Analysis of the correlation between blood glucose level and prognosis in patients younger than 18 years of age who had head trauma

被引:6
作者
Danisman, Bahadir [1 ]
Yilmaz, Muhittin Serkan [2 ]
Isik, Bahattin [1 ]
Kavalci, Cemil [3 ]
Yel, Cihat [2 ]
Solakoglu, Alper Gorkem [2 ]
Demirci, Burak [2 ]
Inan, Selim [2 ]
Karakilic, M. Evvah [1 ]
机构
[1] Diskapi Yildirim Beyazit Training & Res Hosp, Emergency Dept, Ankara, Turkey
[2] Ankara Numune Training & Res Hosp, Emergency Dept, Ankara, Turkey
[3] Baskent Univ, Fac Med, Emergency Dept, TR-06490 Ankara, Turkey
来源
WORLD JOURNAL OF EMERGENCY SURGERY | 2015年 / 10卷
关键词
Head trauma; Blood glucose; GCS; RETROSPECTIVE ANALYSIS; INTRACRANIAL INJURY; HYPERGLYCEMIA; MORTALITY;
D O I
10.1186/s13017-015-0010-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To analyze the correlation between early-term blood glucose level and prognosis in patients with isolated head trauma. Methods: This study included a total of 100 patients younger than 18 years of age who had isolated head trauma. The admission blood glucose levels of these patients were measured. Age at the time of the incident, sex, mode of occurrence of the trauma, computed tomography findings, and GCSs were recorded. Kruskall Wallis test was used compare of groups. A p value less than 0.05 was considered statistically significant. Results: The median age of the study population was 7 years and the median GCS was 11. There was a significant negative correlation between blood glucose level and GCS (p < 0.05). A significant correlation in the negative direction was observed between GCS and blood glucose level (r = -0.658, p < 0.05). Seventy-seven percent of the patients were admitted to hospital, while 6% died in ED. Conclusion: The results of the present study suggest that hyperglycemia at an early stage and a low GCS may be reliable predictors of the severity of head trauma and prognosis. A higher blood glucose level may be an ominous sign that predicts a poor prognosis and an increased risk of death.
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页数:4
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