Changes In SGOT/SGPT, Albumin and NLR Values as Predictors of The Severity of Blunt Hepatic Trauma in RSUP Prof. Dr I.G.N.G Ngoerah Denpasar
I Komang Botha Wikrama1*, I Gede Suwedagatha2, and Tjokorda Gde Bagus Mahadewa3
Abstract
Objective: To determine the relationship of SGOT/SGPT, serum albumin levels and neutrophil lymphocyte ratio with the degree of major hepatic trauma. Methods: This study used a retrospective cohort observational research design. Samples in this study were selected by consecutive sampling by selecting subjects where all subjects who met the selection criteria in the period January 2019-December 2022. This study involved 66 samples of hepatic blunt trauma patients who were treated at Prof. Dr. I.G.N.G. Ngoerah Hospital Denpasar. Results: SGOT enzyme has a p-value of 0.047 <0.05, SGPT enzyme obtained data with a p-value of 0.056>0.05, albumin levels with a p-value of 0.011 <0.05 and NLR with a p-value of 0.022 <0.05. Based on the OR value, it can be concluded that NLR > 6.3 can cause major trauma 21.2 times and is the most dominant variable causing major hepatic trauma. Conclusion: Increase in SGOT enzyme level > 318.2 U/L, increase in SGPT enzyme level > 186.15 U/L, decrease in serum albumin level < 3.02 and increase in neutrophil lymphocyte ratio (NLR) level > 6.3 103/ul are significant as predictors of major hepatic trauma. NLR is the most dominant factor in the severity of hepatic trauma compared to the increase in SGOT/SGPT enzyme levels and decreased serum albumin levels.
Keywords
predictors; blunt hepatic trauma; SGOT/SGPT; albumin; NLR
Cite This Article
Wikrama, I. K. B., Suwedagatha, I. G., Mahadewa, T. G. B. (2024). Changes In SGOT/SGPT, Albumin and NLR Values as Predictors of The Severity of Blunt Hepatic Trauma in RSUP Prof. Dr I.G.N.G Ngoerah Denpasar. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 3: May-Jun 2024, Pages 400-409, URL: https://www.ijscia.com/wp-content/uploads/2024/05/Volume5-Issue3-May-Jun-No.600-400-409.pdf
Volume 5 | Issue 3: May-Jun 2024
