Journal of Isfahan Medical School

Journal of Isfahan Medical School

Evaluation of the Relationship between Serum Level of Selenium at Arrival to Intensive Care Unit with Duration of Mechanical Ventilation, Mortality and Inflammatory Factors in Multiple Trauma Patients

Document Type : Original Article (s)

Authors
Saeed Abbasi 1
Hamid Saryazdi 1
Azim Honarmand 1
Sayyed Amirhosein Mohsenzadeh 2
Soheila Masoudi 2
1 Associate Professor, Anesthesiology and Critical Care Research Center, Isfahan university of Medical Sciences, Isfahan, Iran
2 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan university of Medical Sciences, Isfahan, Iran
Abstract
Background: Selenium is a trace element in the body that plays multiple physiological roles. Lack of this element can affect many serum mediators and immune cells. Abnormality in serum selenium impairs organ function and eventually causes sepsis and organ failure and reduced survival. Therefore this study was conducted to evaluate the relation between serum selenium level at arrival to intensive care unit with duration of ventilation, inflammatory factors and mortality in multiple trauma patients.Methods: 80 multiple trauma patients hospitalized in intensive care unit (ICU) of Al-Zahra hospital, Isfahan, Iran, aged 16 to 85 years were included. Serum level of selenium, C reactive protein (CRP), erythrocyte sedimentation rate (ESR), Interleukin 1(IL1), IL33, and IL6 were measured. Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure Assessment (SOFA) scores were calculated for each patient. Pearson’s correlation was used to analysis the relationship between these variables and serum level of selenium.Findings: All 80 patients were included in final analysis. Mean selenium level was 77.54 ± 44.90 and 43 patient (53.8%) had low levels of selenium and 37patient (46.2%) had normal level. Pearson correlation showed correlation between Serum selenium levels and IL6, ESR, white blood cell (WBC) and mortality, but, there was no significant correlation with other variables.Conclusion: There is no relation between serum level of selenium and mechanical ventilation of multiple trauma patients but there is relation between its level and mortality and some inflammatory factors.
Keywords
Selenium
Critically ill patient
Mortality
Inflammatory factors
Mechanical Ventilation
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Journal of Isfahan Medical School
Volume 34, Issue 378 - Serial Number 378
March and April 2016
Pages 355-361

  • Receive Date 16 December 2015
  • Accept Date 06 April 2022