EFFECT OF HORMONE LEVELS ON PROGNOSIS IN THORACIC TRAUMA PATIENTS

Ahmet Feridun Işık, Metin Er, Ufuk Çobanoğlu, İrfan Yalçınkaya, Serkan Sağay

Yüzüncü Yıl Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Ana Bilim Dalı, Van

Background: Thoracic trauma is responsible of 25% of deaths which depend on general trauma. Literature and our experiences have shown that there were many unexpected complications and deaths among thoracic trauma cases. We aimed to make this study to explain if hormone levels in thoracic trauma patients have an effect on prognosis or not.

Methods: In this study, plasma hormone levels of 70 patients with thoracic trauma and 16 patients in control group who attended between March 2002 and October 2003 were detected on initial acceptance, clinical follow-up and recovery.

Results: Mean ages were 41.8 (10-71) in trauma group, 42.1 (15-69) in control group. Decrease in plasma levels of free T3 and free T4 were significant (p = 0.000; p = 0.003). In addition to this, significant increase in plasma levels of prolactin and cortizol was found out (p = 0.003; p = 0.000).

Conclusion: In thoracic trauma patients, plasma levels of some hormones increase or decrease as in general trauma, but it is diffucult to state an exact opinion whether these changes are responsible of morbidity and mortality or complications and deaths cause increase and decrease.

Keywords : Thoracic trauma, complication, hormone

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