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Paper Information

Journal:   THE JOURNAL OF QAZVIN UNIVERSITY OF MEDICAL SCIENCES   SUMMER 2010 , Volume 14 , Number 2 (55); Page(s) 42 To 46.
 
Paper: 

COMPARISON OF PLASMA GLUCOSE LEVEL AMONG TRAUMATIC PATIENTS IN CASUALTY AND EMERGENCY DEPARTMENT

 
 
Author(s):  JABALAMELI M.*, NAGHIBI KH., SHEIBANI SH.
 
* DEPARTMENT OF ANESTHESIOLOGY, ALZAHRA GENERAL HOSPITAL, ISFAHAN, IRAN
 
Abstract: 

Background: There are several studies about the correlation of blood glucose level and prognosis in traumatic patients.
Objective: To determine the relationship between the on-admission plasma glucose (G) level with the type and severity of trauma.
Methods: In this analytical study, 270 patients who were admitted to the trauma center of Alzahra general hospital in 2006, evaluated for plasma G level, GCS, TS, and the type of trauma upon admission. In cases with plasma G (BS1) grater than 140 mg/dl on admission, the plasma G (BS2) was re-checked the next 24 hours. Data were analyzed using t-test and correlation ratio.
Findings: The incidence of different types of trauma and their mean BS1 were as follows: head and neck trauma (45%, BS1=238
±104 mg/dl), multiple trauma (28%, BS1=193±82 mg/dl), extremities trauma (16.1%, BS1=140±12 mg/dl), abdominal and chest trauma (7.4%, BS1=200±89 mg/dl), and pelvis trauma (2%, BS1=152±10 mg/dl). The Mean plasma G level in patients with TS=11-16, TS=6-10, and TS=1-5 was 130.74, 273.78, and 340 mg/dl, respectively.
Conclusion: In the emergency stage of trauma, hyperglycemia is common. In addition, an increase in plasma G level has a direct correlation with severity of trauma and head injury.

 
Keyword(s): HYPERGLYCEMIA, PLASMA GLUCOSE, TRAUMA
 
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