Relationship between serum glucose and injury severity score in childhood trauma

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• 作者：Wendy J. Pomerantz ; Philip J. Hashkes ; Paul A. Succop ; M. Denise Dowd
• 关键词：Author Keywords ; Jejunal atresia ; tapering enteroplasty
• 刊名：Journal of Pediatric Surgery
• 出版年：1999
• 出版时间：October 1999
• 年：1999
• 卷：34
• 期：10
• 页码：1494-1498
• 全文大小：547 K

文摘

Purpose: The aim of this study was to examine the relationship between initial serum glucose and injury severity score (ISS) in children with multiple trauma.

Methods: Charts from all patients 0 to 19 years of age admitted to a children's hospital in 1995 with acute multiple trauma were reviewed. Data collected included initial serum glucose level, heart rate (HR), systolic blood pressure (SBP), Injury Severity Score (ISS), age, gender, location of trauma, and need for intravenous fluids or epinephrine. Data were analyzed using multiple linear regression.

Results: A total of 185 charts were reviewed. The mean ISS was 11.3; the mean glucose was 162.8 mg/dL. After adjusting for age, gender, HR, SBP, and administration of epinephrine or fluid bolus, a significant direct relationship between serum glucose and ISS was found (r = 0.52, P < .01). A stronger relationship was found in children less than 2 years old (r = 0.60, P = .04).

Conclusions: A significant direct relationship exists between glucose and ISS in children with multiple trauma. High glucose values may indicate more severe injury, especially in children less than 2 years old.