ArticleWorld journal of emergency medicine2014
International normalized ratio as a predictor of mortality in trauma patients in India.
Article in World journal of emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Prospective Analysis of Perioperative Stress Response in Living Donor Liver Transplantation for Hepatitis B-Related Liver Disease.Journal of clinical medicine · 2025Article
- Conventional Coagulation Tests are a better predictor of mortality than Viscoelastic Haemostatic Assays in trauma patients with shock: a prospective observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Effect of INR on Outcomes of Endovascular Treatment for Acute Vertebrobasilar Artery Occlusion.Translational stroke research · 2024Article
- The prognostic value of an age-adjusted BIG score in adult patients with traumatic brain injury.Frontiers in neurology · 2023Article
- Independent Predictors of Mortality in Torso Trauma Injuries.Journal of clinical medicine · 2020Article
- Prognostic Value of International Normalized Ratio in Ischemic Stroke Patients without Atrial Fibrillation or Anticoagulation Therapy.Journal of atherosclerosis and thrombosis · 2019Article
- International normalized ratio on admission predicts the 90-day mortality of critically ill patients undergoing endarterectomy.Experimental and therapeutic medicine · 2019Article
- Biochemical Markers as Predictors of In-Hospital Mortality in Patients with Severe Trauma: A Retrospective Cohort Study.Korean journal of critical care medicine · 2017Article
- Pediatric trauma BIG score: Predicting mortality in polytraumatized pediatric patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2016Article
- Diagnostic and Prognostic Significance of the Prothrombin Time/International Normalized Ratio in Sepsis and Septic Shock.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
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2 authors.
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Abstract
backgroundHemorrhage is the second leading cause of death in trauma patients preceded only by traumatic brain injury. But hemorrhagic shock is the most common cause of preventable death within 6 hours of admission. Traumatic coagulopathy is a hypocoagulable state that occurs in the most severely injured. International normalized ratio (INR) and its relationship with trauma mortality have not been studied specifically. This study aimed to establish a predictive value of INR for trauma-related mortality.
methodsA total of 99 trauma patients aged 18-70 years were included in the study. Their INR was determined and patient progression was followed up till death/discharge. According to previous retrospective studies, the cutoff value for INR in our study was kept at 1.5.
resultsThe total mortality rate of the patients was 16.16% (16/99). The mean INR was 1.45 with a SD of 1.35. INR was deranged in a total of 14 patients (14.14%). Of these patients, 11 died (78.57%) and 3 survived. INR was deranged in 11 (68.75%) of the 16 patients who died, but 5 deaths (31.25%) had normal INR values. The sensitivity of INR was 69% (95%CI 41%-88%) and the specificity 96% (95%CI 90%-99%). The diagnostic accuracy of INR was 92% (95%CI 85%-96%). Positive predictive value and negative predictive value were 79% (95%CI 49%-95%) and 94% (95%CI 87%-98%), respectively.
conclusionOur results showed that INR is a good predictor of mortality in trauma patients.
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