Amini A, Derakhshanfar H, Kariman H, Arhami dolatAbadi A, Shahrami A, Aramideh M et al . Hyperglycemia and Related Factors in Multiple Trauma Patients in Imam Hossein Hospital, 2010. J Mazandaran Univ Med Sci 2013; 22 (98) :328-332
URL:
http://jmums.mazums.ac.ir/article-1-1881-en.html
Abstract: (10390 Views)
Background and purpose: Hyperglycemia leads to some complications in traumatic patients
and its control could improve the patient's prognosis. In this study the prevalence of hyperglycemia and
its effects were investigated in patients with multiple traumas.
Materials and methods: In this cross-sectional study the blood glucose levels of 472 multiple
trauma patients attending emergency department at Imam Hossein Hospital were measured in June-Oct
2010. Diabetic patients were excluded. SPSS ver.16 was applied to analyze the data.
Results: The incidence of posttraumatic hyperglycemia in multiple trauma victims was 20%.
There was a significant relationship between posttraumatic hyperglycemia and presence of fracture (FX).
However, no significant correlation was observed between hyperglycemia and age, sex, mechanism of
trauma, and site of trauma. Moreover, this study found a significant correlation between hyperglycemia
and intracranial bleeding.
Conclusion: Considering high rate of posttraumatic hyperglycemia and previous findings on
controlling and improving the patient’s prognosis, we recommend checking the blood glucose level of
trauma patients` on arrival, particularly among those suspected of having FX. However, further studies
are needed to investigate this issue in other traumas.