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

Abstract

IntroductionMortality 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.MethodsThis 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.ResultsComparison 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.ConclusionAccording to our data selenium and CRP may not play a role in progression of coma state in patients with severe traumatic brain injury.

The Influence of Heavy Metals and Trace Elements on Comatose Patients with Severe Traumatic Brain Injury in the First Week of Admission

“…In the third day after admission, 90.9% had severe GCS score compared to 9.1% of moderate scores. In the fifth day GCS score was also 81.81% severe and 18.19% moderate [ 15 ].…”

Anesthesiologic management and intensive care of traumatic brain injury and C-reactive protein as a criterion of survival and treatment efficacy of patients

“…С-реактивный белок (СРБ) является одним из основных показателей острой фазы воспалительной реакции. Его концентрация в сыворотке крови повышается через 6-8 часов после начала системного воспалительного ответа и может увеличиваться в 10-100 раз в сравнении с исходными значениями [1][2][3][4][5]. Повышенное содержание СРБ коррелирует со степенью воспалительной реакции и клеточной альтерации при различных патологических состояниях, обусловленных инфекцией, травмой, оперативным вмешательством, онкологическим заболеванием, хроническим воспалительным процессом, некрозом тканей и т.п.…”

“…Повышенное содержание СРБ коррелирует со степенью воспалительной реакции и клеточной альтерации при различных патологических состояниях, обусловленных инфекцией, травмой, оперативным вмешательством, онкологическим заболеванием, хроническим воспалительным процессом, некрозом тканей и т.п. [1][2][3][4][5][6]. В различных областях анестезиологии и хирургии периоперационные показатели СРБ рассматривают как критерий адекватности анестезиологического обеспечения и травматичности оперативного вмешательства [4,7].…”