The Relationship between Consciousness Level and Leukocyte Count in Trauma Patients Hospitalized in the Emergency Department of Besat Hospital in Hamadan in 2020-2021

 Assessing the severity of injury and the factors affecting the prognosis of trauma patients will lead to better management. This study was performed to investigate the relationship between leukocyte count and level of consciousness in trauma patients.

 This descriptive cross-sectional study was performed on the records of 126 patients admitted to the emergency department of Be'sat Hospital in Hamadan in 2020-2021. Before prescribing any medication, blood samples were drawn to determine the number of leukocytes using a cell counter. At the same time, the level of consciousness was recorded based on the Glasgow Coma Scale (GCS) and the relationship between the two was examined.

 The total number of trauma patients was 126 (67.5% male and 32.5% female). Their mean age was 37.71± 12.78 years. Traumas were mostly blunt (78.6%) and multiple trauma (45.2%). The frequency of leukocytosis was 27.8%, with a mean leukocyte count of 9526±3470 per microliter of blood. There was a significant correlation between level of consciousness and leukocyte count 12 hours after admission (r = 0.663, P <0001). There was also a significant relationship between leukocyte count and trauma outcome (P <0.001). 81.8% of the patients were discharged in good condition and 7.1% died.

 In trauma patients, a positive correlation was observed between peripheral blood leukocyte count and level of consciousness. Considering the relationship between leukocyte count and the final outcome of trauma patients, this biomarker can be used to determine the relative prognosis of patients in supplementary studies.