (GPR) değişikliklerin hasta yönetiminin daha hızlı ve etkin bir şekilde yapılmasına etkisini göstermeyi amaçlamaktadır. Gereç ve Yöntemler: AIS nedeniyle mekanik trombektomi uygulanan hastaların hematolojik ve biyokimyasal parametreleri retrospektif olarak incelendi. Hastalar non-survivor (yaşamayanlar) ve survivor (yaşayanlar) olmak üzere iki gruba ayrıldı. GPR hesaplandı ve mortaliteyi tahmin etme yetenekleri gruplar arasında istatistiksel olarak değerlendirildi. Bulgular: Survivor grupta 131 ve non-survivor grupta 42 olmak üzere toplam 173 hasta analiz edildi. Non-survivor grubunda glukoz ve GPR, survivor grubuna göre istatistiksel olarak anlamlı şekilde yüksekti (p<0.05). Ayrıca, serum GPR'nin duyarlılığı ve özgüllüğü sırasıyla %97.6 ve %50.4 olarak bulundu. Sonuç: Bu bulgular, mekanik trombektomi uygulanan AIS hastalarında mortaliteyi tahmin etmek için GPR'nin kullanışlı bir parametre olarak hizmet edebileceğini öne sürmektedir.

Keywords

• glukoz-potasyum oranı
• akut iskemik inme
• mortalite
• mekanik trombektomi

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