Tissue Factor and Tissue Factor Pathway Inhibitor in the Wound-Healing Process After Neurosurgery.
OBJECTIVE
The aim of the study was to assess the concentrations of tissue factor (TF) and tissue factor pathway inhibitor (TFPI) in the blood of patients with a postoperative wound after neurosurgery.


METHODS
Participants included 20 adult patients who underwent neurosurgery because of degenerative spine changes. The concentration of TF and TFPI in the patients' blood serum was measured 3 times: before surgery, during the first 24 hr after surgery, and between the 5th and 7th days after surgery. The control group comprised 20 healthy volunteers similar to the patient group with respect to gender and age.


RESULTS
A statistically significant difference was observed between TF concentration at all three measurement time points in the research group and TF concentration in the control group (p = .018, p = .010, p = .001). A statistically significant difference was found between TFPI concentration at the second time point in the research group and TFPI concentration in the control group (p = .041). No statistically significant within-subject difference was found between TF concentrations before and after surgery. A statistically significant within-subject difference was found between TFPI concentrations within 24 hr after surgery and 5-7 days after surgery (p = .004).


CONCLUSIONS
High perioperative concentrations of TF indicate not only the presence of thrombophilia but also the importance of TF in the wound-healing process. Perioperative changes in TFPI concentrations are related to its compensatory influence on hemostasis in thrombophilic conditions.
Neurological and Neurosurgical Nursing Department, Nicolaus Copernicus University, Torun, Poland zpielnin@cm.umk.pl.
Robert
R
Ślusarz
Nursing and Midwifery Department, Nicolaus Copernicus University, Torun, Poland.
Mariola
M
Głowacka
Nursing and Midwifery Department, Nicolaus Copernicus University, Torun, Poland.
Monika
M
Biercewicz
Nursing and Midwifery Department, Nicolaus Copernicus University, Torun, Poland.
Ewa
E
Barczykowska
Neurological and Neurosurgical Nursing Department, Nicolaus Copernicus University, Torun, Poland.
Beata
B
Haor
Department of Pathophysiology, Nicolaus Copernicus University, Torun, Poland.
Danuta
D
Rość
Clinic of Hematology, Nicolaus Copernicus University, Torun, Poland.
Grażyna
G
Gadomska
D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D008074:Lipoproteins / Q000097:blood*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000534:rehabilitation*; D012737:Sex Factors; D013124:Spinal Injuries / Q000601:surgery*; D013925:Thromboplastin / Q000502:physiology*; D013997:Time Factors; D014945:Wound Healing / Q000502:physiology*
D008074:Lipoproteins; C051928:lipoprotein-associated coagulation inhibitor; D013925:Thromboplastin
tissue factor; tissue factor pathway inhibitor; treatment; wound healing