Volume 18, Issue 1 (April 2011)                   J Birjand Univ Med Sci. 2011, 18(1): 25-31 | Back to browse issues page


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Ghaemi K, kazemi T, Aboueye Mehrizi M, Naseh G. Evaluation of coagulation markers in patients with brain injury, Imam Reza Hospital of Birjand, 2006. J Birjand Univ Med Sci.. 2011; 18 (1) :25-31
URL: http://journal.bums.ac.ir/article-1-922-en.html

1- Associated Professor Department of Neurosurgery, Birjand University of Medical Sciences, Birjand, Iran
2- Associated Professor Department of Cardiology, Birjand Cardiovascular Research Center, Birjand University of Medical Sciences, Birjand, Iran , med_847@yahoo.com
3- General Practitioner Birjand University of Medical Sciences, Birjand, Iran
4- Assistant Professor Department of Surgery, Birjand University of Medical Sciences, Birjand, Iran
Abstract:   (10304 Views)

  Background and Aim: Coagulopathy is a common phenomenon in brain trauma that affects the prognosis of the patients. This study aimed at evaluating the coagulation markers and its association with prognosis in patients with brain injury.

  Materials and Methods: This descriptive-analytical study was performed on 42 patients with head trauma with GCS ≤ 10 in Imam Reza Hospital of Birjand in 2006. Coagulation indices including PT, PTT, INR and platelet count were measured in all patients at the day 1 and 4 of admission. A score of zero was considered for the normal range of each marker and one for abnormal results. Total score was considered as the score of coagulopathy disorder. The changes in the consciousness level (GCS) and the outcome of the patients were recorded. Data were analyzed by means of SPSS version 11.5 and Fisher test at the significant level of P<0.05.

  Results: The most common observed coagulopathy in the day 1 and 4 was abnormal PT. Statistic analysis revealed significant association between the coagulopathy score in the fourth day and GCS changes in patients (P=0.04). Moreover, a significant association was observed between the coagulopathy score changes and the mortality of the patients (P=0.03).

  Conclusion: This study showed that the brain injury significantly affects the coagulation state and prognosis. Early detection of these changes may affect the outcome of the patients.

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Subject: اعصاب و روان
Received: 2011/09/9 | Accepted: 2016/03/10 | Published: 2016/03/10

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