Abstract

Objective: Trauma is often the result of an overwhelming amount of stress that exceeds one's ability to cope or integrate the emotions involved with that experience. However, trauma differs between individuals according to their subjective experiences. People react to similar events differently. Platelets are acute-phase reactants. Patients and Methods: This is a retrospective study of all patients with trauma admitted to the trauma center. A total of 242 patients with multiple traumas were identified through a prospective registry. The severity of illness was evaluated on the first day using the injury severity score (ISS). The platelet count was checked in all trauma patients at admission time, 24 h later, and after 72 h. Results: The 242 patients with multiple traumas who were in the emergency department of Peymanieh Hospital showed that there was correlation between the severity of injury in multiple trauma patients and a change in the platelet count after 24 h (P < 0.05). The platelet count after 24 h in minor and moderate ISS groups had decreased. However, in critical ISS group patients, the count increased after 24 h. Conclusion: There was a correlation between the severity of the injury and thrombocytosis in multiple trauma patients.