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[Does the leukocyte count correlate with the severity of injury?]
Sule Akköse1, Mehtap Bulut, Erol Armağan
1Uludağ Universitesi Tip Fakültesi Ilk ve Acil Yardim Anabilim Dali, Bursa, Turkey. suleakkose@yahoo.com
Background:
Injury severity score (ISS), Glasgow coma score (GCS), and revised trauma score (RTS) are the most frequently used methods to evaluate the severity of injury in blunt trauma patients. ISS is too complicated to assess easily and GCS and RTS are easy to assess but somewhat subjective. White blood cell count (WBC) is an easy, quick and objective test. This study was performed to evaluate the significance of the WBC count at presentation in the blunt trauma patients.
Methods:
713 blunt trauma patients, who were admitted to the Uludag University Medical Center Emergency Department between 01.04.2000-31.12.2000, were retrospectively evaluated in terms of ISS, GCS, RTS and white blood cell count at presentation.
Results:
Statistical analysis revealed that WBC was correlated positively with ISS, but negatively with GCS and RTS.
Conclusions:
The leukocyte count at presentation can be used as an adjunct in the evaluation of the severity of injury in blunt trauma patients.