Plasma D-dimer levels are a biomarker for in-hospital complications and long-term mortality in patients with traumatic brain injury.

D-dimer biomarker in-hospital complications long-term mortality prognosis prediction traumatic brain injury

Journal

Frontiers in molecular neuroscience
ISSN: 1662-5099
Titre abrégé: Front Mol Neurosci
Pays: Switzerland
ID NLM: 101477914

Informations de publication

Date de publication:
2023
Historique:
received: 12 08 2023
accepted: 11 10 2023
medline: 15 11 2023
pubmed: 15 11 2023
entrez: 15 11 2023
Statut: epublish

Résumé

Traumatic brain injury (TBI) is a major health concern worldwide. D-dimer levels, commonly used in the diagnosis and treatment of neurological diseases, may be associated with adverse events in patients with TBI. However, the relationship between D-dimer levels, TBI-related in-hospital complications, and long-term mortality in patients with TBI has not been investigated. Here, examined whether elevated D-dimer levels facilitate the prediction of in-hospital complications and mortality in patients with TBI. Overall, 1,338 patients with TBI admitted to our institute between January 2016 and June 2022 were retrospectively examined. D-dimer levels were assessed within 24 h of admission, and propensity score matching was used to adjust for baseline characteristics. Among the in-hospital complications, high D-dimer levels were associated with electrolyte metabolism disorders, pulmonary infections, and intensive care unit admission ( Overall, elevated D-dimer levels at admission were associated with adverse outcomes and may predict poor prognosis in patients with TBI. Our findings will aid in the acute diagnosis, classification, and management of TBI.

Identifiants

pubmed: 37965038
doi: 10.3389/fnmol.2023.1276726
pmc: PMC10641409
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1276726

Informations de copyright

Copyright © 2023 Chen, Wang, Liu, Guo, Wu, Yang, Hu, Zheng and He.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Xinli Chen (X)

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Xiaohua Wang (X)

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Yingchao Liu (Y)

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Xiumei Guo (X)

Department of Neurosurgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Fan Wu (F)

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Yushen Yang (Y)

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Weipeng Hu (W)

Department of Neurosurgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Feng Zheng (F)

Department of Neurosurgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Hefan He (H)

Department of Anesthesiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

Classifications MeSH