Hyperglycemia has a stronger relation trauma patients than in other critically with outcome in ill patients

Autor: Vogelzang, M, Nijboer, JMM, van der Horst, ICC, Zijlstra, F, ten Duis, HJ, Nijsten, MWN
Přispěvatelé: Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Cardiovascular Centre (CVC)
Jazyk: angličtina
Rok vydání: 2006
Předmět:
Zdroj: JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 60(4), 873-877. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 1079-6061
Popis: Background. Acute hyperglycemia is associated with adverse outcome in critically ill patients. Glucose control with insulin improves outcome in surgical intensive care unit (SICU) patients, but the effect in trauma patients is unknown. We investigated hyperglycemia and outcome in SICU patients with and without trauma. Methods: A 12-year retrospective study,was performed at a 12-bed SICU. We collected the reason for admission, Injury Severity Scores (ISS), and 30-day mortality rates. Glucose measurements were used to calculate the hyperglycemic index (HGI), a measure indicative of overall hyperglycemia during the entire SICU stay. Results: In all, 5234 nontrauma and 865 trauma patients were studied. Trauma patients were younger, more frequently male, and had both lower median admission glucose (123 versus 133 mg/dL) and HGI levels (8.9 vs. 18.4 mg/dL) than nontrauma patients (p
Databáze: OpenAIRE