Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital

Introduction: Traumatic brain injury(TBI) is a major cause of disability, death and economic burden to the society. Albumin is a major protein of human. Values fall as a component of metabolic response to injury or infection. Albumin being a negative phase reactant is consumed under states of stres...

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Autores principales:	Binit Kumar Jha, Mohan Raj Sharma
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	albumin GCS head injury Surgery RD1-811
Acceso en línea:	https://doaj.org/article/f795ae2d3c8648478a06341ae41b9cc7
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spelling	oai:doaj.org-article:f795ae2d3c8648478a06341ae41b9cc72021-12-05T19:16:27ZCorrelation between serum albumin and initial GCS in patient with head injury in a tertiary hospital10.3126/jssn.v18i3.153351815-39842392-4772https://doaj.org/article/f795ae2d3c8648478a06341ae41b9cc72016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15335https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Traumatic brain injury(TBI) is a major cause of disability, death and economic burden to the society. Albumin is a major protein of human. Values fall as a component of metabolic response to injury or infection. Albumin being a negative phase reactant is consumed under states of stress such as TBI. Materials and Methods: This is a descriptive observational study conducted at the Department of Surgery, TUTH over a period of 1 year between 2014 and 2015. Albumin level at admission was correlated with severity of head injury, Glasgow Coma Scale at admission and duration of hospital stay. Results: Among 59 patients with isolated TBI patients from TUTH, 40(68%) were male and 19(32%) were female. 55% of head injuries occurred between the ages of 18-40 years. Out of total patients, fall was the major cause of head injury with 24 (41%) under this category. Nine (15%) had severe head injury; 22 (37%) had moderate and 28 (47.45%) patients had severe head injury at admission. Contusion 19 (28%) and subdural hematoma 17(26%) were the predominant computed tomography findings. Twenty four (40%) patients were managed conservatively, thirty five (60%) patients were operated. The average albumin level at admission for patients with mild, moderate and severe head injury were 41,46gm/dl, 33.76gm/dl, 31.1gm/dl respectively. There is a positive correlation between initial serum albumin and GCS at admission (p=0.01, R= 0.747). Conclusion: There is a positive correlation between initial serum albumin and GCS at admission. Further research on this topic at multiple centres is warranted. Binit Kumar JhaMohan Raj SharmaSociety of Surgeons of NepalarticlealbuminGCShead injurySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	albumin GCS head injury Surgery RD1-811
spellingShingle	albumin GCS head injury Surgery RD1-811 Binit Kumar Jha Mohan Raj Sharma Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital
description	Introduction: Traumatic brain injury(TBI) is a major cause of disability, death and economic burden to the society. Albumin is a major protein of human. Values fall as a component of metabolic response to injury or infection. Albumin being a negative phase reactant is consumed under states of stress such as TBI. Materials and Methods: This is a descriptive observational study conducted at the Department of Surgery, TUTH over a period of 1 year between 2014 and 2015. Albumin level at admission was correlated with severity of head injury, Glasgow Coma Scale at admission and duration of hospital stay. Results: Among 59 patients with isolated TBI patients from TUTH, 40(68%) were male and 19(32%) were female. 55% of head injuries occurred between the ages of 18-40 years. Out of total patients, fall was the major cause of head injury with 24 (41%) under this category. Nine (15%) had severe head injury; 22 (37%) had moderate and 28 (47.45%) patients had severe head injury at admission. Contusion 19 (28%) and subdural hematoma 17(26%) were the predominant computed tomography findings. Twenty four (40%) patients were managed conservatively, thirty five (60%) patients were operated. The average albumin level at admission for patients with mild, moderate and severe head injury were 41,46gm/dl, 33.76gm/dl, 31.1gm/dl respectively. There is a positive correlation between initial serum albumin and GCS at admission (p=0.01, R= 0.747). Conclusion: There is a positive correlation between initial serum albumin and GCS at admission. Further research on this topic at multiple centres is warranted.
format	article
author	Binit Kumar Jha Mohan Raj Sharma
author_facet	Binit Kumar Jha Mohan Raj Sharma
author_sort	Binit Kumar Jha
title	Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital
title_short	Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital
title_full	Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital
title_fullStr	Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital
title_full_unstemmed	Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital
title_sort	correlation between serum albumin and initial gcs in patient with head injury in a tertiary hospital
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/f795ae2d3c8648478a06341ae41b9cc7
work_keys_str_mv	AT binitkumarjha correlationbetweenserumalbuminandinitialgcsinpatientwithheadinjuryinatertiaryhospital AT mohanrajsharma correlationbetweenserumalbuminandinitialgcsinpatientwithheadinjuryinatertiaryhospital
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Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital

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