INVESTIGATION OF THE RELATIONSHIP BETWEEN HALP SCORE AND MORTALITY IN PATIENTS WITH ACUTE ISCHEMIC STROKE

Abstract

INTRODUCTION: Acute ischemic stroke (AIS) is the leading cause of death and long-term disability worldwide. The aim of this study is to examine the relationship between HALP (hemoglobin, albumin, platelet, lymphocyte) score and mortality in patients diagnosed with AIS who visited the emergency department (ED). MATERIAL AND METHODS: Data of AIS patients aged 18 years and older who visited ED during the study period were analyzed retrospectively. Data were obtained from an electronic-based hospital information system. The area under the receiver operating characteristic (ROC) curve and the area under the curve (AUC) were used to evaluate each discriminant cut-off value to estimate mortality. RESULTS: A total of 138 patients were included in this study, the median age of the patients was 66, and 74 (54%) were male. While the average hospital stay of the patients was 5 days, 30 patients were admitted to the intensive care units. As a result of the ROC analysis of the HALP score to predict the presence of in-hospital mortality, the area under the curve was calculated as 0.701 (95% CI: 0.553–0.849), the Youden index was 0.334, and the p-value was 0.001. When the cut-off value of the HALP score in determining the presence of in-hospital mortality is > 29.44, the sensitivity is 58.4%, the specificity is 75.0%, the positive predictive value is 96.05%, and the negative predictive value is 14.75%. CONCLUSIONS: In our study, we concluded that the HALP score can be a good predictor of mortality in stroke patients. We recommend the use of the score because it is cheap, practical, and useful.