International Journal of Contemporary Surgery
  • Year: 2016
  • Volume: 4
  • Issue: 1

Coagulopathy due to Fall in Platelets as a Predictor of Severity of Head Injury in Isolated Traumatic Brain Injury Patients

  • Author:
  • Anil Kumar1, Prashant Gupta1, Somendra Pal Singh2,, Amit Kumar3, Swadeep Shrivastava4, Mohit Gupta4, Praveen Singh4
  • Total Page Count: 4
  • Page Number: 7 to 10

1Associate Professor, Department of Surgery, UP RIMS & R, Saifai, Etawah, U.P.

2Assistant Professor, Department of Surgery, UP RIMS & R, Saifai, Etawah, U.P.

3Lecturer, Department of Surgery, UP RIMS & R, Saifai, Etawah, U.P.

4Junior Resident, Department of Surgery, UP RIMS & R, Saifai, Etawah, U.P.

*Corresponding author: Dr Somendra Pal Singh Assistant Professor, Department of Surgery, UP RIMS & R, Saifai, Etawah, U.P. Email Id: somendrachauhan@hotmail.com

Online published on 18 February, 2016.

Abstract

Coagulopathy often accompanies TBI (Traumatic Brain Injury) which is leading cause of morbidity and mortality in Head injury patients. Platelets as component of coagulation can be used as a predictor of severity of head injury.

To establish role of platelets if any as a predictor of severity of haed injury

Prospective study in which if 2 out 3 readings of Platelets taken at different prefixed time was taken and compared with severity of Head injury which was taken on GCS score and divided into 3 groups as Group A-Mild, Group B-Moderate, Group C-Severe.

In our study 240 out of 389 patients i.e. 61.6% developed coagulopathy following Traumatic Brain Injury (TBI). In Group A (GCS 3–8) 82% patients, Group B (GCS 9–12) 64% patients and Group C (GCS 13–15) 44% patients developed coagulopathy following TBI.

Platelet count as a predictor of coagulopathy can be used as a predictor of severity of Head injury

Keywords

Traumatic Brain Injury, Platelet counts, Coagulopathy, Glassgow Coma Score