Relation of biochemistry and hematology findings with the outcome of patients with abdominal and chest trauma

Abstract

Recent studies have placed significant emphasis on the predictive role of laboratory factors in trauma patients. Given the importance of managing patients with chest and abdominal trauma as a priority in any trauma center, and the lack of previous research in this area, we decided to design a study focused on the predictive value of laboratory factors in patients with chest and abdominal trauma. Therefore, the present study aimed to evaluate the relationship between biochemical and hematologic findings with the outcomes of patients suffering from chest and abdominal trauma. Methods: T This cross-sectional study included 111 patients in 2024, equally divided between chest trauma and abdominal trauma cases, who were admitted to Imam Reza Hospital in Tabriz. The sampling method used in this study was convenience sampling. Immediately upon admission to the emergency department, samples were taken from the patients, and their medical history was obtained (from the patient or their companion). The same blood samples collected for routine laboratory tests were also used to measure laboratory findings. The Injury Severity Scale (ISS) was utilized to assess the severity of trauma in all patients, and patient outcomes were categorized as death, recovery (discharge), or hospitalization (length of hospital stay/ICU stay). Results: The study results indicated that certain biochemical variables, such as blood sugar (BS), prothrombin time (PT), partial thromboplastin time (PTT), and blood urea nitrogen (BUN), had a significant relationship with mortality outcomes in patients with abdominal and chest trauma. Additionally, these variables had a substantial impact on the duration of ICU stay, though no significant relationship was found with the length of hospital stay.