[PROGNOSTIC SIGNIFICANCE OF CHANGES OF BLOOD GLUCOSE LEVEL IN PATIENTS WITH THORACOABDOMINAL INJURIES.]
Anesteziologiia I Reanimatologiia
|February 23, 2018
Summary
High blood glucose levels in patients with thoracoabdominal injuries can predict a poor outcome. Elevated glucose, especially within the first day of hospital treatment, is a significant indicator of mortality risk.
Area of Science:
- Trauma care
- Clinical biochemistry
- Prognostic markers
Background:
- Injuries contribute significantly to morbidity and mortality.
- Predicting injury outcomes is crucial for effective patient management.
- Blood glucose serves as an accessible stress marker for outcome prediction.
Purpose of the Study:
- To investigate the relationship between blood glucose levels and patient outcomes in thoracoabdominal injuries.
- To analyze the dynamics of blood glucose in relation to survival in trauma patients.
Main Methods:
- Retrospective analysis of medical records for patients with thoracoabdominal injuries.
- Classification of patients based on survival (favorable/unfavorable) and intoxication signs.
- Comparison of mean blood glucose levels at various time points during hospitalization.
Main Results:
- Significantly higher average blood glucose levels were observed in patients with unfavorable outcomes.
- The most pronounced differences in blood glucose were noted in the initial days of treatment.
- High blood glucose (≥8.0 mmol/L) within the first day correlated with increased mortality.
Conclusions:
- Elevated blood glucose levels (≥8.0 mmol/L) on the first day of hospital treatment are a predictor of poor outcomes in thoracoabdominal injuries.
- Blood glucose monitoring can aid in risk stratification for trauma patients.
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