Can Serum glucose level in early admission, predict outcome in patints with severe head trauma ?

Can Serum glucose level in early admission, predict outcome in patints with severe head trauma ?

World Neurosurg. 2015 Dec 15;

Authors: Salehpour F, Bazzazi AM, Aghazadeh J, Abbasivash R, Forouhideh Y, Mirzaei F, Naseri Alavi SA

Abstract
BACKGROUND: Traumatic brain Injury is a major general health concern. This study aims to evaluate possible relationship between serum level of glucose during admission and outcome of patients with severe traumatic brain injury.
METHODS: In this prospective study, 80 patients with severe traumatic brain injury were recruited from emergency department of Urmia Imam Khomeini hospital. Serum level of glucose was measured at the time of admission and its correlation was investigated with Glasgow Coma Scale (GCS) score (admission, 24h, 48h, 1week, and discharge) and Glasgow Outcome Score (GOS). The value of admission serum glucose was compared between expired and discharged patients, as well.
RESULTS: Eighty patients with severe head trauma, 71 males (88%) and 9 females (11.2%) with a mean age of 31.71±15.66 were enrolled into the study. The inhospital mortality rate was 25% (n=20). There was no significant correlation between serum glucose level and GCS score (at different intervals) or GOS. The mean serum level of glucose was comparable between expired and discharged cases (186.10±51.36 vs. 187.98±76.03 mg/dl, respectively; p=0.91).
CONCLUSION: Apparently, admission serum glucose is not a significant indicator of outcome in patients with severe head trauma.

PMID: 26704213 [PubMed – as supplied by publisher]

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