Correlation between the degree of severity and type of intracranial hemorrhage with the incidence of coagulopathy in head injuries at the Ulin Regional General Hospital, Banjarmasin, Indonesia

Abstract

Link of Video Abstract: https://youtu.be/iUu03npEjEo Background: Trauma cases, especially head injuries, are cases that are often found in hospital emergency departments. Coagulopathy can occur in head injuries and intracranial bleeding, where a low Glasgow Coma Scale (GCS) is associated with coagulopathy. This study aims to evaluate the correlation between the degree of severity and type of intracranial hemorrhage and the incidence of coagulopathy in head injuries at the Ulin Regional General Hospital, Banjarmasin, Indonesia. Methods: An observational analytic study with 74 sample populations was conducted among patients with a head injury treated at Ulin Regional General Hospital, Banjarmasin, in the 2019-2022 period taken by total sampling, which met the inclusion and exclusion criteria. The data of each variable was analyzed with the Kruskal-Wallis test. Data were analyzed using SPSS version 25.0 for Windows. Results: There was a significant relationship between the two variables towards the occurrence of coagulopathy; namely, the degree of severity was 0.000 (p <0.05), and the type of bleeding was 0.003 (p<0.05). Conclusion: There is a significant relationship between the degree of severity of the incidence of coagulopathy and the bleeding with the incidence of coagulopathy, so knowing the degree of severity by clinical examination of GCS and the type of intracranial bleeding by CT scan of the head, as well as blood tests to determine the incidence of coagulopathy are important so that management can be carried out and assessing outcomes.