Eser, PınarCorabay, SenihaÖzmarasali, Ali İmranOcakoğlu, GökhanTaşkapılıoğlu, Mevlut Özgür2024-09-262024-09-262022-05-260269-9052https://doi.org/10.1080/02699052.2022.2077442https://www.tandfonline.com/doi/full/10.1080/02699052.2022.2077442https://hdl.handle.net/11452/45280Objective Analyzing the association between hematologic parameters and abnormal cranial computerized tomography (CT) findings after head trauma. Material and methods A total of 287 children with isolated traumatic brain injury (TBI) were divided into the 'normal' (NG), 'linear fracture' (LFG) and 'intraparenchymal injury' groups (IPG) based on head CT findings. Demographical/clinical data and laboratory results were obtained from medical records. Results The neutrophil-lymphocyte ratio was markedly higher in the LFG (p = 0.010 and p = 0.016, respectively) and IPG (p = 0.004 and p < 0.001, respectively) compared with NG. Lower lymphocyte-monocyte ratio (p = 0.044) and higher red cell distribution width-platelet ratio (RPR) (p = 0.030) were associated with intraparenchymal injuries. Patients requiring neurosurgical intervention had higher neutrophil-lymphocyte ratio (p = 0.026) and RPR values (p = 0.031) and lower platelet counts (p = 0.035). Lower levels of erythrocytes (p = 0.005), hemoglobin (p = 0.003) and hematocrit (p = 0.002) were associated with severe TBI and unfavorable outcome (p = 0.012, p = 0.004 and p = 0.006, respectively). Conclusions Hematologic parameters are useful in predicting the presence of abnormal cranial CT findings in children with TBI in association with injury severity; surgery need and clinical outcome.eninfo:eu-repo/semantics/closedAccessGlasgow coma scaleCell distribution widthTo-lymphocyte ratioComputed-tomographyRadiation-exposureMotor scoreNeutrophilMildAnemiaManagementGlasgow coma scoreHematologic markersNeurosurgeryOutcomePediatric patientsTraumatic brain injuryScience & technologyLife sciences & biomedicineNeurosciencesRehabilitationNeurosciences & neurologyArticle00079985340000174074936610.1080/02699052.2022.20774421362-301X