Relationship between Serum Lactate with the Severity of Injury in Patients with Spinal Cord TraumaRelationship between Serum Lactate with the Severity of Injury in Patients with Spinal Cord Trauma

Khalil  Komlakh; Yousef  Asadoola  Jamshidi; Ramin  Rajabi; Sohrab  Sadeghi; Ali  Keipourfard; Fahimeh  Feili

doi:10.18502/aacc.v11i3.18482

Khalil Komlakh Department of Neurosurgery, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Yousef Asadoola Jamshidi Department of Nursing, Kut University College, Wasit, 52001, Iraq.
Ramin Rajabi Department of Neurosurgery, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Sohrab Sadeghi Department of Neurosurgery, Imam Hossein Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ali Keipourfard Department of Orthopedics, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Fahimeh Feili Oral and Dental Health Research Center, Ilam University of Medical Sciences, Ilam, Iran.

DOI: https://doi.org/10.18502/aacc.v11i3.18482

Keywords: Spinal cord trauma; Serum lactate; Trauma

Abstract

Background: Spinal cord trauma (SCT) is one of the types of traumas that causes many complications. In order to identify these complications, it is necessary to check the results of laboratory tests and radiology tests.

Methods: This study was conducted with the aim of determining the relationship between serum lactate of patients and the severity of injury caused in trauma patients. The study included 190 hospitalized patients with SCT. The researchers’ enrolled patients with SCT injuries who met the inclusion criteria by visiting the hospital daily.

Results: Results showed that out of 190 examined patients, 32 (16.8%) patients died and 158 (83.2%) were discharged from the hospital. Also, 160 (84.2%) of the patients were male, and 30 (15.8%) of them were female. Regarding the injury mechanism, it was shown that 98 (51.6%) of the patients were due to road traffic accidents, 33 (17.4%) of the patients were due to falls, and only 8 (4.2%) were due to sports accidents. Also, the result showed the amount of lactate in the survivors group was 1.2 (0.8-2.6), and in the non-survivors group it was 3.9 (2.8-6.6).

Conclusion: Considering that there were laboratory changes in patients with TSCI, it is recommended to use the results of this study as a clinical guide for doctors.