1. Serum levels of Selenium and C-reactive protein in comatose patients with severe traumatic brain injury during the first week of hospitalization: case-control study
- Author
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Fouzia Mamouch, Wajdi Maazouzi, Rachid Eljaoudi, Bahia Belatar, Saad Kabbaj, Fatna Laidi, and Abdelah El Abidi
- Subjects
0301 basic medicine ,Adult ,Male ,medicine.medical_specialty ,Blood transfusion ,Severe brain injury, selenium, coma, C-reactive protein, comatose patients, serum selenium, serum C-reactive protein ,Adolescent ,Traumatic brain injury ,medicine.medical_treatment ,030106 microbiology ,chemistry.chemical_element ,coma ,Severe brain injury ,Statistics, Nonparametric ,C-reactive protein ,serum C-reactive protein ,03 medical and health sciences ,Selenium ,Young Adult ,0302 clinical medicine ,Internal medicine ,Anesthesiology ,Brain Injuries, Traumatic ,medicine ,Humans ,Coma ,Trauma Severity Indices ,biology ,business.industry ,Research ,Spectrophotometry, Atomic ,Case-control study ,General Medicine ,serum selenium ,Middle Aged ,medicine.disease ,Hospitalization ,Morocco ,chemistry ,Case-Control Studies ,biology.protein ,Female ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Blood sampling ,comatose patients - Abstract
Introduction: Mortality and morbidity related to traumatic brain injuries still remain high in patients. Many authors reported the importance of Selenium in maintaining the integrity of brain functions. This fact is supported by clinical evidence that therapy with selenium supplementation could help patients suffering from brain disorders like neurodegenerative diseases. The aim of our study was to assess the relationship between Selenium concentration in serum and evolution of comatose patients with severe traumatic brain injury, in the first week of admission, and the correlation between selenium and C-reactive protein. Methods: This case-control study was conducted with 64 comatose patients with TBI, in the Department of Anesthesiology and Reanimation, IbnSina University Hospital and Hospital of specialties in Rabat-Morocco, and healthy volunteers recruited in Blood transfusion center of Rabat. Blood sampling was collected from TBI patients, in the first week (3h after admission and each 48h during one week), and from healthy volunteers one time. Concentration of Se in serum was determined by electrochemical atomic absorption spectrometry. Statistical analysis was performed using Statistical software (SPSS) and the cases and controls were compared using the Mann- Whitney U test. A P-value < 0.05 was considered to be statistically significant. Results: Comparison selenium concentration in the first day (D0), third day (D2) and fifth day according to the death and survival statue in patients did not show statistical significance (p > 0.05). Selenium concentration of D0 in patients and Selenium concentration in control group also did not show statistical significance (p > 0.05). Similarly, we did not report a correlation between selenium and C-reactive protein. Conclusion: According to our data selenium and CRP may not play a role in progression of coma state in patients with severe traumatic brain injury.
- Published
- 2018