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


CONCLUSIONS
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.
Emergency Department, Dıskapi Yıldırım Beyazit Training and Research Hospital, Ankara, Turkey.
Bahadir
B
Danisman
Emergency Department, Numune Training and Research Hospital, Ankara, Turkey.
Muhittin Serkan
MS
Yilmaz
Emergency Department, Dıskapi Yıldırım Beyazit Training and Research Hospital, Ankara, Turkey.
Bahattin
B
Isik
Emergency Department, Baskent University Faculty of Medicine, Ankara, Turkey.
Cemil
C
Kavalci
Emergency Department, Numune Training and Research Hospital, Ankara, Turkey.
Cihat
C
Yel
Emergency Department, Numune Training and Research Hospital, Ankara, Turkey.
Alper Gorkem
AG
Solakoglu
Emergency Department, Numune Training and Research Hospital, Ankara, Turkey.
Burak
B
Demirci
Emergency Department, Numune Training and Research Hospital, Ankara, Turkey.
Selim
S
Inan
Emergency Department, Dıskapi Yıldırım Beyazit Training and Research Hospital, Ankara, Turkey.
M Evvah
ME
Karakilic
Blood glucose; GCS; Head trauma