Significance of Cardiac Troponin I Elevation in Traumatic Brain Injury Patients
| Author | Siamak Rimaz | en |
| Author | Ali Ashraf | en |
| Author | Shideh Marzban | en |
| Author | Mohammad Haghighi | en |
| Author | Seyyed Mahdi Zia Ziabari | en |
| Author | Gelareh Biazar | en |
| Author | Sheyda Rimaz | en |
| Author | Samad Omidi | en |
| Orcid | Siamak Rimaz [0000-0002-5268-5297] | en |
| Orcid | Mohammad Haghighi [0000-0003-0331-1683] | en |
| Orcid | Seyyed Mahdi Zia Ziabari [0000-0002-3708-7723] | en |
| Orcid | Gelareh Biazar [0000-0002-4571-6059] | en |
| Issued Date | 2019-04-30 | en |
| Abstract | Background: Myocardial dysfunction is frequently described as an underlying cause of mortality in traumatic brain injury (TBI) known as brain-cardiac link. However the impact on prognosis of a disease remains uncertain. Objectives: The current study aimed at investigating the correlation between TBI and cardiac troponin I (cTnI) rise and in-hospital mortality rate among patients with TBI. Methods: In the current prospective study TBI patients with abbreviated injury scale score (AIS) > 3 and Glasgow coma scale (GCS) score ≤ 8 with cTnI measurement within the first 24 hours of admission were evaluated. Chi-square, Kruskal-Wallis, Mann-Whitney U and Logistic Regression tests were used for data analysis. Results: A total of 166 eligible patients were studied .The mean age of the cases was 37.64 ± 17.21 years, largely under 65 (93.4%) and male (86.7%).The most common injuries were cerebral contusion (35.1%), while motor vehicle crash (MVC) was the most common cause of injuries (83.73%); 59 % of the patients showed detectable cTnI concentrations within 24 hours of admission; 65.7% of the patients expired; they showed higher levels of cTnI compared to survivors that showed lower levels, 0.148 ± 0.074 vs 0.057 ± 0.055, respectively (P < 0.001). Moreover, a significant association was observed between mortality rate and lower admission GCS 3.49 ± 1.08 vs 6.79 ± 1.66, respectively (P < 0.001). Conclusions: Increased cTnI levels could be a predictor of mortality among patients with TBI. Its measurement and investigation for therapeutic strategies could lead to better management of these cases. | en |
| DOI | https://doi.org/10.5812/aapm.90858 | en |
| Keyword | Cardiac Troponin I | en |
| Keyword | Traumatic Brain Injury | en |
| Keyword | Mortality | en |
| Publisher | Brieflands | en |
| Title | Significance of Cardiac Troponin I Elevation in Traumatic Brain Injury Patients | en |
| Type | Research Article | en |
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