[Comparison of plasma glucose level among traumatic patients in casualty and emergency department]

ABSTRACT

There are several studies about the correlation of blood glucose level and prognosis in traumatic patients. To determine the relationship between the on-admission plasma glucose [G] level with the type and severity of trauma. 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. 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