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

Authors

  • Binit Kumar Jha
  • Mohan Raj Sharma

DOI:

https://doi.org/10.3126/jssn.v18i3.15335

Keywords:

albumin, GCS, head injury

Abstract

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.

Downloads

Download data is not yet available.
Abstract
2460
PDF
549

Downloads

Published

2016-07-25

How to Cite

Jha, B. K., & Sharma, M. R. (2016). Correlation between serum albumin and initial GCS in patient with head injury in a tertiary hospital. Journal of Society of Surgeons of Nepal, 18(3), 63. https://doi.org/10.3126/jssn.v18i3.15335

Issue

Section

Abstracts