CORRELATION BETWEEN FLUCTUATION OF BODY TEMPERATURE AND OUTCOME IN ACUTE ISCHEMIC STROKE PATIENTS

Abstract

Background: Stroke is one of the leading causes of death and long term disability in the world. Increased body temperature is one of the factors that affects the outcome of stroke.

Objective: To determine the correlation between fluctuation of body temperature and outcome in acute ischemic stroke patients admitted to H. Adam Malik General Hospital, Medan.

Methods: This study used cross sectional design on acute ischemic stroke patients in H. Adam Malik General Hospital, Medan. Non-contrast scan of the head was performed to diagnose acute ischemic stroke. Body temperature was measured on admittance and every two hour within the first 24 hours to assess fluctuation of body temperature and NIHSS to determine outcome. Data analysis was performed using Spearman correlation test.

Results: This study involved 62 acute ischemic stroke patients which consisted of 37 males (59.9%) and 25 females (40.3%), with the mean age of 59 years old and age range of 42-72 years old. There were 54 patients (87.1%) with history of hypertension (HT), 17 patients (27.4%) with diabetes mellitus (DM), 18 patients (29%) with dyslipidemia, 24 patients (38.7%) had smoking habit and 10 patients (16.1%) with coronary heart disease (CHD). There were 41 patients (66.1%) with moderate baseline NIHSS, 40 patients (64.5%) with moderate outcome NIHSS, 11 patients (17.7%) with body temperature fluctuation and 10 patients (16.1%) with death outcome. The result of statistical analysis showed a significant correlation between body temperature fluctuation and outcome in acute ischemic stroke patients (p = 0.001).

Conclusion: There was a correlation between body temperature fluctuation and outcome in acute ischemic stroke patients.