Research Article

Serial Serum Leukocyte Apoptosis Levels as Predictors of Outcome in Acute Traumatic Brain Injury

Table 1

Demographic data of patients and controls on admission.

ParameterTBI patients
( )
Controls
( )
value

Age (y), median (IQR)36 (20, 54)47 (36, 59)0.003
Male 55130.263
Underlying diseases
 Hypertension801.000
 Diabetes mellitus301.000
 Alcoholism901.000
 Smoking 801.000
Clinical features at presentation
 Posttraumatic amnesia18NA
 Brief unconsciousness51NA
 Motor deficits17NA
GCS at presentation15 (13, 15)NA
Severity of traumatic brain injury
 Mild68NA
 Moderate 8NA
 Severe12NA
Injury severity score at presentation16 (11, 20)NA
Laboratory data at presentation,
Median (IQR)
 WBC ( 103/mL)12.9 (10.4, 16.3)5.5 (4.4, 6)0.001
 Platelet counts ( 103/mL)209 (157, 276)211 (180, 247)0.805
Brain imaging findings at presentation
 Depressed skull fracture2NA
 Pneumocranium 9NA
 Traumatic SAH45NA
 Subdural hemorrhage34NA
 Epidural hemorrhage16NA
 Parenchymal contusion hemorrhage20NA
Neurosurgical intervention18NA
Total leukocyte apoptosis (%)
 Annexin V (%)15.14 (10.78, 19.35)10.86 (8.76, 13.42)≤0.001
 APO2.7 (%)1.61 (0.99, 2.64)0.72 (0.52, 0.85)≤0.001
 Annexin V+7-AAD (%)3.54 (2.20, 5.59)3.22 (2.55, 4.52)0.600
Neutrophil apoptosis (%)
 Annexin V (%)18.99 (12.60, 26.51)13.9 (10.25, 17.97)0.010
 APO2.7 (%)0.94 (0.55, 1.74)0.51 (0.4, 0.61)≤0.001
 Annexin V+7-AAD (%)2.33 (1.09, 5.46)3.9 (2.23, 5.53)0.043
Lymphocyte apoptosis (%)
 Annexin V (%)6.31 (4.98, 8.92)4.8 (3.82, 6.72)0.003
 APO2.7 (%)0.78 (0.5, 1.19)0.31 (0.22, 0.43)≤0.001
 Annexin V+7-AAD (%)1.5 (1.13, 2.38)1.53 (0.92, 2.09)0.526
Monocyte apoptosis (%)
 Annexin V (%)19.60 (15.4, 26.42)17.38 (12.4, 21.57)0.074
 APO2.7 (%)4.29 (1.93, 8.29)1.75 (1.06, 2.66)≤0.001
 Annexin V+7-AAD (%)5.0 (3.37, 8.0)4.55 (3.27, 6.02)0.292

CI: confidence interval; GCS: Glasgow Outcome Scale; IQR: interquartile range; 7-AAD: 7-amino-actinomycin D.
Data are presented either as absolute numbers or as medians with the interquartile range. Statistical significance was set at a level of . Statistical variance between groups was assessed by Fisher’s exact test for discrete variables and by the Mann-Whitney test for continuous variables.