Background: Head injuries occur every 15 seconds worldwide, with patients
dying every 12 minutes. The value of the Neutrophil Lymphocyte Ratio (NLR) is a
factor that influences the assessment and prognostic value of patients with
intracranial hemorrhage and without intracranial hemorrhage in head injury.
The aim of this study was to determine the relationship between increased NLR
based on the severity of head injury patients with or without intracranial
hemorrhage. M ethods: This study is a retrospective cross sectional study of head
injury patients with hemorrhage and without intracranial hemorrhage who were
treated at Dr. M. Djamil Hospital Padang in 2020 from May to December 2020.
Data was collected in the Medical Records Department of Dr. M. Djamil Hospital
Padang who met the inclusion and exclusion criteria. Results : A total of 92
patients were included in the inclusion criteria for this study. The results showe d
that the mean NLR value in head injury patients was 11.72 with a variation of
7.31. The mean NLR level based on the severity of mild head injury was 10.15
with a variation of 6.38. The mean NLR level of moderate head injury severity was
12.70 with a variation of 7.09. The mean NLR level of severe head injury, was
14.69 with a variation of 9.30. The results showed that there was no difference in
the mean of NLR levels in mild head injury patients with hemorrhage and without
intracranial hemorrhage. The results showed that there was a significant
relationship between NLR levels in moderate head injury patients with
hemorrhage (14.20) and without intracranial hemorrhage (7.20) (p value = 0.029),
whereas in severe head injury it could not be assessed because there was no
sample without hemorrhage. Conclusion: There is an association between
increased NLR and intracranial bleeding in moderate head injury patients.