Taraneh Naghibi1, Mina Mohajeri2, Faramarz Dobakhti3. 1. Assistant Professor, Department of Anaesthesiology and Critical Care Medicine, Zanjan University of Medical Science , Zanjan, Iran . 2. Physician Doctor, Department of Anaesthesiology and Critical Care Medicine, School of Medicine, Zanjan University of Medical Science , Zanjan, Iran . 3. Associate Professor, Department of Pharmaceutics, School of Pharmacy, Zanjan University of Medical Science , Zanjan, Iran .
Abstract
INTRODUCTION: Traumatic Brain Injury (TBI) accounts for the majority of trauma deaths and there has been increased interest in the understanding the role of prognostic factors. C-Reactive Protein (CRP) level increases rapidly in response to trauma. AIM: Aim of the present study was to indicate the role of CRP as a predictor of outcome in TBI patients based on their gender category. MATERIALS AND METHODS: A prospective cohort study in a surgical Intensive Care Unit (ICU) in one of the Zanjan University of Medical Science hospital was designed. Fifty nine head trauma patients were divided into two groups based on their gender. Serum CRP was measured 48 hours after trauma. All data including the length of ICU stay, the duration of mechanical ventilation, the Glasgow Coma Scale (GCS) at discharge, and mortality were collected. The relationship between the clinical features and serum CRP level was also studied. RESULTS: In the male group, CRP level was not significantly correlated with the length of ICU stay, the duration of mechanical ventilation and GCS at discharge. In the female group, CRP level was positively correlated with the length of ICU stay and the duration of mechanical ventilation; however, CRP level was not significantly correlated with GCS at discharge. These results remain constant in female sub group with severe head injury contrast to female with mild injury. CONCLUSION: The GCS level can predict the outcome of females with severe head injury better than females with mild head injury and males.
INTRODUCTION:Traumatic Brain Injury (TBI) accounts for the majority of trauma deaths and there has been increased interest in the understanding the role of prognostic factors. C-Reactive Protein (CRP) level increases rapidly in response to trauma. AIM: Aim of the present study was to indicate the role of CRP as a predictor of outcome in TBIpatients based on their gender category. MATERIALS AND METHODS: A prospective cohort study in a surgical Intensive Care Unit (ICU) in one of the Zanjan University of Medical Science hospital was designed. Fifty nine head traumapatients were divided into two groups based on their gender. Serum CRP was measured 48 hours after trauma. All data including the length of ICU stay, the duration of mechanical ventilation, the Glasgow Coma Scale (GCS) at discharge, and mortality were collected. The relationship between the clinical features and serum CRP level was also studied. RESULTS: In the male group, CRP level was not significantly correlated with the length of ICU stay, the duration of mechanical ventilation and GCS at discharge. In the female group, CRP level was positively correlated with the length of ICU stay and the duration of mechanical ventilation; however, CRP level was not significantly correlated with GCS at discharge. These results remain constant in female sub group with severe head injury contrast to female with mild injury. CONCLUSION: The GCS level can predict the outcome of females with severe head injury better than females with mild head injury and males.
Authors: Samuel J Zolin; Yoram Vodovotz; Raquel M Forsythe; Matthew R Rosengart; Rami Namas; Joshua B Brown; Andrew P Peitzman; Timothy R Billiar; Jason L Sperry Journal: J Trauma Acute Care Surg Date: 2015-03 Impact factor: 3.313
Authors: Suzana M A Lobo; Francisco R M Lobo; Daliana Peres Bota; Flavio Lopes-Ferreira; Hosam M Soliman; Christian Mélot; Jean-Louis Vincent Journal: Chest Date: 2003-06 Impact factor: 9.410
Authors: Jason L Sperry; Randall S Friese; Heidi L Frankel; Micheal A West; Joseph Cuschieri; Ernest E Moore; Brian G Harbrecht; Andrew B Peitzman; Timothy R Billiar; Ronald V Maier; Daniel G Remick; Joseph P Minei Journal: J Trauma Date: 2008-03
Authors: J Szkandera; M Stotz; G Absenger; T Stojakovic; H Samonigg; P Kornprat; R Schaberl-Moser; W Alzoughbi; C Lackner; A L Ress; F S Seggewies; A Gerger; G Hoefler; M Pichler Journal: Br J Cancer Date: 2013-11-07 Impact factor: 9.075