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Distribution of Laboratory Parameters in Trauma Population
Prashant Bhandarkar1, Ranabir Pal2, Ashok Munivenkatappa3
1Department of Statistics, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India.
Journal of Emergencies, Trauma, and Shock
|April 10, 2018
Summary
Biochemical tests like hemoglobin and creatinine on admission significantly predict mortality in trauma patients. Higher levels of these markers indicate increased risk, with notable gender differences in survival outcomes.
Area of Science:
- Trauma Care
- Clinical Biochemistry
- Outcome Prediction
Background:
- Biochemical laboratory investigations are crucial for managing trauma patients.
- Understanding real-time biochemical values aids in predicting patient outcomes.
Purpose of the Study:
- To evaluate real-time biochemical laboratory values in trauma patients.
- To determine the association between these values and overall mortality.
Main Methods:
- Prospective observational registry (TITCO) from four Indian hospitals.
- Recorded hemoglobin, hematocrit, random blood sugar, BUN, and creatinine on admission.
- Used logistic regression to analyze the association with mortality.
Main Results:
- Analyzed 3456 trauma patients; overall mortality was 20%.
- Higher hemoglobin, hematocrit, and creatinine levels correlated with increased mortality (up to 70%).
- Significant gender disparity observed: female mortality (29%) higher than male (18%).
Conclusions:
- Laboratory parameters provide significant explanatory value in predicting trauma patient outcomes.
- Findings are relevant for trauma care in Indian settings.
- Highlights the importance of timely biochemical assessment in trauma management.
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