Turkish Journal of Geriatrics 2014 , Vol 17, Issue 1
PROGNOSTIC RELATIONSHIP BETWEEN COMPLETE BLOOD COUNT PARAMETERS AND TRANSIENT ISCHEMIC ATTACK, ISCHEMIC STROKE AND HEMORRHAGIC STROKE
Ferhat İÇME1, Nurettin Özgür DOĞAN1, Yücel YÜZBAŞIOĞLU1, Pervin SARIKAYA1, Mehmet Oğuzhan AY2, Müge GÜLEN2
1Ankara Atatürk Eğitim ve Araştırma Hastanesi Acil Servis, Bilkent ANKARA
2Adana Numune Eğitim ve Araştırma Hastanesi Acil Servis ADANA
Introduction: In this study, it was aimed to be investigated the relationship between complete blood count parameters such as leukocyte, neutrophil, lymphocyte, monocyte, platelet counts, red blood cell distribution width, platelet distribution width, and mean platelet volume values and transient ischemic attack, ischemic stroke and hemorrhagic stroke.

Materials and Method: A total of 215 patients including 171 with ischemic stroke, 24 with hemorrhagic stroke (non-traumatic subarachnoid hemorrhage and intraparenchymal hemorrhage) and 20 with transient ischemic attack, along with 60 healthy volunteers were enrolled in the study. Leukocyte, neutrophil, lymphocyte, monocyte, and platelet counts, and red blood cell distribution width, platelet distribution width, and mean platelet volume values of the transient ischemic attack, ischemic stroke and hemorrhagic stroke patients were compared with the control group, and between the groups themselves.

Results: The mean age of patients was 67.5 (min 22-max 96), while 138 (64.2%) patients were over the age of 65. Men constituted 53% of all patients. Mean platelet volume levels of the ischemic stroke group were significantly higher than the control group (median values of 9.7 and 9.4) (p=0.003). The number of neutrophils in the transient ischemic attack group was significantly higher than the ischemic stroke group (p=0.011) and the hemorrhagic stroke group (p=0.014). Leukocyte levels were significantly higher in the transient ischemic attack group than the control group (p=0.037).

Conclusion: Mean platelet volume may be an important indicator of prognosis in ischemic stroke, whereas leukocyte and neutrophil counts may be important prognostic indicators of transient ischemic attack. There were no significant differences in the complete blood count parameters that we studied for the hemorrhagic stroke group. Keywords : Stroke, Ischemic Attack, Transient; Blood Cell Count; Prognosis