Correlation Of Hemoglobin,Hematokrit,Albumin Level And Prognosis In Patients With Severe Traumatic Brain Injury

Objective:to investigate the Correlation of hemoglobin,hematokrit and albumin level and prognosis in patients with severe traumatic brain injury.Methods:this retrospective study was involved in 46 patients with severe traumatic brain injury(Glasgow scale 3-8 points)admitted to our hospital from October 2016 to October 2018.According to the improved Ranking score,the patients were divided into two groups with good and poor prognosis.Hb,Hct and Alb values of patients in the two groups were compared at 24 h after admission and during hospitalization.Results:1.Comparison of various indicators between the two groups within 24 hours after admission showed that,the hemoglobin in the group with good prognosis(group A)was 117.8(± 20.0)g/L,and the group with poor prognosis(group B)was 110(± 16.7)g/L,the difference was not statistically significant(p>0.05);Albumin of group A was 37.1(±6.5)g/L,group B was 31.8(± 5.2)g/L,and the difference was not statistically significant(p>0.05);Hematokrit values of group A was 35.9(±5.9)%,group B was 30.7(±5.2)%,and the difference was statistically significant(p<0.05).2.During hospitalization,Hemoglobin in group A(102.9(±15.1)g/L)was significantly higher than that in group B(85.1(±11.3)g/L),and the difference was statistically significant(p<0.05);Hematokrit in group A(31.8(±4.1)%)was significantly higher than that in group B(26.0(±4.1)%),and the difference was statistically significant(p < 0.05);Hematokrit in group A(33.8(±2.7)g/L)was significantly higher than that in group B(31.1(± 2.5)g/L),and the difference was statistically significant(p<0.05).3.There was a negative correlation between hemoglobin during hospitalization with mRS score(r=-0.452,P=0.002<0.05);There was a negative correlation between mean hematokrit during hospitalization with mRS score(r=-0.478,p=0.001<0.05);There was a negative correlation between mean albumin during hospitalization with mRS score(r=-0.424,P=0.003<0.05).Conclusion:1.The level of Hb,Hct and Alb in patients with severe traumatic brain injury was closely related to mRs score at discharge.Patients with high levels of Hb,Hct and Alb during hospitalization had better prognosis.2.Low GCS score and low Hct on admission were associated with poor prognosis.